Senior Fraud Analyst

This is a fully remote position, open to applicants in Michigan.

📋 Description

• In alignment with the organization's core values and operational principles, the Senior Fraud Analyst takes the lead in advanced fraud analytics and plays a key role in the ongoing enhancement of the organization’s capabilities in fraud detection, prevention, and investigation.

• This position operates with significant independence and discretion, concentrating on identifying intricate fraud patterns, reinforcing enterprise controls, and aiding cross-departmental fraud risk management initiatives.

• The individual in this role will collaborate across all departments to address fraudulent activities and foster an exemplary fraud prevention and reporting program.

• This person will spearhead AAA Life’s fraud monitoring and detection initiatives, serving as the principal contact for fraud investigations and reporting.

• Conduct advanced reviews and trend analysis of complex fraud patterns across various lines of business—including life insurance, annuities, and accident & health products—to pinpoint and manage potential suspicious activities.

• Analyze extensive data sets to reveal emerging fraud typologies and execute root cause analyses to identify systemic vulnerabilities.

• Assist in fraud investigations by developing detailed cases, performing analytical reviews of suspected fraud, and assessing referrals.

• Review claims, transactions, applications, and account activities to detect fraud indicators and guide escalation decisions.

• Oversee fraud monitoring across the network, act as a primary contact for investigations, and partner with internal teams to implement fraud policies and devise proactive prevention strategies.

• Establish and improve fraud risk metric monitoring through research, resolution of risk events, and creation of mitigation strategies.

• Carefully document all investigative procedures and findings, engage with business units and external agencies, and take necessary actions to safeguard company assets and ensure adherence to regulatory standards.

⛳️ Requirements

• A Bachelor's Degree is preferred; a degree in a relevant field, such as criminal justice, risk management, business, or law is advantageous.

• A combination of education and pertinent work experience may be considered in lieu of a degree.

• At least three years of relevant experience in life insurance, financial services, or a related sector.

• Familiarity or training in interviewing techniques, providing testimony in tribunals, and writing reports.

• Experience utilizing data analytics tools, reporting platforms, or business intelligence solutions to detect fraud trends, evaluate risk, and support process or control improvements.

• Strong proficiency with Windows-based applications (e.g., Excel, reporting systems, case management platforms), along with the ability to quickly learn and adapt to new systems and technologies.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible work hours

• Paid time off