Work Shield Inc Jobs in Usa

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The selected candidate will have a strong multi-line SIU investigation background.

This position is remote eligible. However, you must currently live in California.

What you'll do:

• Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims.

• Participates in the development of fraud prevention strategies.

• Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.

• Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.

• Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.

• Makes recommendations within defined authority guidelines.

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

• Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention.

• May serve as a resource team member on specific matters through demonstrated skill or training.

• Assists with the delivery of fraud awareness training initiatives in a defined environment.

• Handles CAT duty responsibilities as business requires.

• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

• Minimum High School Diploma or General Equivalency Diploma (GED).

• 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.

• Proven investigatory skills.

• Experience obtaining statements from various parties to incidents, witnesses, and suspects.

• Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.

• Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.

• Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.

• Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.

• SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience.

• Strong multi-line SIU experience

•  Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.

• US military experience through military service or a military spouse/domestic partner

Compensation range: The annualized range for this position is: $77,120 - $147,390. However, this is an hourly position.

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.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

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.

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, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

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.

What you will Do:   

• Analyze records for completeness and patient history.  
• Prepare exam/procedure rooms and equipment for patient care.  
• Greet, identify patient and prepare patient for exam while protecting patient’s privacy.  
• Review/document current medication and allergies  
• Take vital signs, obtain chief complaints, history, and documents.  

Hours/Schedule:    

1.0 FTE (80 hours biweekly) 

Minimum Qualifications:      

• High School Diploma or GED.  
• Medical Assistant Diploma or LPN/RN license.   
• 6-month experience in a clinic setting preferred.  
• Intermediate language, intermediate math, intermediate reasoning ability; basic computer skills; ability to work with diverse groups of people; ability to effectively interact with other health care professionals and the public; ability to present a positive image; ability to organize and prioritize tasks.  

Position Highlights and Benefits   

• Personalized health insurance plans with coverage effective on day one of employment 

• Retirement plan with company match

• Paid time off    

• Employee Assistance Program (EAP) & Wellness programs 

Ministry/Facility Information:   

MercyOne Northeast Iowa provides expert health care to eight counties. MercyOne Northeast Iowa provides excellent, personalized care close to home to the communities in the Cedar Valley. With 491 licensed beds between the three medical centers, each providing 24-hour emergency lifesaving care, MercyOne is there for you in critical moments:   

• MercyOne Waterloo Medical Center, an Area Level III Trauma Center and an accredited chest pain center   
• MercyOne Cedar Falls Medical Center, Community Level IV Trauma Designation   
• MercyOne Oelwein Medical Center, Community Level IV Trauma Designation   

With more than 2,500 colleagues, MercyOne is one of the largest employers in Northeast Iowa.   

MercyOne Medical Group – Northeast Iowa is made up of more than 30 primary care, pediatric, internal medicine and specialty clinics located throughout Black Hawk, Bremer, Buchanan, Benton, Butler, Fayette and Tama counties.   

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.

GENERAL SUMMARY:

Provides individualized, high-quality nursing care to patients of all ages. Uses a team approach to delegate and coordinate patient care at admission, transfer, and discharge. Independently delivers nursing care using the Nurse Practice Act, Mercy Medical Center policies, nursing standards, ethical principles, and professional judgment. Works rotating shifts, weekends, and holidays as scheduled. Job duties may vary by shift or may be unit-specific.

· Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa.

· Basic Life Support certified within six (6) weeks of hire. The acceptable credentialing body is the American Heart Association.

· Proof of completion of Mandatory Reporter abuse training specific to populations served within three (3) months of hire.

· Ability to read, write and speak English language.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.