SIU Investigator Senior - Texas Field - Injury Fraud Prevention Team
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 specialThe Opportunity As a dedicated SIU
field investigator, within defined guidelines and framework, you
will help protect USAA and our members from potential fraudulent
claims by investigating complex fraud investigations with
significant financial impact to USAA. This may involve working with
Legal Counsel, government agencies and outside consultants in
compliance with state laws and regulations for an assigned
operational specialty team. This is a field-based role in Texas.
Candidates who are willing and able to work in the Dallas/Fort
Worth, San Antonio, or Houston areas are encouraged to apply. What
you'll do: Leads the execution of fraud prevention strategies and
investigative operations. Leads high exposure, high profile and
critical work assignments, and special investigations involving
sophisticated niche fraud referrals, (examples: organized provider
rings, staged accidents, large losses of significant exposure and
broad scale PIP/Casualty Schemes) across multiple entities or
functions. Applies advanced knowledge of P&C insurance industry
products, services, and processes in investigating claims. This
includes P&C insurance policy contracts and coverages and
claims handling process and procedures. Applies advanced knowledge
of state laws and regulations pertaining to insurance fraud in
investigating claims. Processes large quantities of unstructured
detailed information with high levels of accuracy by collecting
evidence of potential fraud through field or remote interviews and
thorough searches of investigative databases, internal resources,
Internet resources, public records, and forensic tools. Makes
appropriate and prompt decisions to identify potential complex
fraud within defined guidelines. Prepares and presents detailed and
comprehensive verbal and written investigative reports summarizing
the results and outcome of the investigation. Serves as subject
matter authority for team members including providing expert
mentorship and training for fraud investigations. Develops and
maintains external relationships with industry, law enforcement and
other contacts involved in fraud investigation, detection, and
prevention. Develops proactive actions and conveys compelling
arguments to influence disposition of arbitrated and litigated
cases effectively and efficiently. Handles CAT duty
responsibilities as business requires. Ensures risks associated
with business activities are effectively identified, measured,
supervised, and controlled in accordance with risk and compliance
policies and procedures. What you have: High School Diploma or
General Equivalency Diploma. 4 years of P&C SIU/Fraud
investigation experience; OR 6 years relevant fraud industry
investigation experience. Expert knowledge and understanding of
fraud investigations as well as application of case law and state
laws and regulations. Must be a skilled investigator with
experience taking sophisticated statements from multiple parties to
an event. Ability to capture broad range of evidence and draw
conclusions based on the objective details related to the
applicability of fraud. Demonstrated ability to coordinate and
prioritize workload, performing multiple tasks and devising
solutions to problems. Experience using computers and various
software packages to enter and extract data for analysis from
relevant data sources and systems. Knowledge of city, state and
local regulations, legal concepts, understanding of contracts, case
law, medical treatment, and medical terminology. Experience in
concurrent handling of specialty/complex/litigated claims/cases as
well as mediation/arbitration/trial preparation and participation.
What sets you apart: Experience investigating staged accidents and
reviewing medical bills At least 5 years of SIU/investigative
experience in P&C Experience working in projects within SIU
Experience leading or mentoring other SIU investigators Other
Requirement: May need to meet all USAA safe driving requirements
including verification of driving record through MVR & possession
of valid driver---s license. The above description reflects the
details considered vital 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 efficient 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 pay range for this position is:
$81,770 - $156,290. 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 your information being transmitted by
Monster to the Employer, as data controller, through the
Employer---s data processor SonicJobs. See USAA Privacy Policy at
https://www.usaa.com/privacy/ and SonicJobs Privacy Policy at
https://www.sonicjobs.com/us/privacy-policy and Terms of Use at
https://www.sonicjobs.com/us/terms-conditions
Keywords: USAA, San Antonio , SIU Investigator Senior - Texas Field - Injury Fraud Prevention Team, Accounting, Auditing , San Antonio, Texas
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