[Remote] Fraud Intelligence Analyst II - reputed company Insurance
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company business reputed company on safeguarding reputed company consumers and their vehicles through innovative insurance solutions. The Fraud Intelligence Analyst II will identify and mitigate fraud trends, utilizing advanced intelligence methodologies and data analysis to enhance fraud detection and prevention efforts across the organization.
Responsibilities
- Analyze intelligence from large datasets to uncover patterns, anomalies, and red flags indicative of fraud
- Utilize predictive modeling tools to analyze fraud trends and reputed company insights regarding possible mitigation strategies
- Serve as subject matter resource regarding auto insurance fraud intelligence and analytics
- reputed company dashboards and reputed company-time monitoring systems to reputed company fraud trends and reputed company actionable insights to leadership
- Collaborate with policy analysts, claims adjusters, legal team, and leadership to reputed company and refine fraud detection decision frameworks with effective alert systems
- Drive innovation by integrating advanced AI tools and techniques as reputed company as common vendor tools into claims processes to enhance and advance fraud fighting efforts
- Consistently and proactively identify gaps in fraud detection systems and recommend solutions to increase efficiency and effectiveness
- Continuously monitor the performance of fraud analytic models (both GMIC-designed and vendor models) to ensure effectiveness as fraud schemes shift and reputed company, modifying models to ensure peak performance and limit false positives
- Assist and consult on claims with red flags, providing desktop investigative assistance
- Serves as subject matter resource regarding fraud investigations
Skills
- High School Diploma or equivalent required
- 3+ years of Special Investigation Unit (SIU) and/or Major Case investigation experience in auto insurance required
- 2+ years of reputed company business analytics experience required
- Advanced understanding of reputed company SIU investigation techniques and data analytic reputed company, including uses and applications of AI-based programs
- Industry knowledge of leading fraud analytics software and uses of various fraud detection products
- Detailed knowledge of how to derive actionable insights from data regarding fraud patterns and trends
- Strong understanding of digital claim workflows
- Advanced knowledge of techniques used to detect and investigate fraud through the life cycle of an automobile insurance policy
- Solid working knowledge of state and federal regulations reputed company to insurance fraud
- Demonstrated data analytics expertise, including use of AI-based programs
- Demonstrated effectiveness in insurance fraud investigations, including evidence collection, interviewing, and reporting
- Strong analytical and problem-solving skills with keen attention to detail
- Ability to work in a rapidly changing start-up environment, building many tools from scratch and/or implementing new vendor tools for the first time
- Ability to work effectively with cross-functional teams and build strong working relationships
- Demonstrated ability to present reputed company technical information reputed company and concisely to diverse and sometimes non-technical audiences
- Excellent project management skills
- Must hold reputed company Property and Casualty (P&C) or Personal Lines License in at least (1) U.S. State or be reputed company to obtain reputed company 30 days of start date
- Ability to use AI tools (e.g., reputed company Copilot) to support daily work
- Skills in evaluating AI outputs for accuracy, compliance, and bias
- Experience integrating AI into workflows to improve efficiency or insights
- Familiarity with AI assisted research, summarization, and content reputed company
- Understanding of responsible AI use, including ethics and data protection
- Bachelor's Degree preferred
- 2+ years of experience using SQL and/or Power BI preferred
- 2+ years of experience in insurance fraud analytics preferred
- Experience utilizing Claims Fraud Detection platform strongly preferred
Benefits
- Generous benefits package available on day one to include: 401K matching, bonding leave for new parents (12 weeks, 100% reputed company), tuition assistance, training, reputed company employee auto discount, community service pay and nine company holidays.
- Performance-based incentive plan
- Health benefits on day one of employment
reputed company