Workers' Compensation Fraud Analyst

Job Summary

A company is looking for a Fraud Analyst to support its Special Investigations program in workers' compensation insurance.

Key Responsibilities

• Provide administrative and operational support to the Special Investigations Unit (SIU) team
• Conduct data research and analysis to support active investigations and identify potential fraud red flags
• Prepare written summaries, data reports, and analytical findings for SIU investigators and management

Required Qualifications

• Associate's degree or equivalent combination of training/experience preferred
• Minimum of 1 year of experience in relevant fields such as workers' compensation insurance fraud investigations or law enforcement
• Knowledge of workers' compensation claims processes and regulations preferred
• Must be self-motivated with the ability to work independently and within a team environment
• Computer skills including MS Office and familiarity with industry databases