SIU Investigator (mid-level) - P amp C (VA, WV or TN)

📋 Description

• • Serve as the frontline defender of USAA’s membership and financial integrity by conducting in-depth, desk-based investigations into suspicious Property & Casualty claims across Virginia, West Virginia, and Tennessee. You will leverage advanced fraud-detection techniques, industry-leading databases, and your own analytical acumen to identify, document, and neutralize fraudulent activity before it impacts the military community we serve.
• • Own the full investigative lifecycle—from initial red-flag identification through final disposition—on low- to high-complexity claims. This includes gathering evidence via remote interviews, open-source intelligence, forensic tools, public records, and proprietary data repositories; synthesizing findings into concise, court-ready reports; and presenting recommendations to claims partners, legal counsel, and law-enforcement agencies.
• • Collaborate cross-functionally with Claims Adjusters, Underwriters, Data Scientists, and Legal teams to design and refine fraud-prevention strategies. Your insights will directly influence policy language, system enhancements, and training curricula, reducing future exposure and safeguarding member premiums.
• • Build and maintain a robust external network of law-enforcement officers, NICB representatives, state fraud bureaus, and industry SIU peers. These relationships will accelerate information sharing, joint task-force participation, and successful prosecution of organized fraud rings.
• • Serve as a subject-matter resource during catastrophe (CAT) deployments, rapidly triaging potentially fraudulent claims amid surge volumes. Your calm, methodical approach under pressure will protect both members and corporate assets when it matters most.
• • Deliver engaging fraud-awareness training to internal claims staff and external partners, translating complex schemes into actionable detection tips. Your sessions will measurably improve frontline recognition rates and foster a culture of vigilance across the enterprise.
• • Ensure every action complies with applicable state insurance-fraud statutes, USAA policies, and risk-management frameworks. You will document decisions in audit-ready formats, participate in compliance reviews, and continuously update procedures to reflect evolving regulations.
• • Utilize cutting-edge case-management systems, geospatial mapping tools, and predictive-analytics dashboards to prioritize caseloads, visualize fraud patterns, and quantify savings. Your data-driven storytelling will secure stakeholder buy-in and budget for future SIU initiatives.
• • Mentor junior investigators and rotating claims employees, sharing best practices for interviewing techniques, evidence preservation, and report writing. Your guidance will elevate team capabilities and succession readiness.
• • Champion USAA’s core values—honesty, integrity, loyalty, and service—in every interaction. By embodying these principles, you will strengthen member trust and reinforce USAA’s reputation as the military community’s financial partner of choice.