Field SIU Adjuster

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

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💵 $62.1k - $104k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Allstate

Allstate

10,000+ employees

Founded 1931

💼 Consulting

📦 Logistics

🛡️ Insurance

💰 Post-IPO Equity on 2014-01

Consulting • Logistics • Insurance

Allstate is an industry leader in providing insurance solutions, focusing on home, auto, device, and identity protection. With a commitment to customer well-being, Allstate aims to instill peace of mind and financial security for its customers. The company also emphasizes community impact and sustainability through various initiatives, showcasing their dedication to social responsibility and positive change.

📋 Description

• Investigate and analyze complex, multi-discipline coverage and claims referred to the Special Investigation Unit for potential fraud • Conduct background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches • Conduct surveillance on property and create scene reconstructions on some investigations • Review whether fraud can be substantiated and support lawsuits • Enter SIU claim data into multiple SIU systems • Review investigations with fraud outcomes and validate whether denial is appropriate • Update files with investigation outcomes and return files for further handling when fraud or sufficient evidence is not found • Conduct complex online data searches, research, evaluation, and site inspections • Determine whether payment is warranted on potentially fraudulent claims • Validate information obtained through investigations and follow up on possible leads • Summarize documents and document claim files with notes, evaluations, and decision-making processes • Utilize analytic tools and SIU field intelligence to identify complex claims and support evidence of fraud and damages • Research and respond to complex customer communications, concerns, conflicts, or issues • Provide work guidance, mentoring, and coaching to less senior employees and the team

🎯 Requirements

• 2 or more years of experience preferred • Analytical thinking • Claims processing • Critical thinking • Documentation • Evidence gathering • Fraud investigations • Information collection • Insurance claims investigations • Insurance investigation • Investigative interviewing • Surveillance • Authorization to work in the United States; visa sponsorship is not provided • Dedicated, private home workspace free from distractions • Reliable internet with minimum speeds of 50 MB download and 5 MB upload

🏖️ Benefits

• Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse • Monthly connectivity reimbursement to help offset internet costs • Remote work from home • Equal Opportunity employer • Assistance or accommodation in completing the online application

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