Senior Data & Reporting Analyst, Claims Fraud & Recovery
Jobtailor
Responsibilities Responsible for global reporting, analysis, and data management for GI Claims Fraud and Recovery Deliver monthly and quarterly results at a Global/Regional/Product level, including Monthly Business Reviews, Quarterly Business Reviews, Deep Dive reporting, etc. Bring trend insights to F&R and Claims leadership and collaborate on the underlying story driving changes to metrics Perform analysis of fraud, recovery, and loss information and identify trends that will minimize business and operational risk as well as contextualize business changes Manage quality control process of data for Fraud and Recovery, i.e. gathering, cleansing, reconciling data and working with business managers to correct data Support data governance framework and processes within F&R and act as the point of contact with the AIG Data Governance team Develop, deploy, and manage production of visualization dashboards for internal and external stakeholders Build analytical capabilities leveraging in-house and vendor technologies Support digital and data projects and liaise with the AIG Data Office and third parties on data-related tasks, e.g. data mappings, data validation, user acceptance testing, etc. Work in close partnership with F&R Regional Performance team to support operational and strategic deliverables Support risk management efforts and manage analytical models Conduct industry research and incorporate data from external resources into current reporting workstreams Support strategic projects and initiatives Qualifications 6+ years in Business Analysis, Risk, Fraud (investigative services) and/or Claims Recovery Bachelor’s degree in computer science, business, finance or related field High proficiency in MS Office applications, including Excel, Powerpoint, Word, Access Experience with Power BI, Tableau, or other data visualization tools to transform data into meaningful dashboards Intermediate knowledge of SQL and/or Python Experience working with and interpreting large sets of data Excellent verbal, written, and presentation skills are necessary Analytical, critical-thinking and problem-solving abilities Ability to manage multiple deliverablesAbility to collaborate with cross-functional teams #J-18808-Ljbffr Jobtailor
- AIG is seeking an experienced Senior Data/Business Analyst to lead global reporting for GI Claims Fraud and Recovery. You will transform data into dashboards and insights for leadership, working across regions and products. The role requires 6+ years in analytics or risk...ClaimsFraud
$46.99k - $112.2k
...Summary We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations... ...payment of suspect or fraudulent claims submitted by insureds, providers,... ...required timeframes. Facilitate the recovery of company and customer money lost as...SeniorClaimsFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home$75k - $102.5k
Are you a seasoned claims professional ready to take your career to the next level? Join... ...based on claim developments. Litigation & Fraud Prevention - Collaborate with defense... ...attorneys for favorable outcomes. Subrogation & Recovery - Identify and pursue subrogation...SeniorClaimsFraud$146.4k - $241.6k
...Openings 1 What Is the Opportunity? The Senior Counsel role is responsible for providing... ...including employee dishonesty, computer fraud, and funds transfer fraud coverages. Experience... ...or legal support on management liability claims, including interpretation of insuring...SeniorClaimsFraudLocal area$96.11k - $143.75k
...Packaging Engineer position typically reports to a senior leader in the Packaging and Device Technology... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... ...application processing fee, even if claimed you will be reimbursed, this is not Otsuka...SeniorClaimsFraudTemporary workLocal areaFlexible hours- AI-driven claims processing (e.g., CCC Intelligent Solutions, Snapsheet... ...operations. We are seeking a Senior Property & Casualty Insurance... ...Solutions, Snapsheet) Fraud detection & predictive analytics... ...-suite executives, supporting data-driven decision-making Manage...SeniorClaimsFraudWork at officeRemote workFlexible hoursShift work
- CVS Health, Meritain Health’s SIU, seeks an Investigator to support the Network Cost Management team in pursuing fraud prevention and recovery across self-insured commercial plans. You will conduct investigations of known or suspected healthcare fraud and abuse, coordinate...SeniorFraud
$117k - $184.4k
...XL is an Equal Opportunity Employer. Our Claims team sets us apart. Our experienced Claims... ..., investigation, evaluation, reserving, recovery, and resolution. Providing oversight, guidance... ...of external counsel, as needed. You will report to the Claims Manager – TPA Liability....SeniorClaims$75k
...estimates for repair of 1st and 3rd party auto physical damage claims both in the field and at drive-in locations. Appraisal assignments... ...team on repair disputes, repair facility charges and potential fraud. Mentors new appraisers, provides on-site Branch Claim Office guidance...SeniorClaimsFraudHourly payWork experience placementWork at officeFlexible hours- Jobtailor in Connecticut is seeking an organized claims professional to investigate and manage short-term disability and absence claims... ...to determine benefits. You will guide customers through the recovery process with clear, empathetic communication. The role requires...ClaimsTemporary work
$46.99k - $122.4k
...and prosecution of healthcare fraud and abuse, to recover lost funds... ...prevent payment of fraudulent claims committed by insured's,... ...members, etc. Facilitates the recovery of company and customer money... ...skills. Previous experience as a senior investigator. Previous experience...ClaimsFraudHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours$101.7k - $155.9k
...delivering exceptional underwriting, claims, and risk management... ...and always one step ahead! The Senior Claims Specialist on the... ...external stakeholders, and pursue recoveries and risk transfer where... ...communication, presentations and reporting. Good analytical thinking, advocacy...SeniorClaimsTemporary work$105.3k - $184.4k
AXA XL is seeking a Senior Claims Specialist in Hartford, CT, to evaluate and manage complex insurance claims, specifically in the area of Lawyers Professional Liability. You will work closely with internal and external parties to ensure effective litigation strategies...SeniorClaims$43.89k - $102.08k
...at preventing payment of fraudulent claims by insured individuals, providers,... ...the required timeframe. Support the recovery of company funds lost due to fraud by providing insights and... ...and research skills using healthcare data. Proficient in researching information...ClaimsFraudHourly payFull timeTemporary workLocal areaFlexible hours- Travelers is hiring an EPL & D&O Liability Claim Counsel to join our Bond & Specialty Insurance claim team. You will investigate, analyze, and resolve complex claims and coordinate with outside counsel under moderate supervision. The ideal candidate holds a Juris Doctorate...SeniorClaims
- ...Und erwriting, and Claims —using domain depth, data driven process reinvention... ...orchestration, and recovery ) and Underwriting .... ...sized teams; coach analysts/consultants and... ...strategic direction set by senior management. Exercise... ...(e.g., automation, fraud detection, decision...ClaimsFraudLive inWork at officeLocal area
- PVH, a leading fashion company, seeks a Bond & Specialty Insurance (BSI) Claim Counsel in Hartford, CT. The role provides legal advice to underwriting and claim colleagues, participates in claim strategy, and supports risk management initiatives. The successful candidate...SeniorClaims
$23.16 - $35.88 per hour
A healthcare organization is seeking a Claims Analyst to review and process Stop Loss claims, managing client relationships and ensuring compliance with organizational standards. Candidates should have at least 5 years of relevant experience in health insurance claims,...SeniorClaimsHourly pay$145k - $170k
...employment practices, fiduciary, cyber, crime and miscellaneous professional liability. Company URL: Responsibilities The Senior Claims Consultant is responsible for managing a caseload of management liability and professional liability claims of moderate...SeniorClaimsFull timeFlexible hours- ...Investigate customer chargebacks and gather supporting evidence Review fraud indicators before high-risk orders are shipped Help confirm... ...or delayed Help document findings and next steps for disputes, claims, or internal review Assist with Google Review responses and...ClaimsFraud
- ...looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are...ClaimsFraudFlexible hours
- Jobtailor seeks an experienced attorney to lead recovery and subrogation efforts in Connecticut. You will analyze complex claims, coordinate with underwriting, and manage outside counsel to optimize outcomes and mitigate loss exposure. The role requires strong negotiation...Claims
- ...community The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst, also known as a Senior Business Systems Analysis Professional, is an integral... ...closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...SeniorClaims
- ...Data Analyst (Administrative Specialist) Data Analyst Key Responsibilities Establish/maintain... ...databases. Receive, suspense petitions, claims, and process requests. Reconcile inconsistencies... ...tracking systems. Conduct and reconcile reports. Receive and distribute various types of...ClaimsLocal area
$80k - $85k
A leading risk and claims administration firm is seeking a Litigation Consultant to handle high-end cases involving serious injuries and complex issues. The ideal candidate will possess a bachelor's degree and a JD, with at least ten years of litigation experience. Strong...SeniorClaimsRemote work$105.3k - $184.4k
Senior Claims Specialist - Commercial E&O AXA XL is an Equal Opportunity Employer. Locations: USA - Atlanta, GA; New York, NY; Stamford... ...discussion from management as appropriate. Producing internal reporting and ensuring that reserves are set according to best practice...SeniorClaims- ...North America entities to assist Senior Management in the achievement... ...primary and reinsurance) and claims, as well as those focused on... ...assigned audits from planning to reporting, including understanding... ...Demonstrates proficiency in data analysis concepts and practices...SeniorClaimsWork at office
- ...investigator to assess and enhance processes preventing fraudulent healthcare claims. The role involves case analysis, documentation, and collaboration with law enforcement to support prosecution of fraud and abuse, while presenting findings to stakeholders. The ideal...ClaimsFraud
$100k - $150k
Nelnet is seeking a Senior Product Manager for Payment Systems and Fraud Protection, tasked with driving strategy and execution for payment system modernization. The role involves close collaboration across engineering, design, security, and compliance to enhance fraud...SeniorFraudWork at office- AVP, Complex Claim Liability SpecialistSkip to main content#AVP, Complex... ...nurse consultants and fire or fraud investigators and other... ...expenses* Evaluate all claims for recovery potential; directly handle... ...interpret and convey complex data.* Create and manage positive working...ClaimsFraudLocal area
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