Get notified about new Special Investigator jobs in United States. Demonstrated knowledge and compliance with state laws and regulations pertaining to insurance fraud, good faith claims handling or affirmative litigation. Comprehensive knowledge of industry-related competitive/regulatory environment and claims/insurance operational risk. The salary trajectory of a Special Investigator ranges between locations and employers. 10 years of progressive related experience in developing strategies, managing major initiatives to include operational oversight of P&C claims, fraud investigations, claims litigation/legal process & state regulation requirements and delivering results within a complex matrix environment. Collaboration with other departments to ensure compliance issues are reported to appropriate channels for investigation and remediation. Select Accept to consent or Reject to decline non-essential cookies for this use. Defines and measures appropriately scaled goals for the capability to deter, detect and investigate fraudulent activity for P&C. CFE, FCLS, FCLA, and/or CIFI designations. Identifies and manages existing and emerging risks that stem from business activities and the job role. Acts as a strategic liaison between USAA and the National Insurance Crime Bureau, Law Enforcement, State Insurance Fraud Bureaus, Industry Associations, and other organizations to promote and support insurance fraud prevention; ensures SIU makes the appropriate referrals to and where appropriate, maintains relationships with regulatory and law enforcement officials. If Yes, Then you are in right place!. Fortune and Fortune 500 are registered trademarks of Fortune Media IP Limited and are used under license. Know Your Worth. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled. Follows written risk and compliance policies, standards, and procedures for business activities. Long Term Incentive Plan: Cash payment for Executive level roles only, representing a cash payment which is both time and performance based. Today. Why USAA?At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. 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. Experience applying expert P&C knowledge, collaborating with key resources and stakeholders, influencing enterprise decisions, and managing work to achieve strategic goals. 2022 Fortune Media IP Limited All rights reserved. Demonstrated success in leading and developing the delivery of cross-functional programs, strategies, and teams ensuring that USAA establishes, deepens, and retains a best-in-class fraud prevention, detection, and investigation posture in a complex and highly regulated environment. 2023 Fortune Media IP Limited. Manager, Claims Operations - Litigation & Claims, Manager, Claims Operations (Auto/Sr Injury - Hybrid to SAT). 3 years of direct team lead or management experience. WebUSAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. Ensures the timely completion of annual state level anti-fraud plans and other required regulatory reports. Accountable for growth of digital fraud detection capability through technology advancement and streamline investigation capabilities. CFE, FCLS, FCLA, and/or CIFI designations. Responsible for the affirmative litigation philosophy and individual decisions on case filing in state or federal venues. Designs and implements standardized, repeatable, and scalable tools and processes for the SIU ensuring identification of opportunities for efficiency and automation. Responsible for the development, implementation, and refinement of an effective P&C Fraud Program in accordance with enterprise policies and standards, including: Clear and specific procedures outlining the responsibilities within P&C to support the Fraud Program, Periodic reporting to the internal second line of defense and governing bodies. Ensures the timely completion of annual state level anti-fraud plans and other required regulatory reports. Ability to apply knowledge of NICB capabilities and experience collaborating with NICB resources. Responsible for the oversight and implementation of fraud awareness training programs. Experience working with fraud prediction modeling programs and data and analytics to measure and drive business results. You can update your choices at any time in your settings. LinkedIn and 3rd parties use essential and non-essential cookies to provide, secure, analyze and improve our Services, and to show you relevant ads (including professional and job ads) on and off LinkedIn. However, you must be aware that an investigation by a SIU department is very serious. Ensures the timely completion of annual state level anti-fraud plans and other required regulatory reports. You can update your choices at any time in your settings. Finally, click Add to create your job alert. The company is located in Phoenix, AZ, Colorado Springs, CO, Plano, TX, San Antonio, TX, Austin, TX, Tampa, FL, Tampa, FL and Chesapeake, VA. Follows written risk and compliance policies, standards, and procedures for business activities. Responsible for communication and training tactics in support of new programs and processes. WebUSAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. 13.0% special investigation unit investigators have this skill on their resume. USAA means United Services Automobile Association and its insurance, banking, and other companies (opens in new window). Come be a part of what makes us so special! Defines and measures appropriately scaled goals for the capability to deter, detect and investigate fraudulent activity for P&C. Executive-level business and technical acumen in the areas of effective claims investigations, claims risk and compliance, integrated change management and front-line communications leading to operational excellence. Sorry, this job was removed at 4:00 p.m. (CST) on Friday, August 19, 2022. $141,836.00, California Department of Forestry and Fire Protection (CAL FIRE), Better Business Bureau (BBB) serving the Heart of Texas, NASA - National Aeronautics and Space Administration. By clicking Agree & Join, you agree to the LinkedIn, You can save your resume and apply to jobs in minutes on LinkedIn. Click the link in the email we sent to to verify your email address and activate your job alert. The most common hard skill for a special investigation unit investigator is management system. Demonstrated team leadership, cross-functional collaboration, building business solutions, and/or claims/investigation accountabilities. - You are paid within the salary range based on your experience and market position. Development and maintenance of effective systems for routine fraud auditing and identification of risks. The average salary for a Special Investigator is $57,726 per year in United States, which is 42% lower than the average USAA salary of $100,493 per year for this job. CRIMINAL INVESTIGATOR I - MED (Lakewood). Develops and implements Claims Security operational plans/policies in conjunction with senior leadership. Ensures the timely completion of annual state level anti-fraud plans and other required regulatory reports. Ability to act as a subject matter expert to the claims organization to provide guidance and advice on a wide range of fraud related risk and communicating effective courses of action. Bachelors degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. USAA Special Investigations Unit Investigator (Field) Detroit, MI 4d Expand your search at USAA: siu investigator Jobs All Jobs in Employers: Don't see your Possess in-depth knowledge of insurance policies and broad understanding of procedures related to SIU investigations. Sign in to save AVP, Special Investigations Unit at USAA. Salary data is provided by the employer. WebSenior Investigator - Special Investigations Unit (Fully Remote - KY) CVS Health 3.2 Remote in Woodbridge, VA +5 locations $43,700 - $100,000 a year SIU Special Investigator Atlantic Casualty Insurance Company 2.7 Goldsboro, NC 27534 +1 location Estimated $52.9K - $67K a year Full-time Easily apply You are paid within the salary range based on your experience By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Sets strategy for identifying, measuring, and mitigating fraud risk for the Claims SIU organization. Get notified about new Assistant Vice President jobs in Phoenix, AZ. Know Your Worth. Defines and measures appropriately scaled goals for the capability to deter, detect and investigate fraudulent activity for P&C. Acts as a strategic liaison between USAA and the National Insurance Crime Bureau, Law Enforcement, State Insurance Fraud Bureaus, Industry Associations, and other organizations to promote and support insurance fraud prevention; Responsible for the oversight and implementation of fraud awareness training programs. Working knowledge of AML, Sanctions, OFAC standards, cyber fraud events and applicability to P&C operations. By clicking Agree & Join, you agree to the LinkedIn, You can save your resume and apply to jobs in minutes on LinkedIn. WebWhy USAA?At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. * Designs and implements standardized, repeatable, and scalable tools and processes for the SIU ensuring identification of opportunities for efficiency Analyst, SIU (Remote) Credit cards issued by USAA Savings Bank, other bank products by USAA Federal Savings Bank, both Member FDIC. Creates and maintains industry and other business relationships. Sign in to save AVP, Special Investigations Unit at USAA. Referrals increase your chances of interviewing at USAA by 2x. Comprehensive knowledge of industry-related competitive/regulatory environment and claims/insurance operational risk. Stays abreast of industry developments, emerging schemes, and technological and regulatory developments, to implement proactive efforts. Management experience with a distributed office and/or field operations workforce. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Mental Health Benefits. Fortune is a registered trademark and World's Most Admired Companies is a trademark of Fortune Media IP Limited and is used under license. Provides executive thought leadership to identify potential gaps in the control environment that present fraud risk and vulnerability and partner with enterprise-wide stakeholders/leadership. Many times, insurance companies will use the SIU investigation as a means of scaring people away from making claims. Coordinates Claims Security Quality Assurance program. Management experience with a distributed office and/or field operations workforce. Management experience with a distributed office and/or field operations workforce. From FORTUNE. Copyright 2008-2023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. Bachelors degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. Select Accept to consent or Reject to decline non-essential cookies for this use. Responsible for the affirmative litigation philosophy and individual decisions on case filing in state or federal venues. 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. USAA provides equal opportunity to qualified individuals with disabilities and disabled veterans. If you need a reasonable accommodation, please email HumanResources@usaa.com or call 1-800-210-USAA and select option 3 for assistance. in developing and implementing corrective action plans for remediation of risks; articulates business requirements for controls that strengthen technology and process gaps within P&C that would prevent fraud or iteratively automate detection. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of, USAA. Sanctions, OFAC standards, and technological and regulatory developments, to proactive. And training tactics in support of new programs and data and analytics to and. And applicability to P & C operations effectively identified, measured, monitored and... Payment which is both time and performance based in the control environment present... Verify your email address and activate your job alert ( Auto/Sr Injury - Hybrid to )! 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