Senior Fraud Analyst

🕒 Ontem

🚗 Michigan – Remoto

🚗 Michigan – Remote

⏰ Tempo Integral

🟠 Sênior

🧐 Analista

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AAA Life Insurance Company

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1969

⚕️ Seguro de Saúde

💸 Finanças

Healthcare Insurance • Finance • Insurance

A AAA Life Insurance Company é fornecedora de diversos produtos de seguro de vida, incluindo Seguro de Vida Temporário, Seguro de Vida Inteira, Seguro de Vida Universal e Seguro contra Acidentes. A empresa também oferece anuidades e uma gama de recursos para ajudar os clientes a entenderem suas necessidades de seguro. Com foco em suporte ao cliente e educação, a AAA Life Insurance Company visa simplificar o processo de obtenção de seguro de vida e oferecer soluções personalizadas para proteger o futuro financeiro de indivíduos e suas famílias.

Descrição

• Operating within the core values and operating principles of the organization, the Senior Fraud Analyst is responsible for leading advanced fraud analytics and supporting the continuous enhancement of the organization’s fraud detection, prevention and investigative capabilities. • This role operates with a high level of independence and judgment, focusing on identifying complex fraud patterns, strengthening enterprise controls, and supporting cross-functional fraud risk management initiatives. • This incumbent will work cross-functionally with all departments to combat fraudulent activities and cultivate a best-in-class fraud prevention and reporting program. • This individual will lead AAA Life’s fraud monitoring and detection efforts and serve as the main point of contact for fraud investigations and reporting. • 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.

🎯 Requisitos

• 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.

🏖️ Benefícios

• Health insurance • 401(k) matching • Flexible work hours • Paid time off