About
National General is part of The Allstate Corporation, offering home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents and directly to consumers.
Job Description
The Special Investigative Unit Senior Consultant II is responsible for investigating and analyzing highly complex, multi-discipline coverage and claims that have been referred to the Special Investigative Unit (SIU) for potential fraud. The role typically handles a combination of complex attorney represented and unrepresented claims and large or significant losses and claims involving highly complex extra-contractual liability, large fire and property losses where suspicious activity has been identified. The position performs a thorough investigation including (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills and property damage; and (4) conducting witness interviews and social media searches. The individual reviews whether fraud can be substantiated and supports a lawsuit. At this level, the individual is expected to handle the most complex or specialized claims or claims involving significant dollar exposure or customers.
We are seeking an experienced SIU Investigator to join our growing team! This field-based role supports the Arkansas state territory and is responsible for conducting complex fraud investigations across multiple lines of business, including Auto, Homeowners, and Specialty Lines. Prior investigative experience is required, with a strong preference for candidates with an SIU background and demonstrated experience identifying, investigating, and resolving suspicious claims.
Key Responsibilities
•Oversees file quality Investigative Consultant
•Makes claim decisions regarding highly complex investigations, and pursues restitution
•Manages vendor relationship and oversees vendor performance
•Conducts highly complex online data application searches, research, and evaluation
•Conducts thorough investigations of highly complex, multi-discipline claims and excess coverage liability (ECL) claims that are potentially fraudulent to determine if payment is warranted
•Reviews investigations with fraud outcomes to validate whether denial is appropriate
•Conducts highly complex site inspections, including body shops, medical clinics, loss locations, etc.
•Manages, researches, and resolves highly complex customer communications, concerns, conflicts or issues
•Utilizes analytic tools or SIU field intelligence to identify highly complex claims for investigation and/or for support in the evidence of the fraud and damages
•Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision making process
Supervisory Responsibilities
•This job does not have supervisory duties.
As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Applicants seeking an adjuster role who also hold a resident producer license must formally surrender that license when instructed to by the licensing team. By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply.
Skills
Analytical Thinking, Crime Scene Investigations, Critical Thinking, Decision Making, Fraud Investigations, Investigative Interviewing, Law Enforcement, Special Investigations, Surveillance, Time Management
Compensation
Base compensation offered for this role is:
•Special Investigative Unit Consultant II: $62,100 - $105,300
•Special Investigative Unit Sr Consultant I: $68,500 - $117,700
Annually and is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.
Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.
Equipment & Remote Work
Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs.
When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.
Company Background
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products.
