Special Investigation Unit Analyst (Hybrid)
Special Investigation Unit Analyst (Hybrid)
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$ 65000 - 82000
1 Vacancy
Job Description
The Company
At Utica National Insurance Group 1400 employees countrywide take our corporate promise to heart every day: To make people feel secure appreciated and respected.
Utica National Insurance Group is an A rated $1.7B award-winning nationally recognized property & casualty insurance carrier.
Operating along the Eastern half of the United States our Home Office is based in Central New York with Regional Office locations including Buffalo Boston Charlotte NYC Atlanta Dallas Columbus Richmond and Chicago.
What you will do
With skills in investigation data collection and analysis and documentation the SIU Analyst impacts cases identified for potential fraud or abuse.
Key responsibilities
- Conduct comprehensive online research including Internet social media public records and government database searches for potential fraudulent or suspicious claims or policies.
- Collect document report and provide recommendations on evidence in support of the overall investigation.
- In partnership with the SIU team conduct fraud identification and awareness training.
- Work with fraud analytics tools as it relates to fraud waste and abuse including but not limited to: Verisk ISO Claims Director Decision Net and Accurint for Insurance Lexis Nexis Genex medical billing system and NICB - National Insurance Crime Bureau.
- Ensure all fraud referrals are properly recorded and documented within the SIUs system.
- Route referrals to appropriate investigators within the SIU for further analysis and investigation.
- Prepare and submit reports to state and federal regulators on a monthly quarterly and annual basis as required by regulatory bodies.
- Create reports that provide a summary of the status and activity of ongoing investigations and to support regulatory requirements.
- Providing oversight and ensuring the proper functioning of SIU tracking systems and databases.
- Collaborate with other departments to address and remedy instances of fraud and financial waste.
- Ensure compliance with U.S. economic and trade sanctions programs; screen customers and transactions against Office of Foreign Assets Control lists reporting suspicious activity and assisting with regulatory inquiries.
- Attend industry meetings for identifying industry trends. Attends and participates in team meetings and roundtables Participates and maintains network of SIU claims law enforcement attorney and related contacts to ensure investigation methods are current and proper operating
- Perform other duties as assigned.
- Conform with all corporate policies and procedures
What you need
- Bachelors Degree preferred.
- 2-4 years of SIU Analytics or Insurance related experience preferred.
- 2-4 years of claims and policy coverages across multiple lines of business preferred
- 2-4 years of experience in identifying red flags and indicators of fraud within a claim/policy preferred.
- Proficiency with Microsoft Excel PowerPoint and Power BI reporting systems.
Salary range: $65000 - $82000
The final salary to be paid and position within the internal salary range is reflective of the employees work experience their geographic location education certification(s) scope and responsibilities in the role and additional qualifications.
Benefits
We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay comprehensive benefits packages career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:
- Medical and Prescription Drug Benefit
- Dental Benefit
- Vision Benefit
- Life Insurance and Disability Benefits
- 401(k) Profit Sharing and Investment Plan(Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
- Health Savings Account (HSA)
- Flexible Spending Accounts
- Tuition Assistance Training and Professional Designations
- Company-Paid Family Leave
- Adoption/Surrogacy Assistance Benefit
- Voluntary Benefits - Group Accident Insurance Hospital Indemnity Critical Illness Legal ID Theft Protection Pet Insurance
- Student Loan Refinancing Services
- Membership with Back-up Care Senior Solutions
- Business Travel Accident Insurance
- Matching Gifts program
- PaidVolunteer Day
- Employee Referral Award Program
- Wellness programs
Additional information
This position is a full time salaried exempt (non overtime eligible) position.
Utica National is an Equal Opportunity Employer.
Apply now and find out what its like to be a part of an amazing team thrive in an exciting environment and work for a company you can be proud of. Once you complete your application you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy.
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Required Experience:
IC
Employment Type
Full-Time
