Job Description
Purpose of Job
We are seeking a talented SIU investigator who will be working in the Las Vegas, NV area. Local field work and some travel based on business needs.
Protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures
Job Requirements
About USAA
USAA knows what it means to serve. We facilitate the financial security of millions of U.S. military members and their families. This singular mission requires a dedication to innovative thinking at every level.
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Primary Responsibilities:
- Identifies and manages 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.
- 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.
Minimum Requirements:
- 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
When you apply for this position, you will be required to answer some initial questions. This will take approximately 5 minutes. Once you begin the questions you will not be able to finish them at a later time and you will not be able to change your responses.
Preferred Experience:
- 2 years of P&C experience
- 2 years of former SIU investigative experience
- Experience with effective time management as it relates to working in a Home Office and/or in the Field
- Knowledge of Nevada State specific insurance fraud and related case law
- Ability to use public record systems and/or claims databases to support investigations
- Demonstrated ability to manage complex fraud cases and/or rings
- Ability to work with minimal supervision and manage an active caseload
- Proficiency in establishing, documenting, and pursuing appropriate investigative strategies
- Professional designations related to position (e.g. CIFI, CFE, CPCU, etc.)
- Currently reside in the Las Vegas, NV area
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.
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 position. The salary range for this position is: $60,300 - $108,600*(this does not include geographic differential it may be applied based on your work location)
Employees may be eligible for pay incentives based on overall corporate and individual performance or at the discretion of the USAA Board of Directors.
*Geographical Differential: Geographic pay differential is additional pay provided to eligible employees working in locations where market pay levels are above the national average.
Shift premium: will be addressed on an individual-basis for applicable roles that are consistently scheduled for non-core hours.
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.
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Relocation assistance is not available for this position.