Manager, Operational Fraud & Risk Analysis

Group 1001; Zionsville (IN); On-site; USD 78,000 - 113,000; Full time

Benefits offered by this job

Comprehensive health, dental, and vision insurance

401K plan with matching contributions

Employee Assistance Program

Wellness programs

Job summary

A leading insurance company seeks a Manager for Operational Fraud & Risk Analysis. The role involves detecting and preventing fraud through data analysis and project management while collaborating with cross-functional teams. Ideal candidates will have experience in fraud detection within the insurance industry and strong interpersonal skills.

Qualifications

• 3+ years of fraud detection, prevention and/or investigation experience.
• Experience managing complex projects with attention to detail.
• Industry-recognized certifications preferred (CFE, CIFI, etc.)

Responsibilities

• Complete data analysis to prevent fraud.
• Analyze data trends to identify risks.
• Manage fraud risk controls and improve processes.

Skills

Data analysis

Fraud detection

Risk management

Project management

Interpersonal skills

Education

Bachelor’s Degree preferred

Tools

Microsoft Office Suite

Accurint

GIACT

Pindrop

Job description

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Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001’s culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets – our employees.

Job Summary:

The Fraud Operations Center of Excellence (FOCE) for the Group 1001 Life & Annuity business unit operates under the direction of a senior member of the Next Generation Operations team. The Operational Fraud & Risk Analysis Manager will play a key role in helping prevent and detect suspicious activity that can lead to fraud against our customers and the company. In this role, the manager will help oversee the management of suspicious activity detection workflows, manage the progress of short-term and long-term projects, achieve high quality results from research to detect and prevent fraud, and have a mindset of constant innovation and refinement in an agile environment. This manager will help oversee the annual fraud risk assessment, anti-fraud training development, detection of fraud using technology and data analytics, and process analysis of key business processes from a fraud risk perspective. The ideal candidate for this position will have direct experience working in the fraud space in the insurance and financial services industry. The manager will interact within the FOCE team and work with a number of internal stakeholders in departments like the Special Investigations Unit, Compliance, Security, Risk Management and others.

This position will report to the Director, Operational Fraud & Risk Analysis.

Key Accountabilities:

• Ability to complete and provide oversight to complex to data analysis from multiple sources to detect and prevent fraud
• Analyze the data from cases completed by the SIU to identify trends, risks that need to be mitigated and control adjustments in the business unit
• Establish and maintain quality relationships with associates in teams throughout operations to help increase detection and prevention of suspicious activity and report it to the SIU for investigation
• Manage and maintain an inventory of fraud risk controls to determine their effectiveness and recommend adjustments or additional controls as needed
• Document processes in operations where fraud could occur and review them to identify potential risks for fraud to occur and work with the appropriate stakeholders to make improvements
• Work with stakeholders across the business unit to detect, prevent and mitigate potential fraud
• Manage short-term and long-term projects like the annual fraud risk assessment, onboarding and monitoring fraud detection technologies, and developing and providing anti-fraud training to associates in the Group 1001 L&A business units
• Assist with special projects as they arise
  
  

Qualifications:

• Bachelor’s Degree preferred and/or 3+ years of fraud detection, prevention and/or investigation experience
• Proficiency with the Microsoft Office suite of products (Word, Excel, PowerPoint) as well as investigative resources like Accurint, GIACT, Pindrop and others
• Experience managing complex projects or cases with attention to detail and completion in a timely manner
• Works independently and seeks to increase contributions to the team proactively
• Manage a constantly evolving set of data analytics, monitoring workflows and projects
• Exceptional interpersonal skills to build and maintain key relationships with internal and external stakeholders
• Industry recognized certifications preferred or the willingness to obtain them upon hire (CFE, CIFI, CFCI, ALMI, FLMI, etc)
  
  

Benefits Highlights:

Employees who meet benefit eligibility guidelines and work 30 hours or more weekly, have the ability to enroll in Group 1001’s benefits package. Employees (and their families) are eligible to participate in the Company’s comprehensive health, dental, and vision insurance plan options. Employees are also eligible for Basic and Supplemental Life Insurance, Short and Long-Term Disability. All employees (regardless of hours worked) have immediate access to the Company’s Employee Assistance Program and wellness programs—no enrollment is required. Employees may also participate in the Company’s 401K plan, with matching contributions by the Company.

Group 1001, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making Group 1001 a welcoming place to work and is fundamental in building a high-performance team. Diversity embodies all the differences that make us unique individuals. All employees share the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Insurance

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