Job Description

Purpose of Job

Develops, implements and executes USAA Claims Security strategy for detection, prevention, investigation of insurance fraud involving insureds, third party claimants and service providers. Develops strategies and plans in partnership with enterprise leadership to ensure the support of enterprise fraud strategies for experiences, service, growth and financial strength.

Job Requirements

* Identifies and manages existing and emerging risks that stem from business activities and the job role.
* Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
* Follows written risk and compliance policies and procedures for business activities.
* Coordinates the overall program objectives and strategies to identify and investigate fraud issues, recover fraudulent claim payments, and refer potential legal actions to law enforcement and counsel.
* Sets strategy for identifying, measuring, and mitigating fraud risk for the Claims SIU organization.
* Advises and consults Claims Leadership and other key stakeholders on matters pertaining to insurance fraud.
* Responsible for measuring and reporting on business outcomes for SIU strategy aligned to achieving claims strategic plan.
* Acts as a strategic liaison between USAA and the National Insurance Crime Bureau, Law Enforcement, State Insurance Fraud Bureaus, Industry Associations, and other organizations to promote and support insurance fraud prevention.
* Responsible for the oversight and implementation of fraud awareness training programs.
* Maintains a communication program to enhance fraud awareness and detection among all employees.

Minimum Requirements

Minimum Education:

* Bachelors Degree
* 4 additional years of related experience beyond the minimum required may be substituted in lieu of a Degree.

Minimum Experience:

* 10 years of progressive related experience in developing strategies, managing major initiatives to include operational oversight of P&C; claims, fraud investigations, claims litigation/legal process & state regulation requirements and delivering results within a complex matrix environment.
* 6 years of people leadership experience in building, managing and/or developing high-performing teams.
* Experience collaborating with key internal and external resources, business partners and stakeholders (including federal/state agencies and Industry Associations/Bureaus), influencing decisions and managing teams to achieve strategic goals.

Preferred Requirements:

* Working knowledge of AML, Sanctions, OFAC standards, cyber fraud events and applicability to P&C; operations.
* Experience in risk management engagement and effective application into Fraud Risk Governance program.
* Leadership experience in managing fraud risk governance teams, structures, policies/standards, processes and tools needed to ensure the oversight, guidance, analysis and sustainment of fraud programs associated with existing and emerging operational, business or financial risks in a complex and highly regulated environment. Accountable for the development of P&C; fraud policies and contributes to the development, implementation and execution of a multi-year strategic vision for the Fraud teams.
* Demonstrated success in leading and developing the delivery of Fraud programs, strategies, and teams ensuring that USAA establishes, deepens, and retains a best-in-class fraud prevention, detection and investigation posture in a complex and highly regulated environment.
* Ability to apply knowledge of NICB capabilities and experience collaborating with NICB resources.
* Experience and knowledge of fraud prediction modeling programs and data analytics.
* Prior military experience desired.

This position will be posted for internal applicants until Midnight on 3/17/21

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 position. The salary range for this position is $155,000-$270,000

Employees may be eligible for pay incentives based on overall corporate and individual performance or at the discretion of the USAA Board of Directors.

Long Term Incentive Plan: Cash payment for Executives only representing a cash payment which is both time and performance based

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.

Please click on the link below for more details.

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