#R23061
ation 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 (3) conducting witness interviews and social media searches. The individual reviews whether fraud can be substantiated and supports a lawsuit.
**We're seeking an experienced SIU Field Investigator to join our Special Investigations Unit (SIU) in California! This is a field-based, location-specific position, and the ideal candidate will reside in Los Angeles County.
The Investigator will be responsible for conducting in-depth field investigations into auto insurance claims referred to SIU for potential fraud. The ideal candidate will have prior investigative experience, strong attention to detail, and the ability to follow structured procedures and documentation standards.
This role also requires excellent organizational skills, independent decision-making, and being comfortable navigating challenging conversations and high-pressure situations.**
Key Responsibilities
Makes claim decisions regarding complex and occasionally highly complex investigations, and pursues restitution
Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts or issues
Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
Conducts thorough investigations of complex and occasionally highly complex multi-discipline claims and ECL claims that are potentially fraudulent to determine if payment is warranted
Utilizes analytic tools or SIU field intelligence to identify complex and occasionally 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
Enters SIU claim data information into multiple SIU systems
Updates files with investigation outcome, and when no fraud, or if insufficient evidence is found, returns file to MCO for further handling and settlement
Reviews investigations with fraud outcomes to validate whether denial is appropriate
Conducts complex and occasionally highly complex online data application searches, research, and evaluation
Supervisory Responsibilities
#LI-TR1
Compensation
Base compensation offered for this role is:
SIU Cons I: $55,500- $75,902.64
SIU Cons II: $57,500 - $84,491.18
SIU Sr Cons I: $62,800- $97,165.79
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.
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.