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Director, Life Claims and Investigations Life Insurance Claims - Sensitive Profile AZ

Company: USAA
Location: Phoenix
Posted on: February 12, 2024

Job Description:

Why USAA?

Lets 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 nations military, but we all share in the mission to give back to those who did. Were 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. Theyre 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 Opportunity

This 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 Director, Life Claims and Investigations, you will report to the Chief Claims and Fraud Officer for Life Company. The departments focus is on providing an exceptional member experience for those who have lost a loved one, ensuring seamless claims processing, fulfillment by minimizing turnaround time, delivering on service level targets and member satisfaction.

This role is 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., Colorado Springs, CO., Tampa, FL or Phoenix, AZ. campuses however, San Antonio Campus is the preferred location. Relocation assistance is 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:

Bachelors 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 bachelors 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


5 or more years of Life Insurance and/or annuity claims experience.


3 or more years of Life Insurance and/or annuity claims management and/or deep operational experience.


Familiar with various claims processing, procedures and unfair claim settlement practices and impact on claims operations.


Past approval authority of $500,000 or more handling life and/or annuity claims.


Proven track record of delivering operational results.



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: $115,240 - $213,900.

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.

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.

By applying, you consent to your information being processed by SonicJobs and transmitted to the Employer.
See USAA Privacy Policy at https://www.usaa.com/privacy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions

Keywords: USAA, Phoenix , Director, Life Claims and Investigations Life Insurance Claims - Sensitive Profile AZ, Executive , Phoenix, Arizona

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