SIU Investigator Senior Consultant II Job at Allstate, Orlando, FL

MnlZb0dkU0tXQjJjdER6WFZhak1JbVVXd0E9PQ==
  • Allstate
  • Orlando, FL

Job Description

Job Title

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 highly 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 large or significant losses and claims involving highly complex extra-contractual liability, large fire and property losses where 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; (4) and 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.

Location

This is a field-based, location-specific role based in the Orlando metropolitan area. The ideal candidate will reside in one of the following counties: Orange, Osceola, Seminole, or Volusia.

Key Responsibilities

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

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

Manages, researches, and resolves highly complex customer communications, concerns, conflicts or issues

Makes claim decisions regarding highly complex investigations, and pursues restitution

Reviews investigations with fraud outcomes to validate whether denial is appropriate

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

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

Manages vendor relationship and oversees vendor performance

Oversees file quality Investigative Consultant

Education

4 year Bachelors Degree (Preferred)

Experience

3 or more years of experience (Preferred)

Supervisory Responsibilities

This job does not have supervisory duties.

Compensation

Base compensation offered for this role is $66,800 - $138,600 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.) as applicable for the role.

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. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

Companies & Partners

Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.

Benefits

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 online application, please contact NGIC main office by phone at (336) 435-2000.

Allstate

Job Tags

Work at office, Visa sponsorship, Work visa,

Similar Jobs

TrackFive

Locum Physician (MD/DO) - Pediatric Surgery in Arizona Job at TrackFive

LocumJobsOnline is working with Medicus Healthcare Solutions to find a qualified Pediatric Surgery MD in Arizona!About The PositionOpportunity DetailsMedicus is collaborating with a hospital less than 30 minutes from Phoenix, Arizona, with an opening for a Pediatric Surgeon... 

Aptiv

Transfer Pricing Manager Job at Aptiv

 ...This opportunity is uniquely positioned to help an ambitious transfer pricing / international tax professional develop key business and operational analytic competency that will allow them to become industry leading tax and transfer pricing professionals or (b) build... 

Brooksource

Product Owner Job at Brooksource

 ...Product Owner Columbus, Ohio Position Summary: We are seeking an experienced Product Owner to lead the planning, implementation, support, and continuous improvement of our enterprise application ecosystem. This role requires a seasoned professional with... 

DAVITA

Acute Registered Nurse Job at DAVITA

 ...services program at Danbury Hospital DaVita is seeking a Registered Nurse who is looking to give life in a hospital setting. You can...  ...is Joint Commission Accredited Full vaccination against COVID-19 is required by hospitals in this program, which may include... 

Alphabe Insight Inc

Brand Promoter Job at Alphabe Insight Inc

 ...shape exceptional events in Charlotte and beyond.Job DescriptionJob DescriptionWe are looking for a driven and energetic Brand Promoter to join our growing team. The ideal candidate will play a key role in increasing brand awareness and customer engagement through...