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Allstate

Field SIU Adjuster

Allstate

Field SIU Adjuster investigating complex insurance fraud claims for National General, a provider of auto, home, health, and specialty insurance. Conducting surveillance, interviews, evidence analysis, and claim determinations.

Posted 8/11/2026full-timeRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $62,100 - $103,950 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in fraud investigations, including evidence gathering, claims processing, and analytical thinking. Proficient in conducting surveillance, investigative interviewing, and utilizing analytic tools to support fraud detection and claims validation.

Highest-signal resume keywords
Fraud InvestigationsClaims ProcessingAnalytical ThinkingEvidence GatheringInvestigative Interviewing

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Fraud InvestigationsClaims ProcessingEvidence GatheringInvestigative InterviewingSurveillanceDocumentationInformation CollectionAnalytical ThinkingSite InspectionsData Analysis
Soft Skills
Critical ThinkingMentoringCoachingCommunicationProblem-Solving
Tools & Technologies
SIU SystemsAnalytic ToolsOnline Data Search Tools
Industry Keywords
Insurance Claims InvestigationsSpecial Investigation UnitFraud DetectionClaims ValidationCustomer Communication

About the role

Key responsibilities & impact
  • Investigate and analyze complex, multi-discipline coverage and claims referred to the Special Investigation Unit for potential fraud
  • Conduct background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches
  • Conduct surveillance on property and create scene reconstructions on some investigations
  • Review whether fraud can be substantiated and support lawsuits
  • Enter SIU claim data into multiple SIU systems
  • Review investigations with fraud outcomes and validate whether denial is appropriate
  • Update files with investigation outcomes and return files for further handling when fraud or sufficient evidence is not found
  • Conduct complex online data searches, research, evaluation, and site inspections
  • Determine whether payment is warranted on potentially fraudulent claims
  • Validate information obtained through investigations and follow up on possible leads
  • Summarize documents and document claim files with notes, evaluations, and decision-making processes
  • Utilize 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
  • Provide work guidance, mentoring, and coaching to less senior employees and the team

Requirements

What you’ll need
  • 2 or more years of experience preferred
  • Analytical thinking
  • Claims processing
  • Critical thinking
  • Documentation
  • Evidence gathering
  • Fraud investigations
  • Information collection
  • Insurance claims investigations
  • Insurance investigation
  • Investigative interviewing
  • Surveillance
  • Authorization to work in the United States; visa sponsorship is not provided
  • Dedicated, private home workspace free from distractions
  • Reliable internet with minimum speeds of 50 MB download and 5 MB upload

Benefits

Comp & perks
  • Comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse
  • Monthly connectivity reimbursement to help offset internet costs
  • Remote work from home
  • Equal Opportunity employer
  • Assistance or accommodation in completing the online application