Responsible for investigating and analyzing multiple moderate to complex investigations that have been referred to the Financial Crimes Unit (FCU) for potential fraud, including investigating potential fraudulent activity committed by insurance agents
Performs a thorough investigation including; (1) quickly gathering and analyzing the facts, (2) assessing the associated risks; and (3) providing prompt conclusions and recommendations to management
Utilizes data analytic tools to identify moderately complex and occasionally complex claims for investigation and/or for support in the evidence of the fraud
Reviews the facts of a case and works with the Management team to determine if there is potential application fraud, if claim payments should be paid or denied, if fraud can be substantiated and supports a lawsuit or state fraud filing
Review current policies and procedures; identify and help to implement new and/or enhanced practices
Works independently, prioritizing own responsibilities, and managing own workload
Assist in responding to regulatory inquiries with direction from senior levels
Collaborate with business partners to gather facts and educate them on red flags and controls to mitigate fraud risks
Foster a culture of compliance to help prevent, detect and reduce company risk with respect to financial crime
Assist team members with research and assigned tasks and provide training to supported teams

Bachelor’s degree in business, marketing, pre-law or other relevant field, or equivalent education and experience
Four years of insurance experience or regulatory, securities, compliance experience
Areas of experience desired may vary based upon assigned compliance functions and may include contract development, claims, underwriting, legal research, fraud or anti-money laundering investigations and/or communications
Written and verbal communication skills
Analytical and research skills
Proficiency using MS Office tools

Competitive Pay
Bonus for Eligible Employees
Benefits Package
Pension Plan
401k Match
Employee Stock Purchase Plan
Tuition Reimbursement
Disability Insurance
Medical Insurance
Dental Insurance
Vision Insurance
Employee Discounts
Career Training & Development Opportunities
Health and Work/Life Balance Benefits
Paid Time Off starting at 160 hours annually for employees in their first year of service
Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays)
Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
Parental Leave – fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child
Adoption Assistance
Employee Assistance Program
Back-Up Care Program
PTO for Volunteer Hours
Employee Matching Gifts Program
Employee Resource Groups
Inclusion and Diversity Programs
Employee Recognition Program
Referral Bonus Programs

Senior Compliance Analyst – Life & Health Insurance Fraud Investigations

Key skills