Senior SIU Major Case (Medical Provider Investigations)
USAA
San Antonio
Workplace: RemoteFull timeUSD 93,770 - 179,240 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 3-4 yearsEducation: high_schoolSkills: ["Results-oriented","Attention to accuracy","Communication","Organization","Risk/compliance awareness"]Investigate complex, high-exposure insurance fraud matters to protect USAA and its members. Lead fraud prevention strategies and major case investigative operations for medical provider-related claims, using advanced knowledge of P&C insurance coverages, state laws, and evidence gathering through interviews, databases, and forensic tools. Prepare detailed written and verbal investigative reports, serve as an SME who guides and trains investigators, and maintain relationships with law enforcement and industry partners, with occasional business travel.
