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Fraud Analytics Claims Specialist

2 months ago

Dallas, Texas, United States AmTrust Financial Full time
Fraud Analytics Claims Specialist

The **Fraud Analytics Claims Specialist** is responsible for examining claims data to uncover possible fraudulent behavior. This role involves conducting thorough research utilizing both internal and external data sources, identifying significant patterns, trends, and irregularities, and formulating investigations based on these insights. The specialist will meticulously document all pertinent information within a case management system and generate comprehensive reports for both management and law enforcement agencies. Furthermore, they will provide strategic recommendations aimed at enhancing future fraud prevention initiatives. The ideal candidate should possess a solid background in insurance claims and have experience with predictive modeling techniques.

Key Responsibilities
  • Examine claims data to identify potential fraud patterns
  • Employ analytical tools to support investigations
  • Create detailed reports and link analysis diagrams
  • Engage with law enforcement and state fraud bureaus
  • Work collaboratively with management to refine fraud prevention strategies
Required Qualifications
  • Associate or bachelor’s degree OR a minimum of five years of experience in insurance claims
  • Proven ability to analyze extensive data sets
  • Strong problem-solving and communication abilities

**AmTrust Financial Services** offers a competitive salary and comprehensive benefits package, including health insurance, life insurance, and a 401k retirement plan. The company is dedicated to fostering diversity and aims to cultivate an inclusive environment where every employee's ideas and perspectives are valued.

Company Overview

**AmTrust Financial Services** is dedicated to delivering exceptional insurance solutions and opportunities for career growth. With a commitment to diversity and excellence, AmTrust appreciates the unique skills and viewpoints of its workforce.