SIU Case Manager

Why USAA? 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. The Opportunity As a dedicated SIU case manager, within defined guidelines and framework you will evaluate and conclude claims identified by SIU Investigators as having elements of fraud or an intentional act. You will also investigate unusual, questionable, or suspicious claims or underwriting activity. This role is remote eligible in the continental U.S. with occasional business travel. What you'll do :

• Reviews investigative findings of claims identified as having confirmed elements of fraud, concealment, misrepresentation, or intentional act by evaluating the evidence to determine transfer or appropriation of claims disposition. Communicates results of review to members, claimants, Departments of Insurance, and law enforcement as applicable.
• Leads, guides, and directs investigative activities such as additional contacts, statements, etc. to take appropriate action for identified claims.
• May complete investigative leads, contacting local law enforcement, fire departments, etc. to gather additional information as needed.
• Serves as the adjuster of record on transferred claims.
• Applies knowledge of regulatory requirements necessary to act on claims.
• Assists with developing and implementing proactive investigative strategies, training, and communications.
• Writes complex coverage and denial letters in compliance with policy and regulatory requirements.
• Facilitates fraud prevention training.
• Serves as a mentor and SME, responsible for training team members.
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have :
• High School Diploma OR General Equivalency Diploma.
• 4 years of P&C SIU experience or adjusting complex claims experience.
• Demonstrated understanding of auto and property insurance contracts, coverage application and insurance litigation process.
• Successfully acquire Property & Casualty (P&C) adjuster license and state registrations within 90 days of hire.
• Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
• Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
• Ability to write reports and document activities and decisions in a case management system.
• Proficiency in understanding the legal aspects of SIU related files. What sets you apart :
• Related professional designations (e.g. CIFI, CFE, CPCU, etc.) or actively pursuing.
• Completed Bachelor's degree or actively pursuing.
• Have the ability to work across multiple time zones.
• Active P&C Adjuster's License.
• Experience working as a P&C SIU investigator. Compensation range : The salary range for this position is : $85,040 - $162,550 . USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). 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 data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. 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. 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. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. 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.