Sr. Analyst, Fraud & Investigations - Financial Services
About The Position
Are you passionate about protecting our customers and our company from fraud and its negative impacts? We are skilled investigators who use technology, data, and our investigative skills to identify fraud patterns and trends, proactively and reactively, and prevent wrongful, criminal actions aimed at Nationwide. If you are tenacious, naturally curious and adaptable to the constantly evolving investigative environment in which we work, we want to know more about you! As a Sr Analyst, you’ll be responsible for conducting low to moderately complex fraud investigations and providing fact-based analysis and educated recommendations to our business partners so they can mitigate any fraud risk or concern. Additionally, you’ll be responsible for partnering and consulting with business units and leaders to implement state of the art fraud detection and prevention capabilities to help protect members and the enterprise from fraudulent activity. Finally, you’ll be responsible for monitoring tools and reports designed to proactively detect suspicious activity and fraud techniques.
Requirements
- Bachelor’s degree in criminal justice, business administration, or similar field preferred
- Two to three years’ experience in applicable Nationwide Financial Solutions center and/or insurance operations.
- Insurance investigation experience or professional investigation experienced preferred.
- Demonstrated knowledge of current trends in fraudulent claims; specific “red flags,” “red flag events” and other criteria that indicate possible fraud; effective and appropriate methods for suspected fraudulent insurance acts investigation.
- Maintains current understanding of insurance and financial services industry, focusing on the Nationwide enterprise.
- Knowledge of industry-leading fraud detection and prevention tools.
Nice To Haves
- Technical skills desired (Power BI, coding, automation)
- Strong financial knowledge (annuities, retirement planning) preferred.
Responsibilities
- Investigates low to moderately complex cases suspected of insurance fraud and other irregularities primarily involving Retirement Plans, Life Insurance, Annuities, and Nationwide Business Solutions Group (NBSG). Conducts complex investigations with minimal direction. May involve another level of expertise (e.g. Legal, Management, Cyber Security, etc). Ensures that assigned cases are investigated and reported back to the requesting party in a timely manner.
- Maintains assigned claims and referral files in a confidential manner; documents all relevant facts about files in the appropriate electronic handling system(s).
- Keeps management advised of developments that impact fraud case results for assigned investigations.
- Proactively provides support to business partners which may include analyzing and trending information, consultation/training, and investigative changes/impacts leading to increased awareness.
- Responsible for monitoring and maintaining various tools, systems, and processes designed to proactively identify suspicious activity.
- Monitors communications and responds to general inquiries related to fraud and investigations. Delivers clear, concise, and complete case resolution responses that include investigative details and recommendations.
- Monitors Anti Money Laundering (AML) and Fraud reports on a regular cadence to identify fraudulent “red flags” and AML activity.
- Maintains and pursues technical proficiency, including participating in continuing fraud education through fraud seminars and other company-sponsored courses.
- Delivers an outstanding customer service experience to all internal, external, current, and prospective customers.
- May perform other responsibilities as assigned.
Benefits
- medical/dental/vision
- life insurance
- short and long term disability coverage
- paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date
- nine paid holidays
- 8 hours of Lifetime paid time off
- 8 hours of Unity Day paid time off
- 401(k) with company match
- company-paid pension plan
- business casual attire
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What This Job Offers
Job Type
Full-time
Career Level
Senior
