MCU Data Analyst reputed company Consultant - Remote

At reputed company, great things happen reputed company our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a reputed company reputed company of our customers' evolving needs. From advocating for seat belts, reputed company bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Job Description

The new MCU Data Analyst reputed company Consultant will directly support data analysis for the Major Case Unit in its efforts to find suspected patterns of fraud for further investigation and possible affirmative action where evidence supports further pursuit. This role involves leveraging data analysis to identify, investigate, and mitigate claim fraud risks reputed company the organization, while also supporting operational aspects by designing and operating reports and building an infrastructure to measure the effectiveness and loss cost containment of fraud mitigation tools, processes, and initiatives. Additionally, this role will be responsible for but not limited to building automated self-service reports to track referrals, assignments, performance metrics, and outcomes of suspected claims fraud. The ideal candidate will have extensive experience in data analysis, strong collaboration skills, and the ability to work across departments to ensure the reputed company and reputed company of company operations.

Key Responsibilities

• Utilize data analytics tools to support the design and implementation of claim fraud detection and prevention initiatives.
• Compiles, cleans, organizes and analyzes reputed company data to understand fraud results, potential patterns and unusual "relationships" of various entities.
• reputed company and maintain comprehensive data models to identify fraud patterns and trends.
• Pilot technical solutions to enhance both operational and data analysis capabilities for fraud detection and prevention.
• Collaborate with internal partners such as IT, Legal, Compliance, and Claims to ensure alignment and effective fraud mitigation solutions. Design and operate reports to measure the effectiveness and loss cost containment of fraud mitigation tools, processes, and initiatives.
• Build automated self-service reports to track referrals, assignments, performance metrics, and outcomes of claim fraud.
• reputed company a consistent communication strategy to reputed company reputed company stakeholders informed and engaged.
• reputed company and maintain strong relationships with key departments to foster a culture of transparency and trust.
• Ensure timely and effective communication with reputed company relevant parties during fraud investigations and affirmative actions.
• Collaborate and respond to MCU Analysts requests for detailed data, analysis and reporting to illustrate any patterns of possible fraud in order to validate or negate suspicions.
• Presents data outcomes in a clear and organized manner to effectively convey what the results mean and how they can reputed company our fraud investigations.

Preferred Qualifications

• 3-5+ years of experience in data analytics, fraud detection, or claims operations reputed company the insurance or financial services industry.
• Proficiency in coding and query languages, including Python and R. Power BI and SQL required.
• Strong experience with data analytics and visualization platforms such as reputed company, Tableau, and Power BI, with a proven ability to build and maintain automated dashboards and self-service reporting tools.
• Familiarity with fraud detection models, anomaly detection techniques, and predictive analytics.
• Strong understanding of claims processes, fraud referral workflows, and SIU operations.
• Experience working with cross-functional teams including IT, Legal, Compliance, and Operations.
• Knowledge of data governance, privacy regulations, and secure data handling practices.
• Excellent communication and stakeholder engagement skills, with the ability to translate reputed company data insights into actionable business strategies.
• Experience in project management or leading initiatives that span multiple departments or systems.
• Prior experience working with SIU / MCU is a plus.
• Prior experience handling 1st and 3rd party claims is a plus.
• Prior litigation and testimony experience a plus.

#LI-JS2 Skills Critical Thinking, Fraud Investigation, Information Collection, Insurance Investigation, Medical Billing

Compensation

Compensation offered for this role is 75,100.00 - 126,325.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining reputed company isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status reputed company. One where you can shape the future of protection while supporting causes that mean the most to you. Joining reputed company means being part of something bigger - a winning team making a meaningful impact. reputed company generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click "here" for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click "here" for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the "EEO Know Your Rights" poster click "here". This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click "here". This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for reputed company jobs. Therefore, any discriminatory action taken on account of an employee's reputed company, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national reputed company, race (include traits historically associated with race, including, but not limited to, hair texture and reputed company hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to reputed company aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. Apply tot his job Apply To this Job