Senior Fraud Analyst

Responsibilities

• Lead advanced reviews and trend analyses of complex fraud patterns across multiple lines of business—including life insurance, annuities, and accident & health products—to identify and address potential suspicious activity.
• Analyze large data sets to uncover emerging fraud typologies and conduct root cause analyses to determine systemic vulnerabilities.
• Support fraud investigations through detailed case development, analytical review of suspected fraud, and evaluation of referrals.
• Evaluate claims, transactions, applications, and account activities to identify fraud indicators and inform escalation decisions.
• Monitor fraud across the network, serve as a primary contact for investigations, and collaborate with internal partners to execute fraud policies and develop proactive prevention strategies.
• Implement and enhance fraud risk metric monitoring through research, resolution of risk events, and the development of mitigation levers.
• Accurately document all investigative steps and findings, interact with business units and external agencies, and take appropriate actions to protect company assets and ensure compliance with regulatory requirements.

Qualifications

• Bachelor's Degree preferred; degree in related discipline, such as criminal justice, risk management, business, or law. A combination of education and relevant work experience can be substituted for a degree.
• Minimum three years of relevant experience in life insurance, financial services, or related industry.
• Experience or training in interviewing techniques, testifying in front of tribunals, and report writing.
• Experience using data analytics tools, reporting platforms, or business intelligence solutions to identify fraud trends, assess risk, and support process or control improvement initiatives.
• Strong proficiency with Windows-based applications (e.g., Excel, reporting systems, case management platforms), with the ability to quickly learn and apply new systems and technologies.