Senior Compliance & Fraud Investigative Analyst


Job Details

Pay Philosophy
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.

Description
Conducts extensive and detailed investigations of highly complex, confidential allegations of impropriety involving internal and external agent/agencies, point of sale and policy misrepresentations, employee misconduct and or fraud, financial irregularity, vendor billing and conduct, and other complex cases. Functions as lead investigator on large and/or complex investigations and special projects. Proactively plans and executes fraud risk reviews to search for anomalies and/or potentially fraudulent activity and follows all investigative leads. Prepares detailed fact based reports within organizational standards collaborate with investigative partners across Claims SIU, Global Compliance & Ethics, Fraud Detection & Investigations, Talent, Employee Relations, Finance/Treasury and Liberty Management, and communicates investigative findings to organizational management. Provides meaningful input and guidance in the Continuous Improvement Process. Participates in projects as requested.

**This Role Could Have In Office Requirements Depending on Candidate Location**

Responsibilities:

  • Independently conducts extensive and detailed investigations of highly complex and confidential of allegations of impropriety involving internal and external agent/agencies, point of sale and policy misrepresentations, employee misconduct and or fraud, financial irregularity, vendor billing and conduct, and other complex cases.
  • Acts as Senior Investigator on highly confidential investigations involving employee misconduct, including improper system access, alteration of business records, theft, collusion, kickbacks, conflicts of interest, embezzlement, sales and financial improprieties, violations of the Code of Business Conduct and Ethics and others.
  • Identifies high risk areas to be monitored.
  • Plans and executes proactive fraud risk reviews and monitors the proactive detection tools.
  • Meets planned cadence of fraud risk reviews to search for anomalies and/or potentially fraudulent activity and follows all investigative leads.
  • Evaluates results and prepares summary reports for LMI Management.
  • Opens new investigations when risk is identified and escalates findings to investigative partners when necessary.
  • Notifies management and compliance of any control weaknesses identified and offers solutions to mitigate risks.
  • Works with Data Analytics to design review attributes and gather data, analyze results, and continuously improve attributes to drive report accuracy.
  • Prepares detailed fact based and materially supported reports and communicates findings clearly to our investigative partners (Talent, Employee Relations, Global Compliance & Ethics, Employment Legal Group and/or Finance/Treasury) and to law enforcement entities when fraudulent activity is identified.
  • May take corrective action against a policy to adjust rating factors or cancel the risk.
  • Provides subject matter expertise related to tools used within the department to search for and investigate allegations of fraud and policy violations.
  • Tools may include data extraction and analysis software, open-source investigation tools, and employee activity monitoring systems.
  • Develop and maintain fraud prevention procedures for Distribution, Internal Agency, Underwriting, Finance and/or Claims.
  • Partners across USRM to implement programs that reduce customer/and internal fraud.
  • May develop and maintain country wide data accuracy programs enabling compliance with internal policies related to rating factors, discounts and other underwriting tools impacting premium.
  • Provide support, training, and assist in skill development of junior Compliance Analysts. Provides evidence and court testimony in cases where law enforcement agencies pursue protection.
  • Ensures compliance to standards and regulations. May conduct formal interviews of subjects.
  • Ensures all company and legal procedures are followed during the interview process.
  • May lead or assist in special requests received by senior or executive management.
  • Coordinates the collection of data for law enforcement and internal management requests.
  • May take lead role in departmental huddles, training, and onboarding of new investigative analysts.
  • May develop and provide fraud awareness and training across USRM on fraud prevention deterrence, controls, and detection.
  • Leads complex continuous improvement efforts by providing feedback and making recommendations on the investigative process and tool changes that will result in a better product being delivered. Develops, enhances, and delivers fraud awareness and training programs.


Qualifications
  • Bachelor`s Degree in a Business or Criminal Justice field, or equivalent training
  • Certified Fraud Examiner designation is preferred
  • 5-7 years related work experience in an investigation capacity required
  • Related experience in Distribution, Sales, Underwriting, Finance, Treasury or Claims experience is preferred
  • Experience must be related to the focus of the posted role
  • Displays strong research, problem solving, analytical, critical thinking, influencing, relationship management, and presentation skills
  • Solid ability to support change and impart value within an organization
  • Solid project management skills as part of implementing business process changes
  • Strong negotiation and influencing skills
  • Ability to perform in an automated audit environment
  • Formal Interview skills required
  • Some travel may be required with little or no notice
About Us
At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.

Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit:

We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit:

Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.





 Confidential

 06/06/2024

 Columbus,OH