Senior Compliance Analyst - Life & Health Insurance Fraud Investigations - Hybrid

Transamerica•Cedar Rapids, IA

7d•$75,000 - $85,000•Hybrid

About The Position

Helps to mitigate legal exposure, insurance and claims fraud risks to the organization by enforcing company policies, procedures and regulatory requirements. Possesses and applies broad knowledge of concepts and principles; performs multiple moderate to complex suspicious claims investigations to determine if fraud can be substantiated and claim payments should be paid or denied.

Requirements

Bachelor’s degree in business, marketing, pre-law or other relevant field, or equivalent education and experience.
Four years of regulatory, securities, or advertising compliance experience.
Areas of experience desired may vary based upon assigned compliance functions and may include contract development, claims, underwriting, legal research, fraud or anti-money laundering investigations and/or communications.
Securities and some advertising industry positions require comprehensive knowledge of the securities laws, regulations, rules, and applicable FINRA licensing (Series 7 & 24 or Series 6 & 26, as applicable).
Written and verbal communication skills.
Analytical and research skills.
Proficiency using MS Office tools.

Nice To Haves

Experience independently conducting complex investigations, reviews, monitoring, risk assessments, and regulatory support.
Ability to analyze complex information, identify patterns and anomalies, draw supported conclusions, and make sound risk-based recommendations.
Demonstrated ability to identify trends, root causes, control gaps, and improvement opportunities.
Strong analytical, investigative, critical thinking, communication, prioritization, and independent judgment skills.
Knowledge of applicable laws, regulations, policies, procedures, industry guidance.
Experience supporting AML, Fraud/SIU, sanctions, customer due diligence, transaction monitoring, suspicious activity monitoring, or financial crimes programs.
Experience supporting audits, examinations, regulatory inquiries, reporting obligations, testing, control enhancements, or process improvements.
Experience using case management systems, databases, reporting tools, or risk identification systems.
Insurance, securities, banking, or financial services experience; professional certification such as CAMS, CFE, CFCS, ACSS, or similar designation.

Responsibilities

Independently evaluate complex fraud, misconduct, misrepresentation, unauthorized activity, claims fraud, application fraud, agent misconduct, or other SIU matters.
Prepare referrals and supporting documentation for law enforcement, fraud bureaus, Departments of Insurance, or other external parties.
Support SIU regulatory obligations, reporting, regulatory inquiries, fraud referral tracking, and state insurance fraud requirements.
Independently conduct complex investigations, monitoring, reviews, and analysis involving potential financial crimes, policy violations, or regulatory requirements.
Analyze complex information and data to identify risks, patterns, anomalies, root causes, trends, and emerging typologies.
Prepare comprehensive investigative files, conclusions, recommendations, and documentation supporting risk-based decisions and regulatory obligations.
Recommend improvements to investigative methods, monitoring, controls, workflows, reporting, dashboards, metrics, and overall program effectiveness.
Support audits, examinations, reporting obligations, management reporting, dashboards, testing, projects, and implementation of new capabilities.
Collaborate with internal partners to resolve complex matters, communicate findings, and support risk mitigation.
Guide less experienced analysts on case handling, documentation, investigative approach, quality expectations, and escalation.
Independently manage workload, meet performance expectations, and proactively support additional team priorities when capacity allows.

Benefits

Competitive Pay
Bonus for Eligible Employees
Pension Plan
401k Match
Employee Stock Purchase Plan
Tuition Reimbursement
Disability Insurance
Medical Insurance
Dental Insurance
Vision Insurance
Employee Discounts
Career Training & Development Opportunities
Paid Time Off starting at 160 hours annually for employees in their first year of service.
Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
Parental Leave – fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
Adoption Assistance
Employee Assistance Program
Back-Up Care Program
PTO for Volunteer Hours
Employee Matching Gifts Program
Employee Resource Groups
Inclusion and Diversity Programs
Employee Recognition Program
Referral Bonus Programs