Director, Special Investigations Unit (SIU) --- Life Company Fraud
Company: USAA
Location: San Antonio
Posted on: October 30, 2024
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Job Description:
Why USAA? Let---s do something that really matters. At USAA, we
have an important mission: facilitating the financial security of
millions of U.S. military members and their families. Not all of
our employees served in our nation---s military, but we all share
in the mission to give back to those who did. We---re working as
one to build a great experience and make a real impact for our
members. We believe in our core values of honesty, integrity,
loyalty and service. They---re what guides everything we do ---
from how we treat our members to how we treat each other. Come be a
part of what makes us so special.The Opportunity This job profile
is designated as a Sensitive Position. Sensitive Positions are
those positions in which individuals have the authority and ability
to conduct in-scope activities (movement of USAA or Member funds)
as defined within the Enterprise Sensitive Positions Mandatory
Time-Away Compliance Policy. Employees in Sensitive Positions are
required to fulfill a Mandatory Time-Away (MTA) requirement of 10
consecutive business days each calendar year. As a dedicated with
Director, Special Investigations Unit (SIU), you will be
responsible for Life, Annuity & Health claims and fraud
investigation programs and management of the Life Special
Investigation Unit (SIU) staff. Develops investigative and other
operational priorities, manages workload balance, develops staffing
strategies and evaluates operational results. Creates and maintains
industry, law enforcement and other business relationships. We
offer a flexible work environment that requires an individual to be
in the office 4 days per week. This position can be based San
Antonio, TX., Phoenix, AZ., Tampa, FL. or Colorado Springs, CO.
Campuses. If employee is located on Phoenix, Tampa or Colorado
Springs campus, they will be required to travel to San Antonio
Campus up to 25% of time. Relocation assistance is not available
for this position. What you'll do: Provides guidance to staff in
interpreting procedures, guidelines, and training reference
materials. Oversees decisions made within the claims and benefits
process. Approves claims within assigned authority limit. Directs
claim investigation team and ensures business performance and
progress towards short and long term CoSA/Corporate objectives.
Develops and implements Claims Security strategic and operational
plans/policies in conjunction with senior management. Identifies
emerging fraud trends and develops new fraud investigation programs
and processes. Responsible for communication and training
strategies in support of new programs and processes. Regularly
interacts with and influences peers and executive management on
significant fraud and operational issues. Oversees process
improvements in the Claims and Fraud investigation functions.
Develops collaborative internal and external relationships with
enterprise business partners, vendors, industry, governmental and
law enforcement agencies. Responsible for hiring, employee
development, coaching, counseling, performance evaluation and all
management related functions. Ensures risks associated with
business activities are effectively identified, measured,
monitored, and controlled in accordance with risk and compliance
policies and procedures. What you have: Bachelor---s degree OR 4
years of related experience (in addition to the minimum years of
experience required) may be substituted in lieu of degree. (Total
of 12 years of experience without bachelor---s degree) 8 years
relevant business experience to include 3 years Claims and/or
Insurance Fraud experience. 3 years of direct team lead or
management experience What sets you apart: US military experience
through military service or a military spouse/domestic partner 6
years of experience leading a Life Special Investigation or Fraud
Program. Fundamental knowledge of advanced fraud analytics. 4 years
of SIU Project Experience to include broad understanding of
procedures related to SIU investigations. Knowledge and experience
in fraud waste and abuse investigations of Medicare Supplement
Claims. Experience in life claims fraud or financial crimes
investigations. Excellent communication, interpersonal and
problem-solving skills. Exceptional analytical and decision-making
acumen. Certified Fraud Examiner (CFE) or Accredited Health Care
Fraud Investigator (AHFI) designation is a plus. The above
description reflects the details considered necessary to describe
the principal functions of the job and should not be construed as a
detailed description of all the work requirements that may be
performed in the job. What we offer: Compensation: USAA has an
effective process for assessing market data and establishing ranges
to ensure we remain competitive. You are paid within the salary
range based on your experience and market data of the position. The
actual salary for this role may vary by location. The salary range
for this position is: $109,130 - $202,500. Employees may be
eligible for pay incentives based on overall corporate and
individual performance and at the discretion of the USAA Board of
Directors. Benefits: At USAA our employees enjoy best-in-class
benefits to support their physical, financial, and emotional
wellness. These benefits include comprehensive medical, dental and
vision plans, 401(k), pension, life insurance, parental benefits,
adoption assistance, paid time off program with paid holidays plus
16 paid volunteer hours, and various wellness programs.
Additionally, our career path planning, and continuing education
assists employees with their professional goals. For more details
on our outstanding benefits, please visit our benefits page on
USAAjobs.com. Applications for this position are accepted on an
ongoing basis, this posting will remain open until the position is
filled. Thus, interested candidates are encouraged to apply the
same day they view this posting. USAA is an Equal Opportunity
Employer. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual
orientation, gender identity, national origin, disability, or
status as a protected veteran. s-p-m1 By applying, you consent to
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Keywords: USAA, San Antonio , Director, Special Investigations Unit (SIU) --- Life Company Fraud, Accounting, Auditing , San Antonio, Texas
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