SIU Case Manager
2 months ago
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
We are seeking dedicated SIU case managers, within defined guidelines and framework, to evaluate and conclude claims identified by SIU Investigators as having elements of fraud or an intentional act. You will investigate unusual, questionable, or suspicious claims or underwriting activity.
This position can work remotely in the continental U.S. with occasional business travel.
Relocation assistance is not available for this position.
*This posting will be used to fill more than one position.
What you'll do:
- Reviews investigative findings of claims identified as having confirmed elements of fraud, concealment, misrepresentation, or intentional act by evaluating the evidence to determine transfer or appropriation of claims disposition. Communicates results of review to members, claimants, Departments of Insurance, and law enforcement as applicable.
- Leads, guides, and directs investigative activities such as additional contacts, statements, etc. to take appropriate action for identified claims.
- May complete investigative leads, contacting local law enforcement, fire departments, etc. to gather additional information as needed.
- Serves as the adjuster of record on transferred claims.
- Applies knowledge of regulatory requirements necessary to act on claims.
- Assists with developing and implementing proactive investigative strategies, training, and communications.
- Writes complex coverage and denial letters in compliance with policy and regulatory requirements.
- Facilitates fraud prevention training.
- Serves as a mentor and SME, responsible for training team members.
- 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:
- High School Diploma OR General Equivalency Diploma.
- 4 years of P&C SIU experience or adjusting complex claims experience.
- Proven understanding of auto and property insurance contracts, coverage application and insurance litigation process.
- Successfully acquire Property & Casualty (P&C) adjuster license and state registrations within 90 days of hire.
- 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.
- Ability to write reports and document activities and decisions in a case management system.
- Proficiency in understanding the legal aspects of SIU related files.
What sets you apart:
- Active P&C Adjuster's License
- P&C SIU experience
- Related professional designations (e.g. CIFI, CFE, CPCU, etc.) or actively pursuing.
- Completed Bachelor’s degree or actively pursuing.
- Strong written and oral communication skills.
- 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: $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.
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