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SIU Investigator I - Boston, MA / Providence, RI (Field Position)

Company: USAA
Location: Weymouth
Posted on: September 3, 2020

Job Description:

Purpose of Job We are currently seeking a talented SIU Investigator I - Boston, MA / Providence, RI (Field Position) for the Boston-Cambridge-Newton, MA-NH Office or Providence, RI.

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.

In each of the past five years, we've been a top-40 Fortune 100 Best Companies to Work For®, and we've ranked among Victory Media's Top 10 Military Friendly® Employers 13 years straight. We embrace a robust veteran workforce and encourage veterans and veteran spouses to apply.

USAA Careers - Award Winning Workplace (17 seconds)

USAA Careers – World Class Benefits (31 seconds)

Tasks:

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.

Additional Information

Demonstrates an understanding of common fraud schemes and develops investigative strategies.

Reviews initial referrals, evaluates claim and underwriting information to identify appropriate assignment level and investigative strategies.

Independently develops and presents verbal & written investigative and management reports.

Acquires and applies proficient knowledge of state laws & regulations pertaining to insurance fraud.

Acquires and applies proficient knowledge of P&C insurance industry products, services and processes to include P&C insurance policy contracts and coverages and USAA claim handling process and procedures.

Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection and prevention.

This person must reside in Boston, MA or Providence, RI.

Minimum Experience:

High School Diploma or General Equivalency Diploma

2 years P&C SIU/Fraud Investigation experience OR 4 years investigative law enforcement experience (to include military).

Must have or obtain a P&C adjusters license within 90 days

*Qualifications may warrant placement in a different job level*

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:

Proficiency in establishing, documenting, and pursuing appropriate investigative strategies

Ability to work with minimal supervision and manage an active caseload

Ability to use public record systems and/or claims databases to support investigations

Strong verbal/written communication skills

Ability to maintain internal/external partnerships to support investigations

Working knowledge in state laws and regulations pertaining to insurance fraud

Professional designations related to position (e.g. CIFI, CFE, CPCU, etc)

Relevant Bachelor’s degree, or equivalent combination of education and experience

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.

At USAA our employees enjoy one of the best benefits packages in the business, including a flexible business casual or casual dress environment, comprehensive medical, dental and vision plans, along with wellness and wealth building programs.  Additionally, our career path planning and continuing education will assist you with your professional goals.

Relocation assistance is not available for this position.

For Internal Candidates:

Must complete 12 months in current position (from date of hire or date of placement) or must have manager’s approval prior to posting.

Last day for internal candidates to apply to the opening is 7/20/20 by 11:59 pm CST time .

Keywords: USAA, Weymouth , SIU Investigator I - Boston, MA / Providence, RI (Field Position), Other , Weymouth, Massachusetts

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