Job Locations US-Remote | US-MA-Boston | US-NH-Portsmouth | US-TX-Plano

ID

2026-75211

Position Type

Full-Time

Job Grade

15

Department

0364-05189 CENTRAL FRAUD HUB

Market

US Retail Markets

Minimum Salary

USD $83,000.00/Yr.

Maximum Salary

USD $157,000.00/Yr.

Typical Starting Salary

$97,000-$125,000

Recruiter

Reagan Olson

Internal Application Deadline

04/15/2026

To learn more about this position please join the Central Fraud Hub Information session on Monday, April 13th. Details in the link below:

Central Fraud Hub - Information Session

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

Are you ready to take on a high-impact role where your work makes a real difference? As a Senior Compliance & Fraud Investigative Analyst, you’ll lead complex, confidential investigations into agent and agency misconduct, policy misrepresentations, employee fraud, financial irregularities, and other high-risk cases to support Integrity First.

This is your opportunity to combine investigative expertise with innovation, helping us stay ahead of emerging risks while ensuring compliance with the highest standards. If you’re passionate about solving complex problems, influencing strategy, and making a tangible impact, we’d love to have you on our team.

In this role, you’ll:

• Drive meaningful change by planning and executing both proactive and reactive investigations.
• Collaborate with cutting-edge teams, working closely with Data Analytics partners to design and refine detection strategies.
• Leverage advanced tools and technology, including AI/GPT (with governance and human oversight) to enhance efficiency and accuracy.
• Engage with stakeholders and regulators, preparing clear, fact-based reports and coordinating evidence for impactful outcomes.
• Shape the future of fraud prevention by delivering training, raising awareness, and driving continuous improvements across processes and tools.

Job Responsibilities

• Plan and execute complex investigations from intake through closure; open new investigations when risk indicators are identified and escalate as appropriate.
• Identify high risk areas and develop, schedule, and perform proactive fraud risk reviews to detect anomalies and potentially fraudulent activity.
• Work closely with Data Analytics to design review attributes, gather datasets, analyze results, and refine detection attributes to improve query/model accuracy and reduce false positives.
• Monitor proactive detection tools and follow all investigative leads produced by monitoring efforts.
• Leverage AI/GPT and other generative AI tools to enhance investigative efficiency (e.g., document summarization, data extraction, draft reporting, and pattern identification) while ensuring outputs are validated, free from bias, and compliant with privacy, security, and regulatory requirements; establish prompt-engineering best practices, governance, and human in the loop review processes to maintain accuracy and accountability.
• Prepare detailed, fact based, materially supported reports of findings and clearly communicate results to internal investigative partners.
• Notify management and compliance of identified control weaknesses and recommend practical mitigation strategies.
• Provide subject matter expertise on departmental investigative tools (e.g., data extraction and analysis software, open source investigative tools); propose and lead tool/process improvements.
• Coordinate data collection and evidence handling for internal management and law enforcement requests; provide testimony and evidence when cases proceed to prosecution or other formal action.
• Influence corrective actions related to policies (e.g., adjust rating factors, cancel risks) as investigation outcomes dictate.
• Conduct formal interviews of internal employees and other parties as required.
• Lead or assist on special requests from senior or executive management.
• Lead departmental huddles, contribute to onboarding of new investigative staff, and develop/deliver fraud awareness and prevention training across USRM.
• Drive continuous improvement of investigative processes and training programs.

Ideal Candidate Preferences

• Fluent spoken and written English and Spanish (preferred)
• Experience working with data extraction and analysis tools (e.g., Advanced Excel, SAS) and partnering with Data Analytics to design detection attributes

• Bachelor`s Degree in a Business or Criminal Justice field, or equivalent training
• Certified Fraud Examiner designation is preferred
• 5-7 years related work experience in an investigation capacity required
• Related experience in Distribution, Sales, Underwriting, Finance, Treasury or Claims experience is preferred
• Experience must be related to the focus of the posted role
• Displays strong research, problem solving, analytical, critical thinking, influencing, relationship management, and presentation skills
• Solid ability to support change and impart value within an organization
• Solid project management skills as part of implementing business process changes
• Strong negotiation and influencing skills
• Ability to perform in an automated audit environment
• Formal Interview skills required
• Some travel may be required with little or no notice

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