SIU Desk Investigator

🔥 23 hours ago

🏈 Alabama, Arizona, +39 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $62.1k - $105.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Allstate

WebsiteLinkedInAll Job Openings

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 Investigative Unit for potential fraud • Handle complex attorney-represented and unrepresented claims and moderate to complex losses • Conduct background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches • Review and analyze medical notes, bills, and property damage • Conduct surveillance and create scene reconstructions as needed • Determine whether fraud can be substantiated and support lawsuits • Manage claim review and determine when field investigation is needed • Coordinate with vendors and provide recommendations supporting claim decisions • Enter SIU claim data into multiple systems • Review fraud outcomes to validate whether denial is appropriate • Update files with investigation outcomes and return files to MCO when fraud is not established or evidence is insufficient • Conduct complex online data searches, research, and evaluation • Validate information obtained through investigations and follow up on leads • Summarize documents and document claim files with notes, evaluations, and decision-making processes • Use 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 • No supervisory duties

🎯 Requirements

• Experienced licensed SIU Desk Investigator • Experience conducting complex fraud investigations across Auto, Homeowners, and Specialty Lines • Prior Bodily Injury claims experience preferred • Active insurance license holders must terminate all existing appointments before onboarding and must not hold outside appointments during employment • Applicants with a resident producer license must surrender that license when instructed by the licensing team • Background investigation required • Dedicated, private workspace free from distractions • Appropriate desk and seating for working from home • Reliable internet with minimum speeds of 50 MB download and 5 MB upload • Must comply with applicable insurance licensing requirements • Allstate generally does not sponsor individuals for employment-based visas for this position

🏖️ Benefits

• Comprehensive technology setup including a laptop, monitors, headset, keyboard, and mouse • Monthly connectivity reimbursement for employees eligible to work from home • Remote work arrangement • Incentive pay (commission, bonus, etc.) if applicable

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