PRIMARY PURPOSE:

Responsible for the investigation of both new and existing Bodily Injury (BI) claims. Activities include but are not limited to: face to face contact, statements from insureds, claimants, and witnesses associated with claims. This is a field based position covering either the Hillsborough County or the Broward County regions.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Following is a summary of the essential functions of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Conduct kinesthetic interviews of insureds, claimants, and witnesses which may result in bodily injury assessments and settlements
• Conduct scene and vehicle examinations which include reviewing photographs, canvassing for witnesses, reporting duties, utilizing clinic inspections, requesting retrieval and setting of Independent Medical Examinations
• Obtain, analyze and summarize police and other database reports, and provider licensing checks
• Work in connection with Claims and SIU departments to ensure proper investigation, evaluation, and negotiation of claims
• Track effectively incoming workload as well as outcomes of investigations and recommendations made for further coverage review
• Analyze, evaluate and adjust claims within limit of authority in compliance with statutory regulations and fair claim practice, and make decisions on best options as needed
• Contact with loss parties within a set timeline
• Manipulate large amounts of investigative material within a set timeline

MINIMUM SKILLS AND COMPETENCIES:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Commercial Claims experience required for consideration
• Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
• Possess and maintain a Valid U.S. State-issued driver’s license
• Bilingual in English and Spanish
• 3+ years of experience in any combination of the areas: SIU field investigation, Personal Injury Protection handling, or Bodily Injury claims handling in the P&C auto sector
• Possess effective verbal and written communication skills
• Ability to work in the field, but be open to occasional desk work
• Ability to travel up to 75 % of the time
• Ability to work flexible hours
• Ability to address difficult situations with tact and diplomacy, but be able to elicit the information required for investigation
• Ability to work independently with little supervision; ability to be a self-starter
• Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines
• Investigative background with experience in handling investigations, evaluations, and negotiations of No-Fault and Bodily Injury claims
• Possess an understanding of the MI Insurance law, investigation procedures, legal and medical terminology
• Ability to build relationships and work closely with a wide variety of team members (POP/BI Teams, SIU, Underwriting and Management)

DESIRED SKILLS:

• Possess prior external investigations experience in the Insurance industry
• Possess prior experience in the investigation of insurance fraud as an SIU investigator
• Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
• Possess prior experience with advanced interviewing
• Successful completion of a kinesthetic interview course

National General is a leading insurance carrier which has been in the industry since 1939. Through subsidiaries and other affiliated companies, National General offers homeowners, flood, personal and commercial auto, RV, motorcycle, life, accident and supplemental health insurance products. National General Insurance is a thriving company committed to ensuring that our employees achieve their personal best. Our employees are advancing their careers at a best-in-class insurance provider that is an industry leader in innovation. We give employees resources which enable them to take charge of their own future success.