Field SIU Investigation Auto/Casualty

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. We are seeking an experienced Field SIU Investigator to handle a variety of field-based investigative claims across multiple lines, including personal auto and casualty. The ideal candidate will have direct SIU experience working for an insurance carrier, along with a strong background in auto or casualty investigations, or a solid foundation in law enforcement field investigations. This role requires someone who is comfortable working independently in the field, conducting thorough and detailed investigations, and adapting to changing priorities. Strong attention to detail, investigative curiosity, and the ability to stay organized are essential for success. Candidates must reside within a one-hour commute of Charlotte, North Carolina, or be located in Albemarle, NC or Monroe, NC. 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. #LI-AS2   Skills Analytical Thinking, Auto Insurance Claims, Bodily Injury Claims, Evidence Gathering, Fraud