Job Details

Special Investigations Unit Investigator

Company name
USAA

Location
San Antonio, TX, United States

Employment Type
Full-Time

Industry
Insurance

Posted on
Jan 19, 2023

Valid Through
May 04, 2023

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Profile

Purpose of Job

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!

Job Requirements

We are seeking a dedicated Mid-Level Special Investigations Unit Investigator for a remote, desk based position that can be based in one of our following office locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Tampa, FL, Colorado Springs, CO, Charlotte, NC or work remotely in the continental U.S. with occasional business travel.

In this role, you will: provide specialized investigative and advisory services to Claims, Underwriting and Policy Service on low to medium complexity situations involving questionable, suspect or fraudulent claims' activity; Work with law enforcement, fire and other related agencies to investigate potential fraud; work under minimal direction to perform work assignments and problem resolution; participate in the development of fraud prevention strategies and independently completes investigations; and you'll make a difference to our members as you recognize life events, understand needs, and provide advice to deliver appropriate solutions to the member.

What you'll do:

Identifies and handles existing and emerging risks that stem from business activities and the job role.

Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.

Follows written risk and compliance policies and procedures for business activities.

Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims.

Participates in the development of fraud prevention strategies.

Applies knowledge of P&C insurance industry products, services and processes in investigating claims. This includes P&C insurance policy contracts, coverages and internal claims handling process and procedures.

Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.

Collects 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 recommendations within defined authority guidelines.

Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.

Establishes and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection and prevention.

May serve as a resource team member on specific matters through demonstrated skill or training.

Assists with the delivery of fraud awareness training initiatives in a defined environment.

Handles CAT duty responsibilities as business requires.

What you have:

High School Diploma or General Equivalency Diploma

2 years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4 years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.

Must have or obtain a P&C adjusters license within 90 days

Proven investigatory skills.

Experience obtaining statements from various parties to incidents, witnesses, and suspects.

Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.

Proven ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.

Familiarity with 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.

What sets you apart:

US military service or military spouse.

P&C experience to include Auto, Property and Underwriting.

SIU, Fraud Investigations, Military or Law Enforcement experience.

Ability to utilize public record systems and/or claims databases to support investigations.

Consistent track record to handle complex fraud cases and/or rings.

Ability to work with minimal direct supervision and handle an active caseload in a remote team environment.

Proficiency in establishing, documenting, and pursuing appropriate investigative awareness and strategies.

Related professional designations (e.g. CIFI, CFE, CPCU, etc.) or actively pursuing.

Have the ability to work across multiple time zones.

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: $65,090.00 - $124,330.00 .

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.

Relocation assistance is not available for this position.

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.

If you are an existing USAA employee, please use the internal career site in OneSource to apply.

Please do not type your first and last name in all caps.

Find your purpose. Join our mission.

USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity.

USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself – you just need to share our passion for serving our more than 13 million members.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

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