• Job Description

  Req#: R0094681

  Why USAA?

  Let’s do something that really matters.
  
  At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. We’re working as one to build a great experience and make a real impact for our members.
  
  We believe in our core values of honesty, integrity, loyalty and service. They’re what guides everything we do – from how we treat our members to how we treat each other. Come be a part of what makes us so special!

  The Opportunity

  The USAA Special Investigations Unit is currently looking for an experienced SIU professional to join our team as a Major Case Consultant. In this role you will work with our data science team and other members of our SIU in identifying potential fraud trends and activity through data analysis. This position is ideal for someone that has experience in SIU and understands the value in leveraging data to fight fraud.

  As a dedicated SIU Major Case Consultant, you will provide specialized investigative and advisory services, particularly when claim or underwriting fraud is suspected. As a member of the major case unit, you will work with leadership to leverage data and technology to assess exposure and develop investigative strategies. Influences the creation of and monitors progress of long-term fraud detection and prevention programs. You also will assist and support multi-case investigations.

  This position can work remotely in the continental U.S. with occasional business travel.

  Relocation assistance is not available for this position.

  What you'll do:

  • Conducts complex investigative analysis, reviewing data such as medical bills, vendor billing, accident details, industry trends and environmental circumstances to identify potential fraud.
  • Analyzes and investigates complex fraud scenarios in support of SIU investigations.
  • Conducts proactive analysis of internal and external fraud factors in search of SIU issues.
  • Conducts pattern and trend analysis using specialized software and tools.
  • Develops investigation support documentation such as link analysis visuals, timelines, and maps. Communicates support documentation to SIU investigators and leadership.
  • Synthesizes and summarizes large amounts of disparate data into substantial intelligence reports and/or oral case briefings for investigative, claims management, and legal.
  • Coordinates with internal cross-CoSA investigator organizations and external resources such as law enforcement and recognized industry organizations to achieve operational outcomes.
  • Ensures awareness of analytical resources in support of SIU Investigators.
  • 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 fraud related investigative experience OR proven/documented experience conducting research using data and analytics, analyzing investigative evidence, and creating a case assessment report.
  • Validated experience rapidly processing large quantities of disparate data, synthesizing the data, and communicating analysis in a comprehensive format to various business partners.
  • Must be a results-oriented, skilled investigator with experience understanding complex fraud schemes.
  • Expert experience analyzing data and identifying patterns.
  • Ability to bring together broad range of evidence and conduct in depth background analysis.
  • Ability to handle critical and confidential information professionally.
  • Excellent verbal, written, and interpersonal communication skill.

  What sets you apart:

  • 3 years of experience working in a P&C Special Investigations Unit.
  • Experience working with large amounts of data to identify potential fraud in any line of business within the P&C umbrella.
  • Experience developing queries to identify potential fraud or analyzing potentially fraudulent activity.
  • Understanding of wide variety of red flag indicators of potential fraud in all lines of business within P&C, especially in medical fraud.
  • Knowledge and experience working with various software products used to develop queries and manipulate vast amounts of data.

  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.

  What we offer:

  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. The salary range for this position is: $78,670.00 - $150,330.00.

  Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

  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, please 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.

• About the company

  The United Services Automobile Association (USAA) is a San Antonio-based Fortune 500 diversified financial services group of companies including a Texas Department of Insurance-regulated reciprocal inter-insurance exchange and subsidiaries offering banking, investing, and insurance to people and families who serve, or served, in the United States Armed Forces. Since 1922, USAA has served the military community and their families.

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