Senior Compliance & Fraud Investigative Analyst

Join Us in the Central Fraud Hub as a Senior Compliance & Fraud Investigative Analyst!

Are you ready to make a genuine impact, safeguarding our organization from fraud and misconduct? Step into a role where your expertise will drive real change and where your commitment to integrity is celebrated. We are searching for a dynamic Senior Compliance & Fraud Investigative Analyst to join our team — a dedicated professional who thrives in challenging environments and is passionate about upholding the highest ethical standards.

Role Expectations and Impact

Excellence in Investigation: You will independently conduct comprehensive and confidential investigations into highly complex allegations, including employee misconduct, fraud, vendor billing and conduct, and other complex cases.

Proactive Risk Assessment: You will plan, execute, and monitor proactive fraud risk reviews using advanced detection tools and data analysis, searching for anomalies and potentially fraudulent activity, and ensure a consistent cadence of reviews.

Leadership and Collaboration: As a Senior Investigator, you lead by example, modeling Integrity First. You will collaborate with investigative partners (Talent, Employee Relations, Global Compliance & Ethics, Global Internal Audit, Employment Legal Group, Finance/Treasury, Vendor Controls & Invoicing) and law enforcement when necessary. You will partner with Data Analytics to design and refine cutting-edge detection strategies.

Communication and Reporting: Prepare detailed, fact-based reports, clearly communicating findings and recommendations to management and compliance, including solutions to mitigate risk.

Continuous Improvement: Lead ongoing enhancements to investigative processes and tools, driving better outcomes and stronger fraud prevention.

Leverage advanced tools and technology including AI/GPT (with governance and human oversight) to enhance efficiency and accuracy.

Key Responsibilities

• Conduct high-level investigations into complex and confidential cases involving fraud, misconduct, and impropriety.
• Identify and monitor high-risk areas; open new investigations as risk is detected.
• Partner with Data Analytics to design review attributes, extract and analyze data, and continuously improve reporting accuracy.
• Notify management and compliance of process gaps and control weaknesses, offering actionable risk-mitigation solutions.
• Provide subject-matter expertise in the use of investigative tools, including data extraction/analysis software and employee monitoring systems.
• Develop and maintain fraud prevention procedures and data accuracy programs across Distribution, Internal Agency, Underwriting, Finance, and Claims.
• Support, train, and mentor junior Compliance Analysts, fostering skill development and leadership.
• Coordinate evidence collection and provide court testimony when necessary.
• Conduct formal interviews with subjects while ensuring legal and company procedures are strictly followed.
• Lead or support departmental meetings, onboarding, and special management requests.
• Deliver fraud awareness and training initiatives across the organization, creating awareness and promoting prevention, controls, and detection.

Requirements

• Claims fraud investigation experience required; internal investigation experience preferred.
• Claims handling experience and proven Property technical expertise is essential.
• Detail-oriented, flexible, collaborates effectively with others, and self-motivated with unwavering integrity.
• Remote position; candidates within 50 miles of hub locations (Boston, Plano, Portsmouth) must report to the office twice per week.