SIU Field Investigator

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.

This job is responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit (SIU) for potential fraud. This role typically handles a combination of complex attorney represented and unrepresented claims and moderate to complex losses, in which suspicious activity has been identified. The individual 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 conducts surveillance on property and/or creates scene reconstructions on some investigations and reviews whether fraud can be substantiated and supports a lawsuit. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team.

We’re looking to add an SIU Field Investigator to our team in the Chattanooga, TN area. This is a remote role with field work throughout the Chattanooga, TN territory. If you bring prior SIU insurance carrier experience or a background in insurance investigations, we’d love to connect with you. Apply today and join our team! Joining our team isn’t just a job — it’s an opportunity.

One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

• Enter SIU claim data information into multiple SIU systems
• Review investigations with fraud outcomes to validate whether denial is appropriate
• Update files with investigation outcome, and when no fraud or insufficient evidence is found, return file to MCO for further handling and settlement
• Conduct complex online data application searches, research, and evaluation
• Conduct complex site inspections, including body shops, medical clinics, loss locations etc.
• Conduct thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed
• Validate that the information provided and obtained through investigation is true and accurate and follow up on all possible leads
• Summarize documents and enter into claim system notes, documenting a claim file with notes, evaluations and decision‑making process
• Utilize analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the fraud and damages
• Research and respond to complex customer communications, concerns, conflicts or issues

• 2 or more years of experience (Preferred)

• This job does not have supervisory duties.

Base compensation offered for this role is:

SIU Field Adjuster Cons II: $62,100 - $92,700

SIU Field Adjuster Sr Cons I: $68,500 - $104,100

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.

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your…