FWA Analyst

Continental General Insurance Company • Austin, TX

248d • $67,125 - $76,000

About The Position

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. Join our team to help make a difference in the lives of others! The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 100,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.

Requirements

• Bachelor's degree or equivalent experience.
• 1+ year experience with direct Anti-Fraud experience or 4+ years of experience in the insurance industry focused in Operations, Claims, or New Business units.
• Strong analytical abilities with a proven capacity to identify and systematically organize critical data.
• Strong verbal and written communication skills.
• Pass a pre-employment criminal background check and drug test.

Nice To Haves

• Experience in Long-Term Care (LTC) and/or Life insurance.
• Knowledge of HIPAA, data privacy, and data security practices.
• Certified Fraud Examiner (CFE), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), or similar.

Responsibilities

• Use company systems and tools to identify instances of fraud, waste, and abuse (FWA) through data analysis.
• Under the guidance of the SIU Manager(s), identify and conduct thorough reviews of known or suspected fraud, waste, and abuse (FWA).
• Maintain documentation to support findings, including formal reports, graphs, audit logs, and other relevant materials.
• Contribute to the creation and delivery of training programs related to FWA.
• Ensure compliance with all relevant laws, regulations, and company procedures.
• Perform other duties as assigned.

Benefits

• Competitive Salary & Target Bonus Program
• Retirement Savings - 401(k) with a company match
• Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term & long-term disability, and life insurance.
• Work-Life Balance - 20+ days of PTO, 10 paid holidays, and paid volunteer time off.
• Flexible Work Options & Perks - Hybrid and remote opportunities, wellness programs, and weekly paid lunch for onsite staff.
• Health Savings & Flexible Spending Accounts - Includes a company match for HSAs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree