Quantitative Reinsurance Analyst building predictive models and analyzing portfolio risk at Everest Global Services. Driving strategic decision - making and enhancing analytics infrastructure with SQL and Python.
About the role
- 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
Benefits
- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development
Job title
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Degree requirement
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