SIU Investigator I

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.

About the Role

As a dedicated SIU Investigator, within established guidelines and frameworks, you will investigate suspicious and questionable claims activity, ensuring compliance with all relevant state insurance fraud laws, regulations, policies, and procedures. This role requires a strong understanding of fraud schemes and investigation strategies to effectively analyze claims, gather evidence, and make informed recommendations. You will play a key part in safeguarding USAA's integrity and financial well-being by identifying and mitigating fraudulent activities. This role is remote eligible in the continental U.S. with occasional business travel.

Responsibilities

• Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third-party claims.
• Participates in the development of fraud prevention strategies.
• Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include 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.
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance frameworks.

Requirements

• High School Diploma or General Equivalency Diploma.
• 2 years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4 years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
• Proven investigatory skills.
• Experience obtaining statements from various parties to incidents, witnesses, and suspects.
• Ability to gather a broad range of evidence and draw conclusions based on objective details related to the applicability of fraud.
• Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
• Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
• Knowledge of city, state, and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.

Qualifications

• SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations/Military Investigative experience.
• Demonstrated ability to oversee third-party investigative support services, ensuring timely turnaround, accurate reporting, and adherence to company standards.
• Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.

Pay

The salary range for this position is $77,120 - $147,390. USAA does not provide visa sponsorship for this role.

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) and pension plans.
• Life insurance.
• Parental benefits and adoption assistance.
• Paid time off program with paid holidays plus 16 paid volunteer hours.
• Various wellness programs.
• Career path planning and continuing education to assist employees with their professional goals.