Senior SIU Investigation Adjuster

Allstate

. Investigate and analyze complex and occasionally highly complex, multi-discipline coverage and claims referred to the Special Investigation Unit for potential fraud .

Posted 9/22/2026full-timeRemote • United StatesSenior💰 $68,500 - $115,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting thorough investigations, analyzing complex claims, and utilizing analytic tools to identify potential fraud. Proficient in managing customer communications and making informed claim decisions based on detailed evaluations.

Highest-signal resume keywords

Investigative ExperienceBackground InvestigationFraud AnalysisClaim Decision-MakingCustomer Communication Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisFraud InvestigationScene InvestigationMedical Note ReviewData AnalysisSocial Media SearchRecorded Statement TakingWitness InterviewingClaim System Data EntryConflict Resolution

Soft Skills

Attention to DetailProblem-SolvingCommunicationAnalytical ThinkingConflict Management

Tools & Technologies

Analytic ToolsSIU Systems

Industry Keywords

Special Investigation UnitExtra-Contractual LiabilityFraud SubstantiationRestitution PursuitCustomer Concerns Management

About the role

Key responsibilities & impact

Investigate and analyze complex and occasionally highly complex, multi-discipline coverage and claims referred to the Special Investigation Unit for potential fraud
Handle complex attorney-represented and unrepresented claims, complex losses, and claims involving extra-contractual liability
Conduct background searches, scene investigations, and clinic inspections
Take recorded statements and conduct witness interviews
Review and analyze medical notes, bills, and property damage
Conduct social media searches and online data application searches
Determine whether fraud can be substantiated and support lawsuits
Make claim decisions and pursue restitution
Manage, research, and resolve complex customer communications, concerns, conflicts, or issues
Validate investigation information and follow up on possible leads
Use analytic tools or SIU field intelligence to identify claims and support evidence of fraud and damages
Summarize documents and enter claim system notes, evaluations, and decision-making processes
Enter SIU claim data into multiple SIU systems
Update files with investigation outcomes and return files to MCO when appropriate
Review fraud-outcome investigations to validate whether denial is appropriate

Requirements

What you’ll need

3+ years of investigative experience (Preferred)
Background investigation required
Dedicated, private workspace free from distractions when working from home
Appropriate desk and seating when working from home
Reliable internet with minimum speeds of 50 MB download and 5 MB upload
Allstate generally does not sponsor individuals for employment-based visas for this position

Benefits

Comp & perks

Comprehensive technology setup including a laptop, monitors, headset, keyboard, and mouse
Monthly connectivity reimbursement to help offset internet costs