Claims Data Analyst
2 weeks ago
Responsibilities:
* Analyze claim data and leverage analytical software to detect patterns of potential fraud.
* Collect data from open source, law enforcement, and third-party sources to support lead generation and case building.
* Complete database searches and queries to support project requirements.
* Utilize analytical software to review data and support investigation.
* Analyze information gathered by investigation and develop inferences from the data collected.
* Interview providers, claimants, witnesses, or other individuals as necessary to complete a case review or project.
* Develop detailed reports and link analysis charts to clearly define the data collected, investigation conducted, and conclusions identified.
* Prepare evidence packages for referral to state insurance fraud bureaus and law enforcement agencies.
* Communicate with state insurance fraud bureaus and law enforcement and respond to subpoenas and/or requests related to prosecution.
* Work with management to develop and implement policies and procedures to prevent future fraud.
Qualifications:
* An associate or bachelor's degree OR five years of insurance claims experience.
* Experience with claims predictive models and ability to identify areas of improvement.
* Demonstrated ability to research, interpret, and analyze large amounts of data and make informed, calculated decisions.
* Heightened understanding of the need to respect and protect confidential information.
* Perform other functionally related duties as assigned.
* Excellent problem-solving, organizational, communication, and time management skills.
What We Offer:
* AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities.
* Our benefits include medical and dental plans, life insurance, health care flexible spending, dependent care, 401k savings plans, and paid time off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain, and develop the best talent available.
Connect With Us:
Not ready to apply? Connect with us for general consideration."
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