Senior BI Field Claims Specialist in Los Angeles, CA at National General Insurance

Date Posted: 11/16/2019

Job Snapshot

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Job Description

Primary Purpose:

Responsible for the investigation of both new and existing claims. Activities include but are not limited to: face to face contact, statements from insureds, claimants and witnesses associated with claims.


Essential Duties and Responsibilities:

Following is a summary of the essential functions for 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
  • 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 effectivelyincoming 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.

  • 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
  • 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



Job posting ID: 2019-2618

Job Requirements


About National General Holdings:

National General Holdings Corp. is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!

Companies and Partners

Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

• Paid Training
• Medical, Dental, Vision benefits
• Wellness Programs
• Life and Short/Long Term Disability Insurance
• 401k w/ Company Match
• Company Paid Holidays & Generous Time-off policy
• Employee Discount Program
• Career Advancement and Development Opportunities
• On-site Healthcare Clinic (Winston-Salem and Cleveland offices)
• On-site Fitness Center (Cleveland and Dallas offices)
• Subsidized parking (Cleveland office)

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.