Fraud Analyst

Navia Benefit Solutions•Moraine, OH

1d•$45,000 - $50,000•Hybrid

About The Position

Navia is seeking a detail-oriented and highly analytical Fraud Analyst to join their team. This role is responsible for identifying, investigating, and mitigating potential fraudulent activity across participant accounts. The ideal candidate will have a keen eye for identifying anomalies, maintain strict confidentiality, and thrive in a structured, deadline-driven environment that involves repetitive and high-volume analysis.

Requirements

2+ years of experience within Navia’s Service Operations or fraud analysis experience, risk management, compliance, or a related field
Experience working with large datasets and spreadsheets
Familiarity with fraud detection methods and investigative techniques
Exceptional attention to detail with the ability to detect subtle inconsistencies
Analytical mindset with strong pattern recognition skills
Ability to work through repetitive, process-driven tasks with consistency and accuracy
Strong time management skills and ability to meet deadlines
Excellent written communication skills
High level of integrity and professionalism when handling sensitive information
Ability to work independently while managing a high volume of cases

Nice To Haves

Experience in healthcare benefits, financial services, or fraud prevention environments
Knowledge of regulatory frameworks such as HIPAA, AML, or related compliance standards

Responsibilities

Conduct thorough research and investigation of participant accounts to identify potential fraud or suspicious activity
Analyze large datasets and spreadsheets, including reviewing IP addresses, transaction histories, and account behaviors, to detect patterns or irregularities
Identify and escalate findings where information appears inconsistent, out of place, or indicative of fraudulent behavior
Prepare and issue legal notices and correspondence to clients and participants related to fraud investigations
Maintain strict confidentiality when handling sensitive personal and financial information
Perform daily report reviews to monitor system-generated alerts, flagged accounts and ongoing account activity
Ensure all investigations and documentation are completed accurately and in compliance with internal policies and regulations
Meet strict deadlines for case resolution, reporting, and compliance requirements
Maintain detailed, organized documentation of case findings and actions taken
Collaborate cross-functionally with compliance, legal, service, and operations, and executive leaders as needed
Continuously monitor trends and patterns to proactively identify emerging fraud risks
Assist teammates with escalations, appeals, Salesforce cases and tasks as needed
Other duties as assigned