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Auto Insurance Fraud Intelligence Analyst

Threat Intelligence SpecialistSecurity AnalystFull TimeRemoteSeniorTeam 5,001-10,000Since 1992Company SiteLinkedIn

Location

California

Posted

35 days ago

Salary

$61K - $116K / year

Seniority

Senior

High School5 yrs expEnglish

Job Description

• Serves as subject matter resource regarding fraud investigations • Assist and consult on claims with red flags, providing desktop investigative assistance • Drive innovation by integrating advanced AI tools and techniques as well as common vendor tools into claims processes to enhance and advance fraud fighting efforts • Consistently and proactively identify gaps in fraud detection systems and recommend solutions to increase efficiency and effectiveness • Continuously monitor the performance of fraud analytic models (both GMIC-designed and vendor models) to ensure effectiveness as fraud schemes shift and evolve, modifying models to ensure peak performance and limit false positives • Serve as subject matter resource regarding auto insurance fraud intelligence and analytics • Analyze intelligence from large datasets to uncover patterns, anomalies, and red flags indicative of fraud • Utilize predictive modeling tools to analyze fraud trends and provide insights regarding possible mitigation strategies • Collaborate with policy analysts, claims adjusters, legal team, and leadership to develop and refine fraud detection decision frameworks with effective alert systems

Job Requirements

  • High School Diploma or equivalent required; Bachelor’s Degree preferred
  • 3+ years of Special Investigation Unit (SIU) and/or Major Case investigation experience in auto insurance required
  • 2+ years of professional business analytics experience required
  • 3+ years of medical fraud investigation experience strongly preferred
  • 2+ years of experience investigating fraud on California auto insurance claims strongly preferred
  • Must be able to obtain Property and Casualty (P&C) or Personal Lines License in at least (1) U.S. State within 30 days of start date

Benefits

  • Generous benefits package available on day one to include: 401K matching
  • bonding leave for new parents (12 weeks, 100% paid)
  • tuition assistance
  • training
  • GM employee auto discount
  • community service pay
  • nine company holidays

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