SIU Investigator - San Diego Metro, CA Home - Desk

USAA • Alpine, CA

270d • $77,120 - $138,810

About The Position

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. We are looking to hire a SIU Desk Investigator in the San Diego Metro, CA area. As a dedicated SIU Investigator, you will within defined guidelines and framework, protect 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.

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.
• 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.
• Proven 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.

Nice To Haves

• SIU Desk experience
• P&C experience to include Auto, Property and Underwriting
• Current or prior SIU investigations experience working in diverse teams across multiple functions within SIU

Responsibilities

• Apply knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims.
• Participate in the development of fraud prevention strategies.
• Apply 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.
• 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.

Benefits

• 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
• Various wellness programs
• Career path planning and continuing education

What This Job Offers

• Industry: Credit Intermediation and Related Activities
• Education Level: High school or GED