Fraud Improvement Analyst
6 days ago
Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values - Care, Commitment, Community, and Confidence.
The position requires an innovative approach to challenge status quo to improve fraud detection results and the ability to influence change, with a primary focus on client needs. The role is central to the delivery of fraud-related initiatives and to identify patterns and trends, support high quality intelligence-based investigations and projects, determine the organization’s risk and exposure, perform continuous market scans to ensure our organization remains competitive and disseminate information and actions to key partners.
If you pay close attention to detail, possess strong analytical skills, and have a passion for combating fraud, we would love to hear from you.
What you'll do:
- Work with the PI leadership team and other members of the anti-fraud team to deliver on the national anti-Fraud strategic agenda.- Oversee underwriting reviews and ensure they are conducted in a timely and effective manner and meets agreed objectives.- Monitor and analyze data to pro-actively detect new or emerging trends for Aviva Canada, contribute to the development and implementation of fraud prevention strategies through implementation of fraud tools.- Evaluate performance whilst providing technical and professional guidance, feedback, and support to optimize results.- Stay up to date with industry developments, changes in regulations and standards related to fraud and investigations activities, coordinate and contribute to various projects and initiatives as required.- Perform regular market scans for new sources of data, investigative techniques, and trends to help minimize losses, reduce exposure, and improve the effectiveness of fraud detection initiatives.- Oversee the anti-fraud team's activities and ensure that reviews are conducted in compliance with internal policies, regulatory requirements, industry standard processes and organization's overall objectives.- Handle incoming intelligence from internal and external sources; assess Aviva’s exposure, ascertain risk, and disseminate to key partners.- Proactively identify key perpetrators and organized crime groups targeting the business via available systems, tools, open-source, and social media sites.- Engage with appropriate partners when new trends, risks and exposures are identified.- Support reporting on policy fraud performance to the line of business; Performance Management Meetings (PMM), ACAN Exec, Personal Insurance Committee, Financial Crime and Enterprise-Fraud Steering Committees.- Assess the adequacy of fraud solutions, identify gaps, and recommend strategies to the business to mitigate exposures.- Ensure escalation of high-risk cases to key stakeholders, including 2LOD, in a timely manner.- Support and collaborate with leaders to develop effective training and coaching programs.- Liaise with other investigative teams, colleagues, and the Claim, Underwriting, Risk and Legal operations.
What you'll bring:
- Minimum 5 years of experience in insurance fraud, analytics, or a related field with direct exposure to claims and/or underwriting.- Post-secondary education - insurance/investigation/statistical mathematics/analytics related preferred.- Evidence experiences in coordinating large cases or projects including strategizing, planning, resourcing, execution, and reporting.- Ability to risk assess areas of the business for Fraud.- Strong ability to analyze data and processes to identify improvements using industry technology systems and data analysis tools.- Develop trend analysis through data manipulation and maintain/improve appropriate databases analysis and reporting.- Excellent reporting and communication skills, both verbal and written, including presentation skills.- Ability to think critically, identify assumptions, analyze arguments, draw conclusions, and proactively suggest solutions.- Highly organized individual with a capability to prioritize tasks on an on-going basis and recommend changes to enhance efficiency, productivity, and profitability.- Strong ability to write clear business requirements, functional specifications, and process workflows.- Strong understanding of insurance underwriting and claims processes.- Superior analytical, problem-solving, and decision-making skills.- Build strong relationships with partners and team members and negotiate requirements and solutions.- Outspoken and comfortable with challenge and ambiguity.- Technical knowledge of all insurance lines of business, including policies, claims, and related legislation.- Investigative competency to determine strategies and requirements (including legislation).- Ability to make confident and objective decisions in matters having high potential for legal precedent or legal dispute.- Ability to maintain confidential information.- Previous experience in predictive analytics applied to insurance fraud d
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