SIU Investigator

Key Responsibilities

Makes claim decisions regarding complex and occasionally highly complex investigations, and pursues restitution

Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts or issues

Validates that the information provided and obtained through investigation is true and accurate and follows up on all possible leads

Conducts thorough investigations of complex and occasionally highly complex multi-discipline claims and ECL claims that are potentially fraudulent to determine if payment is warranted

Utilizes analytic tools or SIU field intelligence to identify complex and occasionally highly complex claims for investigation and/or for support in the evidence of the fraud and damages

Summarizes documents and enters into claim system notes, documenting a claim file with notes, evaluations and decision making process

Enters SIU claim data information into multiple SIU systems

Updates files with investigation outcome, and when no fraud, or if insufficient evidence is found, returns file to MCO for further handling and settlement

Reviews investigations with fraud outcomes to validate whether denial is appropriate

Conducts complex and occasionally highly complex online data application searches, research, and evaluation

Supervisory Responsibilities

* This job does not have supervisory duties.

#LI-AS2

Skills
Analytical Thinking, Complex Claims, Data Analytics, Documentations, Health Insurance Claims, Insurance Claims, Medical Claims, Witness Interviewing

Compensation
Base compensation offered for this role is:
SIU Adjuster Cons I: $60,000.00 - 87,400.00/salary
SIU Adjuster Cons II: $62,100.00 - 92,700.00/salary
SIU Adjuster Sr. Cons I: $68,500.00 - 104,100.00/salary
Compensation is based on experience and qualifications. Total compensation for this role may include additional components, such as incentive pay (for example, commission or bonus), if applicable.

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. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.

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.

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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 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.

Client-provided location(s): Flexible / Remote

Job ID: allstate-151839177

Employment Type: OTHER

Posted: 2026-04-21T19:19:41