Talent.com
No longer accepting applications
Manager, Special Investigations Unit (SIU) - P&C

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

USAAPhiladelphia, PA, US
3 days ago
Job type
  • Full-time
Job description

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

We are looking for a Manager, SIU (Special Investigations Unit) within P&C. Responsible for operational management of Claims fraud investigative teams. Directs staff in the investigation of cases involving questionable, suspect, or fraudulent activity. Ensures compliance with policies and procedures contributing to fraud control objectives, as well as compliance with state insurance fraud-related laws and regulations.

This role is remote eligible in the continental U.S. with occasional business travel.

What you'll do :

  • 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.

What you have :

  • 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.
  • What sets you apart :

  • 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
  • Compensation range : The salary range for this position is : $114,080 - $218,030 .

    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.

    Create a job alert for this search

    Manager Investigation • Philadelphia, PA, US

    Related jobs
    • Promoted
    Special Agent, $40,000 Recruitment Incentive

    Special Agent, $40,000 Recruitment Incentive

    The United States Secret ServicePhiladelphia, PA, US
    Full-time
    Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. Click apply for complete details on the recruitment incentive detail...Show moreLast updated: 1 day ago
    • Promoted
    Reserve Nuclear Medicine Officer

    Reserve Nuclear Medicine Officer

    United States ArmyEgg Harbor City, NJ, US
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show moreLast updated: 17 days ago
    • Promoted
    Active Nuclear Med Officer

    Active Nuclear Med Officer

    United States ArmyEgg Harbor City, NJ, US
    Full-time
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you'll receive benefits that you won't be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show moreLast updated: 17 days ago
    • Promoted
    Manager, Pharmacovigilance Special Consulting Services

    Manager, Pharmacovigilance Special Consulting Services

    AmerisourceBergen Corporation (Cencora)West Deptford, NJ, United States
    Full-time
    Our team members are at the heart of everything we do.At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on ...Show moreLast updated: 6 days ago
    • Promoted
    Assistant Studio Manager

    Assistant Studio Manager

    Orangetheory - Franchise #0320Warrington, PA, US
    Temporary
    At Orangetheory Fitness our Assistant Studio Manager (ASM) will work in partnership with the Studio Sales and Operations Manager and Head Coach to ensure operational excellence of the Orangetheory ...Show moreLast updated: 30+ days ago
    • Promoted
    Assistant Studio Manager

    Assistant Studio Manager

    Orangetheory FitnessWarrington, PA, US
    Temporary
    At Orangetheory Fitness our Assistant Studio Manager (ASM) will work in partnership with the Studio Manager and Head Coach to ensure operational excellence of the Orangetheory Fitness Studio.The AS...Show moreLast updated: 30+ days ago
    • Promoted
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    U.S. Customs and Border ProtectionSweetwater, NJ, US
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 1 day ago
    • Promoted
    Sr. Manager, R&D Comms Global Functions

    Sr. Manager, R&D Comms Global Functions

    J&J Family of CompaniesWashington Crossing, PA, US
    Full-time
    Senior Manager R&D Global Functions Communications.At Johnson & Johnson, we believe health is everything.Our strength in healthcare innovation empowers us to build a world where complex diseases ar...Show moreLast updated: 30+ days ago
    • Promoted
    Military Intelligence Officer

    Military Intelligence Officer

    U.S. NavyPhiladelphia, PA, US
    Full-time +1
    To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.These careers bring the expertise in all facets of Information Operations, making sure our fleet is capitalizing...Show moreLast updated: 3 days ago
    • Promoted
    U.S. Border Patrol Agent

    U.S. Border Patrol Agent

    U.S. Customs and Border ProtectionNesco, NJ, US
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 3 days ago
    • Promoted
    Senior SIU Investigator

    Senior SIU Investigator

    Encova InsurancePhiladelphia, PA, United States
    Full-time
    The salary range for this job posting is $77,450.The above represents the full salary range for this job requisition.Ultimately, in determining your pay and job title, we'll consider your location,...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Manager, Special Investigation

    Manager, Special Investigation

    CVS HealthPhiladelphia, PA, US
    Full-time
    Corporate Anti-Fraud Plan Manager.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming hea...Show moreLast updated: 18 hours ago
    • Promoted
    United States Border Patrol Agent

    United States Border Patrol Agent

    U.S. Customs and Border ProtectionFieldsboro, NJ, US
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 3 days ago
    • Promoted
    Federal Police Officer (Uniformed Division) $50,000 Recruitment Incentive

    Federal Police Officer (Uniformed Division) $50,000 Recruitment Incentive

    The United States Secret ServiceEgg Harbor City, NJ, United States
    Full-time
    NOTE : This position must be performed in Washington, DC so relocation to Washington, DC will be required.Recruitment Incentive : Applicants may be eligible for a $50,000 recruitment incentive in acc...Show moreLast updated: 30+ days ago
    • Promoted
    Studio Sales and Operations Manager

    Studio Sales and Operations Manager

    Orangetheory - Franchise #0320Langhorne, PA, United States
    Full-time
    Studio Sales and Operations Manager.The Studio Sales and Operations Manager leads the studio in all aspects of membership acquisition, retention, employee development, and achieving sales quotas.Th...Show moreLast updated: 3 days ago
    • Promoted
    Studio Sales and Operations Manager

    Studio Sales and Operations Manager

    Orangetheory FitnessLanghorne, PA, United States
    Full-time
    Studio Sales and Operations Manager.The Studio Sales and Operations Manager leads the studio in all aspects of membership acquisition, retention, employee development, and achieving sales quotas.Th...Show moreLast updated: 3 days ago
    • Promoted
    Sr. Operations Manager (Referral for Military Members), MTA

    Sr. Operations Manager (Referral for Military Members), MTA

    AmazonDoylestown, PA, US
    Full-time
    This is for Military Referrals Nationwide.Operations Managers are responsible for all budgetary, people development, and operations objectives. Operations Manager is responsible for all aspects of o...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Manager, Regulatory Affairs Submissions

    Manager, Regulatory Affairs Submissions

    New Jersey StaffingWashington Crossing, PA, US
    Full-time
    Johnson & Johnson is recruiting for a Manager, RA Submissions.The position can be located in Springhouse, PA, Titusville, NJ or Raritan, NJ. The position will manage Clinical Trial Applications as a...Show moreLast updated: 18 hours ago