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Job Title

SIU Major Case Investigator - Remote

Requisition Number

R6767 SIU Major Case Investigator - Remote (Open)

Location

California - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 20 more}

Job Information

CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of the culture we create together. As we commit to progress over perfection, we recognize that every day is an opportunity to be innovative and adaptable. At CSAA IG, we hire good people for a brighter tomorrow. We are actively hiring for an SIU Major Case Investigator! Join us and support CSAA IG in achieving our goals.

Your Role:

The Major Case Investigator is accountable for identifying, investigating, and mitigating sophisticated fraud schemes, particularly those involving fraud rings. Leveraging a deep understanding of emerging technologies and analytical techniques, the role will work to combat fraud effectively within the CSAA ecosystem.

Your work:

• Focusing on organized fraud rings, develops and implements strategies to detect and prevent fraud activities, focusing on organized fraud rings.
• Collaborate with internal technology teams to design and refine fraud detection tools and methodology.
• Conduct detailed investigations into suspected fraud cases and compile findings into reports for further action within CSAA and external agencies.
• Makes key decisions regarding the structuring and conduction of major case investigations involving multiple claims and/or organized fraud ring activity.
• Stay updated with the latest trends in fraud schemes and countermeasures.
• Provide training and guidance to other team members on best practices for fraud detection.
• Work closely regulatory and law enforcement agencies to stay up to date on all fraud detection measures.
• Applies local, state and federal statutes to ensure investigations are carried out within the requirements of applicable law and local office expectations.
• Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies.
• Serves as the subject matter expert (liaison) on fraud to business and industry partners.
• Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation.
• At times may also handle non-ring investigations as needed.

Required Experience, Education and Skills

• High School Diploma/GED or 7 years of relevant work experience in claims and fraud investigation
• 7-10 years of experience handling complex claims, preferably in multiple claims disciplines, i.e., Casualty, Homeowner, etc.
• Strong analytical and problem-solving skills.
• Proficient in using advanced data analytics tools and software with industry specific technology (i.e. Lexis Nexus, ISO Claims Search)
• Advanced Excel skills (pivot tables, formulas)
• Excellent attention to detail and the ability to manage multiple investigations simultaneously.

What would make us excited about you?

• BA/BS in finance, criminal justice or other related field
• Experience in financial services or a similarly regulated sector.
• Criminal investigation or fraud detection experience.
• 5+ years of advanced data analysis
• Knowledge of available resources (internal and external) to assist in investigations.
• Time management and accurate record keeping.
• Adapt to changes in process and shifting priorities.
• Presentation and training skills.
• Understanding of claim best practices.
• Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
• Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
• Fulfills business needs, which may include investing extra time, helping other teams, etc

CSAA IG Careers

At CSAA IG, we’re proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it.

Join us if you…

• BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging.
• COMMIT to being there for our customers and employees.
• CREATE a sense of purpose that serves the greater good through innovation.

• Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaa-insurance.aaa.com/us/en/benefits

In most cases, you will have the opportunity to choose your preferred working location from the following options when you join CSAA IG: remote, hybrid, or in-person. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don’t miss important updates from us. If a reasonable accommodation is needed to participate in the job application or interview process, please contact TalentAcquisition@csaa.com.

As part of our values, we are committed to supporting inclusion and diversity at CSAA IG. We actively celebrate colleagues’ different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us.

We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers’ evolving needs.

CSAA Insurance Group is an equal opportunity employer.

The national average salary range for this position is $89,910 - $99,900/year. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on county of residence. The full salary range for this position across all the states we hire in is $80,820 - $119,800. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 10% of eligible pay.

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska

Must have authorization to work indefinitely in the US.

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