At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
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 in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches.
- Researches and responds to complex customer communications, concerns, conflicts or issues
- 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 complex claims for investigation and/or for support in the evidence of the fraud and damages
- Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted
- Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
- Conducts complex online data application searches, research, and evaluation
- Reviews investigations with fraud outcomes to validate whether denial is appropriate
- Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement
- Enters SIU claim data information into multiple SIU systems
- Makes claim decisions regarding complex investigations, and pursues restitution
- This role handles claims in New York and New England
Preferred Qualifications:
- Bachelor's Degree or equivalent preferred
- SIU experience preferred
- 3 years claims handling experience required
- PIP and MED PAY experience is a plus
Certificates, Licenses, Registrations:
- New England licenses in CT, MA and RI are a plus
Notes:
- The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.
#LI-AC3
Skills
Analytical Thinking, Casualty Insurance, Communication, Customer Interactions, Customer Service, Evidence Gathering, Insurance Fraud Investigations, Negotiation, Researching, Special Investigations
Compensation
Compensation offered for this role is $56,500.00 – 99,962.50 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team 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 quo. And one where you can impact the future for the greater good.
You’ll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, we’ve proven that Allstate empowers everyone to lead, drive change and give back where they work and live.
Good Hands. Greater Together.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis 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 is the Law” 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 employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective 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 all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Providing protection to help people achieve their hopes and dreams has always been Allstate’s purpose. It’s the why behind everything we do.
Our purpose points us to our destination, but Our Behaviors help us get there.
Collaborate:
Being united helps us reach collective goals and brings out the best in each of us individually. It gives us more opportunities to learn, grow and add value to what we do each day.
Challenge Ideas:
In a world where change is certain, we want to lead it positively. So we rely on the collective expertise of our employees to consider different options and create the best path forward toward progress — in our industry and beyond.
Provide Clarity:
When expectations are clear, goals are easier to meet. We’re working together in new ways to make sure we know where we’re going and the role we all play in getting there. To save time and focus on what matters most: helping people achieve their hopes and dreams.
Provide Feedback:
Every bold idea deserves the chance to grow to excellence. Candid, helpful feedback empowers us to keep making things better for our customers, our communities and fellow employees.
What We Do:
As an expert on our products and services, you can give customers personalized attention and innovative solutions to make their lives easier.
How We Support You:
Starting day one, you’ll have access to resources and incentives to keep you feeling challenged and excited about your careers.
Make An Impact:
As a member of our sales team, you’ll bring a sense of ease and support to customers looking for a better understanding of their protection options. Whether in the field or talking to customers over the phone, you’ll continue to build trust in who we are and what we do.
You’re in Good Hands ® is more than a promise we make to our customers. It’s a promise we make our employees, too.
As part of our team, we want you to love where you work, and that starts by giving you the freedom to be yourself. Our workplace flexibility and focus on inclusion creates an environment where you can connect and belong. Our goal is for you to feel trusted, heard and empowered to express yourself. When you thrive, we all thrive. And this year, we’re proud to share that we’ve been recognized by Forbes as one of America’s Best Employers For Diversity, and one of America’s Best Large Employers.
When you join us, you’ll have the opportunity to push your skills to the next level each day. Our dedication to continuous learning ensures that you have access to development programs designed to propel your career forward. As you learn and grow, so do we.
Working here also means getting the chance to do meaningful work and make a real impact in your community. We have been driving change for over 90 years, but the mark we leave on the world, can be even greater when we work together.
Good Hands. Greater Together.
At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
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 in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches.
- Researches and responds to complex customer communications, concerns, conflicts or issues
- 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 complex claims for investigation and/or for support in the evidence of the fraud and damages
- Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted
- Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
- Conducts complex online data application searches, research, and evaluation
- Reviews investigations with fraud outcomes to validate whether denial is appropriate
- Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement
- Enters SIU claim data information into multiple SIU systems
- Makes claim decisions regarding complex investigations, and pursues restitution
- This role handles claims in New York and New England
Preferred Qualifications:
- Bachelor's Degree or equivalent preferred
- SIU experience preferred
- 3 years claims handling experience required
- PIP and MED PAY experience is a plus
Certificates, Licenses, Registrations:
- New England licenses in CT, MA and RI are a plus
Notes:
- The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.
#LI-AC3
Skills
Analytical Thinking, Casualty Insurance, Communication, Customer Interactions, Customer Service, Evidence Gathering, Insurance Fraud Investigations, Negotiation, Researching, Special Investigations
Compensation
Compensation offered for this role is $56,500.00 – 99,962.50 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team 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 quo. And one where you can impact the future for the greater good.
You’ll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, we’ve proven that Allstate empowers everyone to lead, drive change and give back where they work and live.
Good Hands. Greater Together.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis 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 is the Law” 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 employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective 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 all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Providing protection to help people achieve their hopes and dreams has always been Allstate’s purpose. It’s the why behind everything we do.
Our purpose points us to our destination, but Our Behaviors help us get there.
Collaborate:
Being united helps us reach collective goals and brings out the best in each of us individually. It gives us more opportunities to learn, grow and add value to what we do each day.
Challenge Ideas:
In a world where change is certain, we want to lead it positively. So we rely on the collective expertise of our employees to consider different options and create the best path forward toward progress — in our industry and beyond.
Provide Clarity:
When expectations are clear, goals are easier to meet. We’re working together in new ways to make sure we know where we’re going and the role we all play in getting there. To save time and focus on what matters most: helping people achieve their hopes and dreams.
Provide Feedback:
Every bold idea deserves the chance to grow to excellence. Candid, helpful feedback empowers us to keep making things better for our customers, our communities and fellow employees.
What We Do:
Your ability to quickly and calmly make smart decisions can make a huge difference in how confident customers feel throughout the claims process. And as you support our customers, we’re there to support you.
How We Support You:
We empower your success starting day one. You’ll have access to everything you need to grow professionally while helping our customers get their lives back on track.
Make An Impact:
Helping customers with their claims is about learning their stories, not just processing their paperwork. You can take pride in the fact that you’re providing invaluable guidance and helping to build continued trust in our company.
You’re in Good Hands ® is more than a promise we make to our customers. It’s a promise we make our employees, too.
As part of our team, we want you to love where you work, and that starts by giving you the freedom to be yourself. Our workplace flexibility and focus on inclusion creates an environment where you can connect and belong. Our goal is for you to feel trusted, heard and empowered to express yourself. When you thrive, we all thrive. And this year, we’re proud to share that we’ve been recognized by Forbes as one of America’s Best Employers For Diversity, and one of America’s Best Large Employers.
When you join us, you’ll have the opportunity to push your skills to the next level each day. Our dedication to continuous learning ensures that you have access to development programs designed to propel your career forward. As you learn and grow, so do we.
Working here also means getting the chance to do meaningful work and make a real impact in your community. We have been driving change for over 90 years, but the mark we leave on the world, can be even greater when we work together.
Good Hands. Greater Together.
At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
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 in which suspicious activity has been identified. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches.
- Researches and responds to complex customer communications, concerns, conflicts or issues
- 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 complex claims for investigation and/or for support in the evidence of the fraud and damages
- Conducts thorough investigations of complex that are potentially fraudulent to determine if payment is warranted
- Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads
- Conducts complex online data application searches, research, and evaluation
- Reviews investigations with fraud outcomes to validate whether denial is appropriate
- Updates files with investigation outcome, and when no fraud or insufficient evidence is found, returns file to MCO for further handling and settlement
- Enters SIU claim data information into multiple SIU systems
- Makes claim decisions regarding complex investigations, and pursues restitution
- This role handles claims in New York and New England
Preferred Qualifications:
- Bachelor's Degree or equivalent preferred
- SIU experience preferred
- 3 years claims handling experience required
- PIP and MED PAY experience is a plus
Certificates, Licenses, Registrations:
- New England licenses in CT, MA and RI are a plus
Notes:
- The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.
#LI-AC3
Skills
Analytical Thinking, Casualty Insurance, Communication, Customer Interactions, Customer Service, Evidence Gathering, Insurance Fraud Investigations, Negotiation, Researching, Special Investigations
Compensation
Compensation offered for this role is $56,500.00 – 99,962.50 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team 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 quo. And one where you can impact the future for the greater good.
You’ll do all this in a flexible environment that embraces connection and belonging. And with the recognition of several inclusivity and diversity awards, we’ve proven that Allstate empowers everyone to lead, drive change and give back where they work and live.
Good Hands. Greater Together.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis 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 is the Law” 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 employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective 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 all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Providing protection to help people achieve their hopes and dreams has always been Allstate’s purpose. It’s the why behind everything we do.
Our purpose points us to our destination, but Our Behaviors help us get there.
Collaborate:
Being united helps us reach collective goals and brings out the best in each of us individually. It gives us more opportunities to learn, grow and add value to what we do each day.
Challenge Ideas:
In a world where change is certain, we want to lead it positively. So we rely on the collective expertise of our employees to consider different options and create the best path forward toward progress — in our industry and beyond.
Provide Clarity:
When expectations are clear, goals are easier to meet. We’re working together in new ways to make sure we know where we’re going and the role we all play in getting there. To save time and focus on what matters most: helping people achieve their hopes and dreams.
Provide Feedback:
Every bold idea deserves the chance to grow to excellence. Candid, helpful feedback empowers us to keep making things better for our customers, our communities and fellow employees.
You’re in Good Hands ® is more than a promise we make to our customers. It’s a promise we make our employees, too.
As part of our team, we want you to love where you work, and that starts by giving you the freedom to be yourself. Our workplace flexibility and focus on inclusion creates an environment where you can connect and belong. Our goal is for you to feel trusted, heard and empowered to express yourself. When you thrive, we all thrive. And this year, we’re proud to share that we’ve been recognized by Forbes as one of America’s Best Employers For Diversity, and one of America’s Best Large Employers.
When you join us, you’ll have the opportunity to push your skills to the next level each day. Our dedication to continuous learning ensures that you have access to development programs designed to propel your career forward. As you learn and grow, so do we.
Working here also means getting the chance to do meaningful work and make a real impact in your community. We have been driving change for over 90 years, but the mark we leave on the world, can be even greater when we work together.
Good Hands. Greater Together.SM
Benefits
Experience the benefits that make Allstate a great place to work.
*Benefits vary based on position.
- Medical, dental and vision coverage
- HSAs and FSAs
- Wellbeing programs
- Free therapy sessions
- 401(k) plan
- Pension plan
- Free financial counseling
- Paid time off
- Work flexibility
- Talent shares
- Tuition reimbursement
- Learning opportunities
For a full description of Allstate’s benefits visit our benefits page
Start making a difference
Realize your full potential by doing
work that matters.
Grow your career in meaningful ways.
We want to make sure you have every opportunity to grow, explore new horizons and follow your passion in a meaningful career. It’s an exciting time to join Allstate. Help us shape the future.
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