SIU Field Investigator Senior Details

SIU Field Investigator Senior

National General Insurance - Ontario, CA

Employment Type : Full-Time

Primary Purpose:

Identify and investigate questionable claims/risks and deliver facts and assistance to internal and external customers. Provides investigative assistance within the region and technical direction and support with complex SIU investigations

Essential Duties and Responsibilities:

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Assist SIU manager with duties to include special projects
• Establish an investigative plan on a daily basis
• Receive referral, communicate with referring sources, verify need for investigation and document all appropriate information
• Initiate investigation by gathering facts and evidence with all interested parties
• Complete appropriate reports
• Run appropriate database checks
• Take recorded statements when necessary
• Netmap referrals as necessary
• Hire appropriate experts with coordination of claim rep and supervisor and document investigative activity
• Complete both inside and field investigative tasks
• Work with vendors in setting expectations and resolving questions raised through the investigation
• Track and document the quality of service provided by defense counsel and forensic experts and manage vendor costs
• Evaluate facts and determine applicable laws
• Determine state fraud reporting requirements; summarization of investigative findings
• Identify answers to more complex issues with insurance law by reading and interpreting case law
• Provide training to internal and external customers
• Serve as mentor to SIU field investigators
• Periodic audit review of files by supervisor or management
• Conducts internal investigations regarding defalcation and employee misconduct issues as assigned

Minimum Skills and Competencies:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
• Possess a solid understanding of insurance law as it relates to claims and SIU files
• Ability to interpret and apply investigative findings to determine action plan
• Possess effective verbal and written communication skills
• Ability to successfully perform in a high-energy, dynamic and team-oriented environment
• Possess effective organization and time management skills with the ability to work under pressure and adhere to project deadlines
• Possess excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization
• Ability to demonstrate integrity within a professional environment
• High degree of initiative, mature judgment, and discretion
• Ability to handle confidential information in a professional manner
• Possess a general understanding of the insurance industry, organizational relationships of the company and the functions of other departments such as Policy Operations and Marketing
• Ability to manage conflict resolution
• Ability to travel up to 10%

Desired Skills:

• 7+ years of experience with a law enforcement agency and/or multi-line claims handling experience within the insurance industries
• Possess prior experience in the investigation of insurance fraud
• Successful completion of one or more professional designations: FCLS (Fraud Claims Law Specialist), CFE (Certified Fraud Examiner), CIFI (Certified Insurance Fraud Investigator)
• Higher Educational Degree (Master’s Degree)

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.

About National General Holdings:

National General Holdings Corp. 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.

National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!

Companies and 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.

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

• Paid Training
• Medical, Dental, Vision benefits
• Wellness Programs
• Life and Short/Long Term Disability Insurance
• 401k w/ Company Match
• Company Paid Holidays & Generous Time-off policy
• Employee Discount Program
• Career Advancement and Development Opportunities
• On-site Healthcare Clinic (Winston-Salem and Cleveland offices)
• On-site Fitness Center (Cleveland and Dallas offices)
• Subsidized parking (Cleveland office)

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.