Workers' Compensation Fraud Analyst
Occupations:
Fraud Examiners, Investigators and AnalystsClaims Adjusters, Examiners, and InvestigatorsCompensation, Benefits, and Job Analysis SpecialistsOccupational Health and Safety SpecialistsDetectives and Criminal InvestigatorsIndustries:
Administration of Human Resource ProgramsRooming and Boarding Houses, Dormitories, and Workers' CampsPromoters of Performing Arts, Sports, and Similar EventsVocational Rehabilitation ServicesBusiness Schools and Computer and Management TrainingA company is looking for a Fraud Analyst to support its Special Investigations program in workers' compensation insurance.
Key ResponsibilitiesProvide administrative and operational support to the Special Investigations Unit (SIU) team
Conduct data research and analysis to support active investigations and identify potential fraud red flags
Prepare written summaries, data reports, and analytical findings for SIU investigators and managementRequired QualificationsAssociate's degree or equivalent combination of training/experience preferred
Minimum of 1 year of experience in relevant fields such as workers' compensation insurance fraud investigations or law enforcement
Knowledge of workers' compensation claims processes and regulations preferred
Must be self-motivated with the ability to work independently and within a team environment
Computer skills including MS Office and familiarity with industry databases