Senior Fraud Analyst leading investigations into fraud, waste, and abuse in Long Term Care insurance. Collaborating with partners, mentoring analysts, and developing fraud detection methodologies.
Responsibilities
Lead complex investigations into fraud, waste, and abuse within Long Term Care insurance operations
Safeguard the integrity of claims processes by applying deep analytical expertise to detect emerging fraud patterns
Analyze operations and other data to prepare and present reports to management and make recommendations
Collaborate with internal and external partners to develop advanced fraud detection methodologies
Mentor junior analysts and contribute to continuous improvement of fraud prevention strategies
Requirements
Bachelor's Degree or equivalent work experience
3-5 years relevant professional experience
Knowledge of Fraud in insurance operations preferred, especially long-term care
Advanced proficiency in Excel and solid working knowledge of Microsoft Office Suite
Familiarity with Tableau, Looker, BigQuery, and other business intelligence platforms
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