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Fraud Investigator - Life Insurance at San Antonio, Texas, USA
Email: [email protected]
From:

Pradeep,

Scalable Systems

[email protected]

Reply to:   [email protected]

Hi,

Greetings of the day!

I have an urgent requirement below, please go through JD and let me know if you are comfortable or have any profile. Kindly revert me back with your updated resume as well.

Job Title: Fraud Investigator - Life Insurance

Location: San Antonio, TX (Work from Office)

Duration: Long Term Contract

Responsibilities:

Able to execute Fraud Investigation Case consisting of 4 types of investigations: Claims Investigation/Life Annuity Investigation, Financial Crime/Fraud, Medicare Supplement Claims, Overall Life company Product Fraud.

Complete Regulatory Reporting Requirements.

Develop, maintain, monitor Life company Fraud trends and strategies.

Manage Fraud operational losses within the approved risk appetite, perform fraud detection.

Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.

Investigation, resolution, and recovery activities.

Participation in risk assessments and audits of Fraud at Life Company.

Contestable claims letters drafted by investigator are required to be reviewed by Business Process Owner (BPO) or Senior until proficient.

Professional writing skill set required with clear, concise and effective writing.

Understanding of validation process which is applied by investigators at the time of case activation, case closure and throughout the life cycle of the investigation to ensure that USAA fulfills and supports the investigative process.

Validation will be conducted to verify that the contents of the case are accurate and properly reflect the investigative findings to include (but not limited to): case activation, linking and unlinking of case entities, routed alerts, suspicious dollar, losses, regulatory reporting and case closure.

Thanks & Regards,

Pradeep Sharma

Email: [email protected] 

"Scalable Systems is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and do not discriminate based on race, color, religion, sex, national origin, age, disability, or any other legally protected status."

Keywords: golang Texas
Fraud Investigator - Life Insurance
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Tue Oct 08 18:47:00 UTC 2024

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Location: San Antonio, Texas