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Senior Investigator, Special Investigations Unit

1 month ago

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 framework, you will investigate questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.
", "paragraph3": "You will apply your knowledge and understanding of fraud schemes and investigation strategies to identify and prevent potential fraud.
", "paragraph4": "You will also participate in the development of fraud prevention strategies and apply your knowledge of P&C insurance industry products, services, and processes in investigating claims.
", "paragraph5": "This is a work-from-home role in the Colorado Springs, CO area, and we encourage candidates who are willing and able to work in Colorado Springs, Colorado, to apply.
", "bulletPoints": ["Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third-party claims.", "Participates in the development of fraud prevention strategies.", "Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include 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.", "Develops 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.", "Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures."]}