Analyst - Fraud, Waste & Abuse

Manulife • Time, IL

2d • $61,875 - $103,125 • Remote

About The Position

Long-Term Care (LTC) Insurance is a legacy John Hancock product that was sold from 1987 through 2016. Currently, there are approximately 800,000 policies in-force and just under 40,000 active claims. Claim growth is expected to continue for many years to come. The LTC Fraud Waste and Abuse Team is responsible for preventing, detecting, evaluating, investigating, and remediating cases of fraud against these policies. We are seeking an experienced Analyst to help define and identify currently undiscovered opportunities for improved prevention, detection and remediation of this fraud. This is a Remote role open to candidates in any US state or Canadian province.

Requirements

• 3+ years progressive business analysis and/or project management experience supporting significant business initiatives.
• Strong facilitation skills and ability to build team consensus by utilizing strong conflict management skills.
• Able to translate issues and problems into effective business solutions.
• Ability to effectively apply project management and business cases methodologies and ensure the necessary technical skills are included with the project team and utilized appropriately.
• Advanced written and verbal communication skills, with the ability to craft and articulate clear, compelling business cases when presenting information.
• Ability to build effective business relationships with key stakeholders and business management.

Nice To Haves

• Bachelor’s degree preferred.
• Familiarity in LTC Insurance and / or insurance fraud preferred.

Responsibilities

• Perform deep-dive evaluations of at-risk cases, queries and concepts.
• Manage initial customer communications as part of case evaluation.
• Work to identify and prioritize opportunities for pilot programs aimed at improving savings results; support case triage and review.
• Investigate, support and participate in the development of efficiency opportunities and risk reduction processes and policies.
• Continuously monitor and identify investigative trends through LEAF, Archer and Advanced Analytics; assess fraud prevention criteria semi-annually and make recommendations to improve results.
• Maintain close collaboration with Inforce Management, LTC Operations and the extended Fraud team for shared goals and outcomes.
• Effectively manage competing priorities and high‑risk work in a fast‑paced environment.
• Track and report success measures and key results.

Benefits

• health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans.
• various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources.
• up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year
• full range of statutory leaves of absence.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level