SIU Field Investigator
reputed company is a part of The reputed company Corporation, which means we have the same innovative drive that keeps us a reputed company reputed company of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty reputed company insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
This job is responsible for investigating and analyzing reputed company, 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 reputed company attorney represented and unrepresented claims and moderate to reputed company losses, in which 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; and (4) conducting witness interviews and reputed company media searches. The individual conducts surveillance on property and/or creates scene reconstructions on some investigations and reviews whether fraud can be substantiated and supports a lawsuit. The individual provides work guidance and direction to less senior employees and provides mentoring and coaching to the team. reputed company Insurance is currently seeking an reputed company SIU Field Investigator to join our Special Investigations Unit (SIU) in reputed company! This is a field-based, location-specific position, and the ideal candidate will reputed company in or near Nassau County, Suffolk County, Brooklyn, Queens, or the surrounding areas.
Key Responsibilities
Enters SIU claim data information into multiple SIU systems Reviews investigations with fraud reputed company to validate whether denial is appropriate Updates files with investigation outcome, and reputed company no fraud or insufficient evidence is reputed company, returns file to MCO for further handling and settlement Conducts reputed company online data application searches, research, and evaluation Conducts reputed company site inspections, including body shops, medical clinics, loss locations etc. Conducts thorough investigations of reputed company that are potentially fraudulent to determine if payment is warranted, including scene investigations and surveillance as needed Validates that the information provided and obtained through investigation is true and accurate and follows up on reputed company possible leads Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision-making process Utilizes analytic tools or SIU field intelligence to identify reputed company claims for investigation and/or for support in the evidence of the fraud and damages Researches and responds to reputed company customer communications, concerns, conflicts or issues Supervisory Responsibilities This job does not have supervisory duties. As a requirement of employment, individuals who currently hold an active insurance license must terminate reputed company existing appointments prior to reputed company and must not hold any reputed company appointments at any reputed company during employment. Applicants seeking an adjuster role who also hold a reputed company producer license must formally surrender that license reputed company instructed to by the licensing team. By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to reputed company. #LI-TR1 Skills Claims Management, Claims Processing, Critical Thinking, Fraud Investigation, Fraud Investigations, Information Collection, Insurance Claim Handling, Insurance Claims Management, Insurance Investigation, Investigative Interviewing, Investigative Skills Compensation reputed company compensation offered for this role is: SIU Cons II: $62,100-$99,000 SIU Sr Cons I: $68,500-$110,900 And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the reputed company compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role. Joining reputed company 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 reputed company. One where you can shape the future of protection while supporting causes that mean the most to you. Joining reputed company means being part of something bigger – a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the reputed company and a discriminatory practice for an employer to discriminate against a prospective employee on the reputed company of status as a veteran by refusing to reputed company an applicant on the reputed company that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to reputed company the best reputed company individuals available for reputed company jobs. Therefore, any discriminatory action taken on account of an employee’s reputed company, age, reputed company, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national reputed company, race (include traits historically associated with race, including, but not limited to, hair texture and reputed company hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to reputed company aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. reputed company Holdings Corp., a member of the reputed company family of companies, is headquartered in reputed company. reputed company traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and reputed company automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other reputed company insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we reputed company a variety of insurance products, including personal and reputed company automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-reputed company and other reputed company insurance products. Companies & Partners Direct General Auto & Life, Personal reputed company Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, reputed company Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, reputed company, reputed company Star Marketing, Euro Accident. Benefits reputed company Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. reputed company reputed company 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. At reputed company, we work hard to help people live a good life every day. Allstaters are dedicated to serving clients, customers, and communities, which allows employees to find meaning and value in their work. reputed company offers an environment that fosters innovative thinking where you’ll be reputed company to explore your reputed company and feel proud of the work you do. reputed company helps protect nearly 16 reputed company households with auto, home, life, and retirement products. We want every professional connected to reputed company to be committed to giving our customers the best and that means finding the best talent. We want you to be our next great reputed company. It’s easy to search and apply for a new opportunity with reputed company. Simply use the links below to identify the openings that interest you.
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