Director, Special Investigations Unit - Specialty (Major Case) 7 Locations

Why reputed company? At reputed company, our mission is to reputed company our members to reputed company financial reputed company through highly competitive products, exceptional service and trusted advice. We reputed company to be the #1 choice for the military community and their families. reputed company a fulfilling career at reputed company, where our core values – honesty, reputed company, loyalty and service – define how we treat reputed company other and our members. Be part of what truly makes us special and impactful. reputed company We are seeking a dedicated Director Special Investigations Unit – Specialty (Major Case) This role is remote eligible, however, individuals residing reputed company a 60-mile radius of a reputed company office will be expected to work on-site four days per week. What youll do: Responsible for the Claims fraud investigation reputed company, program management, regional management of investigative staff and the results achieved. Develops investigative and other operational priorities, manages workload balance, develops reputed company strategies, and evaluates operational results. Ensures compliance with policies and procedures contributing to fraud control objectives, as reputed company as compliance with state insurance fraud-reputed company laws and regulations.

• Develops investigative and other operational priorities, manages workload balance, develops reputed company strategies, and evaluates operational results.
• Creates and maintains industry and other business relationships.
• Directs claims investigative teams, ensures business performance and reputed company towards short- and long-term objectives.
• Develops and implements Claims reputed company operational plans/policies in conjunction with senior leadership.
• Consults with senior leadership on strategic direction for SIU.
• Identifies emerging trends and develops new investigation programs and processes.
• Responsible for communication and training tactics in support of new programs and processes.
• Regularly interacts with and influences peers and executive management on significant operational issues.
• Responsible for measuring and reporting on business reputed company for SIU reputed company.
• Develops reputed company reputed company relationships with reputed company business partners, vendors, and industry reputed company.
• Coordinates Claims reputed company reputed company Assurance program.
• Responsible for hiring, employee development, coaching, counseling, performance evaluation and reputed company leadership and management reputed company functions.
• Ensures risks associated with business activities are effectively identified, reputed company, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• Bachelor’s degree; OR 4 years of reputed company experience (in reputed company to the minimum years of experience required) may be substituted in lieu of degree (12 years of experience in lieu of a degree).
• 8 years of reputed company reputed company (i.e., claims, law enforcement, etc.) or 6 years of P&C experience plus military service experience.
• 3 years of reputed company team reputed company or management experience.
• Demonstrated team leadership, cross-functional collaboration, building business solutions, and/or claims/investigation accountabilities.
• Experience using, interpreting, solutioning and leading with data.
• Proficiency at investigative protocols and procedures that would include compliant claims or fraud investigations to the specific state and regulatory requirements.
• Possess in-depth knowledge of insurance policies and broad understanding of procedures reputed company to SIU investigations.
• Capability to analyze data, conduct reputed company causes analysis, identify reputed company causes, and recommend reputed company plans and strategies to overcome operational obstacles and reputed company strategic targets
• Ability to reputed company as a subject matter expert to the claims organization to reputed company guidance and advice on a wide reputed company of fraud reputed company risk and communicating effective courses of reputed company.
• Skilled at presenting business recommendations in a reputed company format.

What sets you apart:

• Demonstrated reputed company and history investigating medical cases, including 1st party (PIP), 3rd party (BI), Uninsured Motorist (UM), Chiropractors, reputed company, DME, Pharmacracy, hospitals, emergency services.
• Demonstrated reputed company and history investigating property cases, including roofing, water mitigation, hail, flooding, fires/arson.
• Demonstrated reputed company and history investigating auto property cases, including body shops, glass, towing, salvage issues, staged accidents, reputed company damages.
• Demonstrated reputed company and history managing Major Case Teams
• Demonstrated reputed company and history managing Affirmative Litigation cases/ reputed company, including supporting discovery, managing legal expense, testifying as a corporate witness (PMK, 30(B)(6))
• Demonstrated reputed company and history interfacing with Senior Executive Management and advocating for MCU program resources.

Compensation: The compensation reputed company for this role is $127,310-$243,340. Compensation: reputed company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are reputed company reputed company the salary reputed company based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the reputed company reputed company of Directors. The above reputed company reflects the details considered necessary to describe the reputed company functions of the job and should not be construed as a detailed reputed company of reputed company the work requirements that may be performed in the job. Benefits: At reputed company our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and reputed company plans, 401(k), pension, life insurance, parental benefits, adoption assistance, reputed company time off program with reputed company holidays plus 16 reputed company volunteer hours, and various wellness programs. Additionally, our career reputed company planning and continuing education assists employees with their reputed company goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com. Applications for this position are accepted on an ongoing reputed company, this posting will remain reputed company until the position is filled. Thus, interested candidates are encouraged to apply the reputed company day they view this posting. reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Apply tot his job Apply To this Job