Sr. Analyst, Fraud & Investigations - Financial Services

Nationwide; Columbus (OH); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Nationwide is seeking a Fraud Investigator in Columbus, Ohio. This hybrid role requires on-site presence at least two days per week and focuses on identifying and preventing insurance fraud within Retirement Plans, Life Insurance, and Annuities segments. Strong financial knowledge and tech skills are valued.

You will work with the Fraud & Investigations team, providing suspect activity analysis and clear case resolutions while partnering with internal business units to mitigate risks.

Qualifications

• Bachelor's degree in criminal justice or business administration preferred.
• Two to three years' experience in Nationwide Financial Solutions center or insurance operations.
• Knowledge of fraud trends, red flags, and investigation methods.

Responsibilities

• Investigates low to moderately complex cases suspected of insurance fraud and irregularities.
• Maintains confidential files and documents case facts in electronic systems.
• Keeps management informed of developments affecting fraud case results.
• Analyzes information for trends and provides investigation-related guidance to partners.
• Monitors AML and fraud reports to identify red flags and suspicious activity.

Skills

Fraud investigation

AML monitoring

Investigation tools

Financial services knowledge

Education

Bachelor's degree in criminal justice or business administration

Job description

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial could be the place for you! At Nationwide®, "on your side" goes beyond just words. Our customers and partners are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care.

This is a hybrid role based in Columbus, Ohio, requiring on‑site presence at least two days per week.

It is our intention to fill this role in Columbus, Ohio. However, on occasion, applications from internal candidates working remotely who bring critical industry skills and relevant experience may be considered.

Technical skills desired (Power BI, coding, automation) and strong financial knowledge (annuities, retirement planning) preferred.

Job Description Summary

Are you passionate about protecting our customers and our company from fraud and its negative impacts? We are skilled investigators who use technology, data, and our investigative skills to identify fraud patterns and trends, proactively and reactively, and prevent wrongful, criminal actions aimed at Nationwide. If you are tenacious, naturally curious and adaptable to the constantly evolving investigative environment in which we work, we want to know more about you!

Job Description

Key Responsibilities:

• Investigates low to moderately complex cases suspected of insurance fraud and other irregularities primarily involving Retirement Plans, Life Insurance, Annuities, and Nationwide Business Solutions Group (NBSG). Conducts complex investigations with minimal direction. May involve another level of expertise (e.g. Legal, Management, Cyber Security, etc). Ensures that assigned cases are investigated and reported back to the requesting party in a timely manner.
• Maintains assigned claims and referral files in a confidential manner; documents all relevant facts about files in the appropriate electronic handling system(s).
• Keeps management advised of developments that impact fraud case results for assigned investigations.
• Proactively provides support to business partners which may include analyzing and trending information, consultation/training, and investigative changes/impacts leading to increased awareness.
• Responsible for monitoring and maintaining various tools, systems, and processes designed to proactively identify suspicious activity.
• Monitors communications and responds to general inquiries related to fraud and investigations. Delivers clear, concise, and complete case resolution responses that include investigative details and recommendations.
• Monitors Anti Money Laundering (AML) and Fraud reports on a regular cadence to identify fraudulent "red flags" and AML activity.
• Maintains and pursues technical proficiency, including participating in continuing fraud education through fraud seminars and other company-sponsored courses.
• Delivers an outstanding customer service experience to all internal, external, current, and prospective customers.
• May perform other responsibilities as assigned.

Reporting Relationships: Reports to Manager, Fraud & Investigations

Typical Skills and Experiences:

• Education: Bachelor's degree in criminal justice, business administration, or similar field preferred
• Experience: Two to three years' experience in applicable Nationwide Financial Solutions center and/or insurance operations. Insurance investigation experience or professional investigation experienced preferred.
• Knowledge, Abilities and Skills: Demonstrated knowledge of current trends in fraudulent claims; specific "red flags," "red flag events" and other criteria that indicate possible fraud; effective and appropriate methods for suspected fraudulent insurance acts investigation. Maintains current understanding of insurance and financial services industry, focusing on the Nationwide enterprise. Knowledge of industry-leading fraud detection and prevention tools.
• Other criteria, including leadership skills, competencies and experiences may take precedence.

Staffing exceptions to the above must be approved by the hiring manager's leader and HR Business Partner.

Values:

Regularly and consistently demonstrates Nationwide Values.

Job Conditions:

Overtime Eligibility