We are looking to hire a SIU Desk Investigator in the Los Angeles Metro, CA area. As a dedicated SIU Investigator, you will within defined guidelines and framework, protect USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. Responsibilities include applying knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third party claims; participating in the development of fraud prevention strategies; applying knowledge of P&C insurance industry products, services, and processes in investigating claims including P&C insurance policy contracts, coverages and internal claims handling process and procedures; applying knowledge of state laws and regulations pertaining to insurance fraud in investigating claims; collecting evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools; making recommendations within defined authority guidelines; preparing and presenting detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome; developing and maintaining external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention; serving as a resource team member on specific matters through demonstrated skill or training; assisting with the delivery of fraud awareness training initiatives in a defined environment; handling CAT duty responsibilities as business requires; ensuring risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. Requirements include a 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 (including military) or relevant fraud industry investigation experience; proven investigatory skills; experience obtaining statements from various parties to incidents, witnesses, and suspects; ability to gather broad range of evidence and draw conclusions based on objective details related to the applicability of fraud; proven 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. Preferred qualifications include SIU Desk experience; P&C experience including Auto, Property and Underwriting; current or prior SIU investigations experience working in diverse teams across multiple functions within SIU.
By applying, you consent to your information being transmitted by Jooble to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See USAA Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
...The Associate Principal Scientist, Health Economics will report to the Executive Director... ...(Biostatistics and Research Decision Sciences). He/She will have the primary... ...Qualifications: Education ~ Doctoral degree or Master's degree, in (Health) Economics...
...resolution.Our reputation in the CA workers compensation community after fifteen (15) years of service is top notch. L&K is a fully remote, virtual office law firm offering the ability to work from home and provide all members of our law firm Family with a tremendous...
...Inputting/printing visitor badges. Stock kitchen, break rooms and office supplies. Order kitchen/office supplies when needed.... ...sensitive USPS Mail. Tour the entire space bi-weekly to ensure it is clean and in order. Stock larger conference rooms with supplies (...
...Calm under pressure, with a knack for multitasking and innovation. Flexible and Ready: Willingness to work early mornings, late evenings, and weekends as needed. Travel Enthusiast: Ready to travel locally in Florida and nationally to our offices. Note:...
...dedicated to helping individuals make informed financial decisions to prepare for their future. Whether it's planning for retirement, protecting assets, or growing a business, Coastal Wealth provides personalized strategies to help clients achieve their long-term financial...