We are looking for a SIU Consultant (Triage). You will perform triage duties to review claims identified by our predicative fraud tool to determine if an SIU investigation is warranted. Within defined guidelines and framework, protects 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. This role is remote eligible in the continental U.S. with occasional business travel. What you'll do:Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. Participates in the development of fraud prevention strategies. Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. Applies knowledge of state laws and regula...Triage, Consultant, Fraud, Claims, Technology
We are looking for a SIU Consultant (Triage). You will perform triage duties to review claims identified by our predicative fraud tool to determine if an SIU investigation is warranted. Within defined guidelines and framework, protects 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. This role is remote eligible in the continental U.S. with occasional business travel. What you'll do:Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. Participates in the development of fraud prevention strategies. Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. Applies knowledge of state laws and regula...Triage, Consultant, Fraud, Claims, Technology
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