Manager - Special Investigation Unit (Texas)
United Auto Insurance
- Dallas, TX
- Permanent
- Full-time
- Directly reports to the Sr. SIU Manager.
- Responsible for insurance fraud detection and investigation services to reduce fraud related claim payments and costs, while avoiding unwarranted risk.
- Ensures compliance with laws and regulations relating to claims handling and unfair claim practices.
- Evaluates, authorizes, and implements actions and decisions to carry out claim investigations.
- Participates in the establishment and implementation of policies and procedures for fraud control and investigative practices under the direction of the Sr. SIU Manager.
- Ensures claim investigations are completed timely, while providing quality investigative product to the claim’s department for appropriate decisions involving fraud issues.
- Makes one on one observations for performance assessment needed to achieve investigative excellence.
- Assist the Sr. SIU Manager in the development and conduct of fraud awareness training programs.
- Determines patterns of fraud and actions required to deter it.
- Facilitates cooperation between SIU, Claims, and House Counsel.
- Participates in multi-functional tasks as assigned by the Sr. SIU Manager.
- Responsible for associate management including performance, salary planning and administration, training and development, workflow and organizational planning, hiring and placement, under the direction of the Sr. SIU Manager.
- Bachelor’s degree in business administration or related field preferred.
- Adjuster/Private investigator license preferred.
- Bilingual (English & Spanish) preferred.
- A minimum of 5-8 years of insurance investigation industry experience with at least 3 years of leadership experience preferred.
- In-depth knowledge of applicable fraud statutes, regulations, and industry best practices.
- High degree of integrity as demonstrated by appropriate treatment of confidential information, and adherence to policies, rules, and regulations.
- Effective communication and interpersonal skills, with the ability to build and maintain relationships with internal and external stakeholders.
- Excellent organizational and project management abilities, with a keen eye for detail.
- Expert knowledge of medical claims processing and investigations, a strong plus.
- Detail-oriented investigator with strong organizational and time management abilities.
- Analytical and interview skills: Ability to make deductions; logical and sequential thinker.
- Strong understanding of claims processing procedures, including investigation and evaluation.
- Ability to adapt to a fast-paced and dynamic work environment.
- 401(k) Retirement Savings Plan with employer match.
- Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance.
- Paid Time Off, Holidays, and Leave programs.
- Flexible spending accounts.
- Basic Life Insurance and Voluntary Life/ADD
- Voluntary Short Term and Long-Term Disability