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 OpportunityThis job profile is designated as a Sensitive Position. Sensitive Positions are those positions in which individuals have the authority and ability to conduct in-scope activities (movement of USAA or Member funds) as defined within the Enterprise Sensitive Positions Mandatory Time-Away Compliance Policy. Employees in Sensitive Positions are required to fulfill a Mandatory Time-Away (MTA) requirement of 10 consecutive business days each calendar year.As a dedicated with Director, Special Investigations Unit (SIU), you will be responsible for Life, Annuity & Health claims and fraud investigation programs and management of the Life Special Investigation Unit (SIU) staff. Develops investigative and other operational priorities, manages workload balance, develops staffing strategies and evaluates operational results. Creates and maintains industry, law enforcement and other business relationships.We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based San Antonio, TX., Phoenix, AZ., Tampa, FL. or Colorado Springs, CO. Campuses. If located outside of San Antonio Campus, travel will be required up to 25% of time. Relocation assistance is not available for this position.What you'll do:
Provides guidance to staff in interpreting procedures, guidelines, and training reference materials.
Oversees decisions made within the claims and benefits process.
Approves claims within assigned authority limit.
Directs claim investigation team and ensures business performance and progress towards short and long term CoSA/Corporate objectives.
Develops and implements Claims Security strategic and operational plans/policies in conjunction with senior management. Identifies emerging fraud trends and develops new fraud investigation programs and processes.
Responsible for communication and training strategies in support of new programs and processes.
Regularly interacts with and influences peers and executive management on significant fraud and operational issues.
Oversees process improvements in the Claims and Fraud investigation functions.
Develops collaborative internal and external relationships with enterprise business partners, vendors, industry, governmental and law enforcement agencies.
Responsible for hiring, employee development, coaching, counseling, performance evaluation and all management related functions.
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:
Bachelor’s degree OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. (Total of 12 years of experience without bachelor’s degree)
8 years relevant business experience to include 3 years Claims and/or Insurance Fraud experience.
3 years of direct team lead or management experience
What sets you apart:
US military experience through military service or a military spouse/domestic partner
6 years of experience leading a Life Special Investigation or Fraud Program.
Fundamental knowledge of advanced fraud analytics.
4 years of SIU Project Experience to include broad understanding of procedures related to SIU investigations.
Knowledge and experience in fraud waste and abuse investigations of Medicare Supplement Claims.
Experience in life claims fraud or financial crimes investigations.
Excellent communication, interpersonal and problem-solving skills.
Exceptional analytical and decision-making acumen.
Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) designation is a plus.
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: $109,130 - $202,500.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.If you are an existing USAA employee, please use the internal career site in OneSource to apply.Please do not type your first and last name in all caps.Find your purpose. Join our mission.USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity.USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself – you just need to share our passion for serving our more than 13 million members.USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.California applicants, please review our HR CCPA - Notice at Collection (https://statmcstg.usaa.com/mcontent/staticassets/Media/enterprisehrcpranoticeatcollection.pdf) here.USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.