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. 

Job Description

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.

National General Insurance is currently seeking an experienced SIU Field Investigator to join our Special Investigations Unit (SIU) in New York! This is a field-based, location-specific position, and the ideal candidate will reside in or near Nassau County, Suffolk County, Brooklyn, Queens, or the surrounding areas.

The Investigator will be responsible for conducting in-depth field investigations into auto insurance claims referred to SIU for potential fraud. Property claims experience is a plus. The ideal candidate will have prior investigative experience, strong attention to detail, and the ability to follow structured procedures and documentation standards. Estimating experience is also a plus.

In this role, you’ll bring strong organizational skills, exercise independent judgment, and feel comfortable navigating challenging conversations and high-pressure situations.

Key Responsibilities

• Reviews investigations with fraud outcomes to validate whether denial is appropriate

• Conducts complex site inspections, including body shops, medical clinics, loss locations etc.

• Conducts complex online data application searches, research, and evaluation

• Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads

• Enters SIU claim data information into multiple SIU systems

• Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement

• Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed

• Utilizes analytic tools or SIU field intelligence to identify 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

• Researches and responds to complex customer communications, concerns, conflicts or issues

Supervisory Responsibilities

• This job does not have supervisory duties.

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Compensation

Base compensation offered for this role is: 

SIU Cons I: $60,000-87,400

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

SIU 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.

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.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve com