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 special!
The Opportunity
As a dedicated Mid Level SIU Consultant, you will, within defined guidelines and framework, provide specialized identification, investigative, analytical, and advisory services, particularly when claim or underwriting fraud is suspected. Utilize various analytical and digital fraud detection tools and resources to evaluate SIU referrals and identify potential fraud within claims or policies and monitor and identifies fraud trends through ongoing analysis and shares findings with core SIU teams.
This position can work remotely in the continental U.S. with occasional business travel.
What you'll do:
Reviews data such as claims or policy files, medical bills, vendor billing, damage estimates, accident details, industry trends and environmental circumstances to identify potential fraud.
Proactively identifies and mitigates fraud risk through evaluation of digital and manual referrals, data sets, industry knowledge, publications, analysis of risk environment and assessment of USAA process and policies.
Monitors and reports on the performance of revised manual and digital fraud detection process.
Utilizes specialized software and tools to proactively identify suspicious patterns and trends of organized insurance fraud.
Leverages referral data from manual and digital fraud detection to develop and provide recommendations to improve fraud identification effectiveness for internal teams and external partners.
Develop and maintain relationships with stakeholders with internal and external stakeholders, leveraging expertise from law enforcement, NICB, and/or similar agencies to conduct impactful analysis and support operational success.
Performs trend and link analysis in support of claim and policy fraud investigations and to identify potential opportunity in unidentified risks to the organization.
Provides awareness training to SIU investigators regarding analytical tools and resources available in support of investigations.
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.
2 years of Property & Casualty fraud related investigative experience OR proven/documented experience conducting research using data and analytics, analyzing investigative evidence, and creating a case assessment report.
Demonstrated investigatory or analytical skills with experience understanding fraud schemes.
Experience analyzing data and identifying patterns within Property & Casualty claims or policies.
Comprehensive understanding of industry accepted red flag indicators of insurance fraud.
Ability to gather broad range of evidence and conduct in depth background analysis
Ability to handle sensitive and confidential information
Strong verbal, written, and interpersonal communication skill.
What sets you apart:
2 years experience in Special Investigations Unit (SIU)
Proven experience working with digital fraud tools ie. Shift, Verisk
Completed Bachelors Degree or insurance designations or actively pursuing
Curious by nature, dig for answers and information
Experience with professional verbal & written communication with leadership as well as speaking in front of groups
US military experience through military service or a military spouse/domestic partner
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: $67,220.00 - $124,740.00.
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.
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.
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.
California applicants, please review our HR CCPA - Notice at Collection (https://statmcstg.usaa.com/mcontent/static_assets/Media/enterprise_hr_cpra_notice_at_collection.pdf) here.
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.
