Liberty Mutual Insurance ยท 3 days ago
Compliance & Fraud Investigative Analyst II
Portsmouth, NH
Full-time
Remote
Mid Level
3+ years exp
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Responsibilities
Conducts investigations of alleged improprieties and potential insurance fraud or misrepresentation involving new business sales, insurance policies, identity theft, service vendors, billing and payment fraud, corporate sabotage, theft of corporate resources, inappropriate use of company resources, business record alteration, and others.
May investigate highly confidential matters involving employee misconduct, including improper system access, alteration of business records, theft, collusion, kickbacks, conflicts of interest, embezzlement, sales and financial improprieties, violations of the Code of Business Conduct and Ethics and others.
Uses and develops subject matter expertise related to data tools used within the department to identify and investigate anomalies and potential fraud.
Tools may include software retrieval packages, electronic databases, search engines, open source data, and data manipulation software.
Assists in triaging investigative requests.
Uses all available sources to determine the validity of any allegations received.
Directs and monitors progress on assigned multiple concurrent investigations.
Ensures all investigative work, which may include work completed by others, is complete, accurate, professional, legally supported, and fully documented.
Prepares detailed reports for presentation to company management, investigative partners and to law enforcement entities when fraudulent activity is identified.
May take corrective action against a policy to adjust rating factors or cancel the risk.
Participates in and may take a lead role monitoring the proactive detection tools.
Identifies high risk areas to be monitored.
Meets planned cadence of data reviews addressing fraud risk areas.
Evaluates results and prepares summary reports for LMI Management.
Notifies management and compliance of any control weaknesses identified and offers solutions to mitigate risks.
Ensures compliance to standards and regulations.
May conduct or assist Talent or GC&E with formal interviews of subjects.
Ensures all company and legal procedures are followed during the interview process.
May develop and deliver coaching and disciplinary documents to internal employees and/or outside agents.
Assists with special requests received by senior or executive management.
Coordinates the collection of data for law enforcement and internal management requests.
Leads complex continuous improvement efforts by providing feedback and recommendations on investigative process and tool changes that will result in a better product being delivered.
Participates in developing, enhancing, and delivering fraud awareness and training programs.
Qualification
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Required
Bachelor`s Degree in a Business or Criminal Justice field, or equivalent training
3 to 5 years related work experience in an investigation capacity required
Displays effective research, problem solving, analytical, critical thinking, influencing, relationship management, and presentation skills
Ability to support change and impart value within an organization
Ability to perform in an automated audit environment
Formal interview skills
Some travel may be required with little or no notice
Preferred
Certified Fraud Examiner designation is preferred
Related experience in Distribution, Underwriting, Sales, Treasury, Finance or Claims handling experience is preferred
Experience must be related to the focus of the role posted
Company
Liberty Mutual Insurance
Liberty Mutual Insurance provides a broad range of insurance products and services.
10,001+ employees
H1B Sponsorship
Liberty Mutual Insurance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (88)
2022 (141)
2021 (113)
2020 (88)
Funding
Current Stage
Late StageLeadership Team
David Long
CEO
Julie Haase
Executive Vice President and Chief Financial Officer
Recent News
2024-11-07
Coverager - Insurance news and insights
2024-03-13
Business Insider
2023-04-04
Company data provided by crunchbase
