Senior Investigator
2 days ago
USAA is a leading provider of financial services to U.S. military members and their families. Our mission is to facilitate the financial security of our members, and we're committed to giving back to those who have served our nation.
The OpportunityWe're seeking a skilled SIU Investigator to join our team. As a dedicated investigator, you will play a critical role in protecting USAA and our members from potential fraudulent claims. You will investigate questionable claims activity, applying your knowledge of fraud schemes and investigation strategies to identify and prevent insurance fraud.
This is a work-from-home opportunity in the Colorado Springs, CO area. We encourage candidates who are willing and able to work in Colorado Springs, Colorado, to apply.
Key Responsibilities- Apply knowledge and understanding of fraud schemes and investigation strategies to investigate questionable or suspect claims.
- Participate in the development of fraud prevention strategies.
- Apply knowledge of P&C insurance industry products, services, and processes to investigate claims.
- Apply knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.
- Collect evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.
- Make recommendations within defined authority guidelines.
- Prepare and present detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.
- Develop and maintain 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.
- Assist with the delivery of fraud awareness training initiatives in a defined environment.
- Handle CAT duty responsibilities as business requires.
- Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
- 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.
- 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.
- Demonstrated 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.
- Current or prior SIU investigations experience working in diverse teams across multiple functions within SIU.
- P&C experience to include Auto, Property, and Underwriting.
- Validated ability to handle complex fraud cases and/or rings.
- Ability to use public record systems and/or claims databases to support investigations.
- Ability to work with minimal direct supervision and lead an active caseload.
- Proficiency in establishing, documenting, and pursuing appropriate investigative awareness and strategies.
- Related professional designations (e.g. CIFI, CFE, CPCU, etc.).
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: $69,300 - $124,740.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
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.
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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Colorado Springs, Colorado, United States USAA Full time{"header": "Protecting Our Members, Protecting Our Future ", "subheader": "Join USAA's Special Investigations Unit as a dedicated Investigator ", "paragraph1": "As a key member of our Special Investigations Unit, you will play a critical role in protecting USAA and our members from potential fraudulent claims. ", "paragraph2": "Within defined guidelines and...
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