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USAA · 2 months ago

Manager, Special Investigations Unit (SIU) - P&C

Scottsdale, AZ

Full-time

Hybrid

Mid, Senior Level

$114K/yr - $218K/yr

6+ years exp

USAA is dedicated to empowering its members to achieve financial security and seeks a Manager for the Special Investigations Unit (SIU) within Property and Casualty (P&C). This role is responsible for the operational management of claims fraud investigative teams, ensuring compliance with policies and state regulations while leading efforts to reduce fraud-related claim payments.

Responsibilities

Responsible for insurance fraud detection and investigation services to reduce fraud-related claim payments and costs, while avoiding unwarranted risk

Ensures compliance with laws and regulations relating to claims handling and unfair claims practices and reporting statutes

Participates in the establishment and implementation of policies and procedures for fraud control and investigative practices

Performs leadership and management tasks, i.e., providing coaching, evaluating performance, review of time sheets, managing time off, conducting quarterly check-ins/ride-alongs, etc

Evaluates, authorizes, and implements actions and decisions to carry out proactive claim’s projects and investigations

Reviews and evaluates investigation recommendations from investigators to ensure results and case documentation support conclusions

Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures

Qualification

P&C industry experienceClaims investigationFraud investigationLeadership experienceAnti-fraud analyticsInvestigative toolsProject managementTraining presentation skillsCommunication skillsCollaboration skills

Required

Bachelor's degree; OR 4+ years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree

6+ years P&C industry functional work experience OR 4+ years of P&C experience plus military service experience

2+ years of demonstrated leadership experience, supervisory or management experience

Extensive knowledge and experience in all levels of claims investigation or fraud investigation and regulatory reporting requirements

Knowledge of anti-fraud analytics programs as it relates to fraud prevention and identification

Thorough understanding of investigative tools and techniques to guide and coach special investigators

Demonstrated ability to build and maintain collaborative relationships with internal and external partners and business areas

Demonstrated management skills and the ability to demonstrate monthly productivity and cycle time outcomes from investigations assigned to the SIU team

Ability to prepare and present training sessions and case outcomes

Demonstrated experience facilitating and managing projects and teams

Preferred

Demonstrated expertise in process design, risk assessment, and implementation of internal controls to mitigate fraud and other risks

4+ years of progressive experience within a Special Investigations Unit (SIU), with a proven track record in process ownership and/or leadership roles

Direct experience handling or managing investigations related to internal fraud, including developing investigative strategies and implementing preventative measures

Proven ability to create engaging training content and deliver compelling presentations to diverse audiences, including investigators, management, and other stakeholders

Exceptional business acumen and communication skills, with the ability to effectively articulate complex issues, identify gaps and opportunities within the SIU, and present recommendations to stakeholders across the organization in a clear and persuasive manner

US military experience through military service or a military spouse/domestic partner