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SIU Medical Provider Fraud Investigator
Allstate · Flexible / Remote
Publicada em 01/08/2026
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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 DescriptionThis role is responsible for identifying suspicious medical provider businesses, attorneys, and law firms that may be connected for the purpose of generating fraudulent payments. The individual will conduct thorough investigations by identifying injured parties, billing trends, treatment sequences, attorney relationships, and claim reporting patterns. Responsibilities include conducting database searches, performing data mining, taking recorded statements, attending virtual depositions and mediations, and leading case investigation meetings. This role typically handles bodily injury claim files, including both non-litigation and litigation matters.We are seeking an experienced SIU Medical Provider Fraud Investigator, preferably located within the Central Time Zone, who holds an active Texas All-Lines Adjuster License or a reciprocal state license. The ideal candidate brings a strong investigative mindset with the ability to identify suspicious patterns, conduct complex medical provider fraud investigations, and thoroughly document findings. Success in this role requires exceptional organizational skills, attention to detail, analytical thinking, and the ability to manage multiple investigations effectively. Strong written and verbal communication skills are essential, along with the ability to collaborate with internal partners and present investigative findings in a clear, concise, and professional manner.Key ResponsibilitiesEnters SIU claim data information into multiple SIU systemsReviews investigations with fraud outcomes to vali
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