About the position
At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. As a dedicated Field Manager for the Special Investigations Unit for Property & Casualty, you will be responsible for the operational management of Claims fraud investigative teams. This role involves directing staff in the investigation of cases involving questionable, suspect, or fraudulent activity. You will ensure compliance with policies and procedures that contribute to fraud control objectives, as well as adherence to state insurance fraud-related laws and regulations. This is a field-based role in the Charlotte, North Carolina area, where you will oversee teams in North Carolina and South Carolina. Candidates who are willing and able to work in or around the Charlotte area are encouraged to apply. Please note that relocation assistance is not available for this position. In this role, you will be responsible for providing insurance fraud detection and investigation services aimed at reducing fraud-related claim payments and costs while avoiding unwarranted risk. You will ensure compliance with laws and regulations relating to claims handling and unfair claims practices and reporting statutes. Your participation in the establishment and implementation of policies and procedures for fraud control and investigative practices will be crucial. You will also perform various leadership and management tasks, including providing coaching, evaluating performance, managing time off, and conducting quarterly check-ins and ride-alongs. Your responsibilities will include evaluating, authorizing, and implementing actions and decisions to carry out proactive claims projects and investigations. You will review and evaluate investigation recommendations from investigators to ensure that results and case documentation support conclusions. Additionally, you will ensure that risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
Responsibilities
- Direct staff in the investigation of cases involving questionable, suspect, or fraudulent activity.
- Ensure compliance with policies and procedures contributing to fraud control objectives.
- Participate in the establishment and implementation of policies and procedures for fraud control and investigative practices.
- Perform leadership and management tasks, including coaching and evaluating performance.
- Review and evaluate investigation recommendations from investigators to ensure results support conclusions.
- Ensure risks associated with business activities are effectively identified and controlled.
Requirements
- Bachelor's degree; OR 4 years of related experience 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 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.
Nice-to-haves
- 2+ years of SIU investigator experience.
- Current or prior SIU leadership experience managing diverse teams across multiple locations.
- First and Third-Party auto and property claims investigations experience.
- SIU or Fraud Investigation Designations (CFE, CIFI, SCLA, etc.).
- Experience leveraging business data to inform decision making and drive strategy.
- US military experience or Law Enforcement experience.
Benefits
- Comprehensive medical, dental and vision plans
- 401(k)
- Pension
- Life insurance
- Parental benefits
- Adoption assistance
- Paid time off program with paid holidays
- 16 paid volunteer hours
- Various wellness programs
- Career path planning and continuing education assistance
