12 siu investigator jobs found

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche 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 complex, 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 complex attorney represented and unrepresented claims and moderate to complex 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;...

Essential Duties and Responsibilities include the following. Other duties may be assigned : Processes claims involving minor injuries and/or pay and close claims. Examines claim forms and other records to determine insurance coverage. Ensures that claim file documentation and reserves are current. Reviews and processes medical bills and other claims-related expenses as appropriate. Pays claimant and providers amounts due. Refers claims that require investigation or have more complex medical issues to supervisor or Claim Representative for investigation and continued billing. Services phone calls and disputes over billing in accordance with company protocols. Assists claims examiners with medical bill processing and filing. Provides general clerical support to claim representatives. Filling of appropriate states forms as required to be in compliance with state reporting requirements. Performs other duties as assigned. Qualifications High school...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This position is designated to provide critical support to the Field Property Claims Team. The role requires a high level of flexibility, with travel expectations of up to 80% depending on business needs. The individual will be deployed to assist in maintaining operational continuity, ensuring service quality, and supporting team performance across various regions. Assignments may vary in duration and location, and the ability to quickly adapt to new environments...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: This role covers the Anderson, Knox, and Union County area within Tennessee and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in Knoxville, TN or surrounding area (counties listed above).   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual...

Essential Duties and Responsibilities include the following. Other duties may be assigned: • Handles Auto Physical Damage (APD) and Cargo claims, from start to finish. • Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards. • Caseload: 100-120 claims • Handle claims related to commercial auto incidents, including physical damage and liability claims. • Investigate, evaluate, negotiate, and settle claims efficiently. • Ensure compliance with relevant regulations and company policies. • Maintain detailed documentation for each claim. • Collaborate with internal and external stakeholders to drive successful claim outcomes. Additional Responsibilities: • Mandatory one-week onsite training at US Admin HQ (travel and accommodations fully covered). • Mentors less experience co-workers to develop their understanding of...

Essential Duties and Responsibilities include the following. Other duties may be assigned: • Handles claims, including Auto Physical Damage (APD) and Cargo claims, from start to finish. • Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards. • Caseload: 100-120 claims, • Handle claims related to commercial auto incidents, including physical damage and liability claims. • Investigate, evaluate, negotiate, and settle claims efficiently. • • Ensure compliance with relevant regulations and company policies. • Maintain detailed documentation for each claim. • Collaborate with internal and external stakeholders to drive successful claim outcomes. • Other duties may be assigned Qualifications: • High school Diploma or equivalent is required • 5+ years in Heavy Commercial Auto claims handling or a similar role. • Experience with APD and Cargo claims is a huge plus, a mix of both...

Essential Duties and Responsibilities include the following. Other duties may be assigned: •    Processes claims involving minor injuries and/or pay and close claims. •    Examines claim forms and other records to determine insurance coverage. •    Ensures that claim file documentation and reserves are current. •    Reviews and processes medical bills and other claims-related expenses as appropriate. •    Pays claimant and providers amounts due. •    Refers claims that require investigation or have more complex medical issues to supervisor or Claim Representative for investigation and continued billing. •    Services phone calls and disputes over billing in accordance with company protocols. •    Assists claims examiners with medical bill processing and filing. •    Provides general clerical support to claim representatives.  •    Filling of appropriate states forms as required to be in compliance with state reporting requirements. •    Performs other duties as assigned ....

Essential Duties and Responsibilities include the following. Other duties may be assigned : Handles litigated and non-litigated claims, including Auto Physical Damage (APD) and Cargo claims, from start to finish. Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards. Caseload: 100-120 claims, with 30% involving litigated files Handle claims related to commercial auto incidents, including physical damage and liability claims. Investigate, evaluate, negotiate, and settle claims efficiently. Manage both litigated and non-litigated claims. Ensure compliance with relevant regulations and company policies. Maintain detailed documentation for each claim. Collaborate with internal and external stakeholders to drive successful claim outcomes. Additional Responsibilities: Mandatory one-week onsite training at US Admin HQ in Oakridge, TN (travel and accommodations fully covered)....

Essential Duties and Responsibilities include the following. Other duties may be assigned: • Handles litigated and non-litigated claims, including Auto Physical Damage (APD) and Cargo claims, from start to finish. • Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards. • Caseload: 100-120 claims, with 30% involving litigated files • Handle claims related to commercial auto incidents, including physical damage and liability claims. • Investigate, evaluate, negotiate, and settle claims efficiently. • Manage both litigated and non-litigated claims. • Ensure compliance with relevant regulations and company policies. • Maintain detailed documentation for each claim. • Collaborate with internal and external stakeholders to drive successful claim outcomes. Additional Responsibilities: • Mandatory one-week onsite training at US Admin HQ in Knoxville, TN (travel and accommodations fully...

Essential Duties and Responsibilities include the following. Other duties may be assigned: • Handles litigated and non-litigated claims, including Auto Physical Damage (APD) and Cargo claims, from start to finish. • Manages a diverse caseload from across the U.S, ensuring timely and effective settlements while maintaining high professional standards. • Caseload: 100-120 claims, with 30% involving litigated files • Handle claims related to commercial auto incidents, including physical damage and liability claims. • Investigate, evaluate, negotiate, and settle claims efficiently. • Manage both litigated and non-litigated claims. • Ensure compliance with relevant regulations and company policies. • Maintain detailed documentation for each claim. • Collaborate with internal and external stakeholders to drive successful claim outcomes. Additional Responsibilities: • Mandatory one-week onsite training at US Admin HQ in Knoxville, TN (travel and accommodations fully...

About Acrisure: Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help them protect and grow what matters, including Insurance, Reinsurance, Cyber Services, Mortgage Origination and more. Acrisure employs over 17,000 entrepreneurial colleagues in 21 countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. Job Summary: Manage end-to-end claims handling for commercial auto, bodily injury, APD, and cargo claims. Investigate, evaluate, negotiate, and settle claims with professionalism and efficiency. Handle a mix of litigated and non-litigated claims, working closely with legal and administrative support as needed. Ensure...

Job Title: General Liability Supervisor Department/Agency: US Admin Location: Oak Ridge, TN Office About Acrisure A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions. Bringing cutting-edge technology and top-tier human support together, it connects clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services and more. In the last eleven years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in 21 countries. Our culture is defined by our entrepreneurial spirit and all that comes with it: innovation, client centricity and an indomitable will to win. US Administrator Claims, LLC is a leading third-party administrator specializing in workers’ compensation and commercial general liability claims. Our customer-first approach ensures tailored claims handling that meets the unique needs...