Senior Compliance Analyst - Life & Health Insurance Fraud Investigations - Hybrid

About Us

At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests.

Regulatory Compliance

Helps to mitigate legal exposure, insurance and claims fraud risks to the organization by enforcing company policies, procedures and regulatory requirements. Possesses and applies broad knowledge of concepts and principles; performs multiple moderate to complex suspicious claims investigations to determine if fraud can be substantiated and claim payments should be paid or denied.

• Investigate and analyze multiple moderate to complex investigations referred to the Financial Crimes Unit (FCU) for potential fraud, including fraudulent activity committed by insurance agents.
• Perform a thorough investigation including quickly gathering and analyzing facts, assessing associated risks, and providing prompt conclusions and recommendations to management.
• Utilize data analytic tools to identify moderately complex claims for investigation and/or support in evidence of fraud.
• Review facts of each case and work with management to determine if there is potential application fraud, if claim payments should be paid or denied, if fraud can be substantiated and supports a lawsuit or state fraud filing.
• Review current policies and procedures; identify and help implement new and/or enhanced practices.
• Work independently, prioritizing responsibilities, and managing own workload.
• Assist in responding to regulatory inquiries with direction from senior levels.
• Collaborate with business partners to gather facts and educate them on red flags and controls to mitigate fraud risks.
• Foster a culture of compliance to help prevent, detect and reduce company risk with respect to financial crime.
• Assist team members with research and assigned tasks and provide training to supported teams.

• Bachelor’s degree in business, marketing, pre‑law or other relevant field, or equivalent education and experience.
• Four years of insurance experience or regulatory, securities, compliance experience.
• Experience may include contract development, claims, underwriting, legal research, fraud or anti‑money laundering investigations and/or communications.
• Strong written and verbal communication skills.
• Analytical and research skills.
• Proficiency using MS Office tools.

• Experience with insurance products.
• Experience investigating potential insurance fraud.

• Hybrid office environment (3 days per week):
  Baltimore / Cedar Rapids / Denver / Philadelphia.

• The salary for this position generally ranges between $75,000 and $85,000 annually. Salary may vary above and below the stated amounts, as permitted by applicable law.
• This position is typically eligible for an annual bonus based on the Company Bonus Plan / Individual Performance and is at the company’s discretion.

This job description is not a contract of employment nor for any specific job responsibilities. The company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request.

• Competitive Pay
• Bonus for Eligible Employees

• Pension Plan
• 401k Match
• Employee Stock Purchase Plan
• Tuition Reimbursement
• Disability Insurance
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Employee Discounts
• Career Training & Development Opportunities

• Paid Time Off starting at 160 hours annually for employees in their first year of service.
• Ten (10) paid holidays per year.
• Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars.
• Parental Leave – fifteen (15) days of paid parental…