SIU Operations Analyst - Berkley

"Our Company provides a state of predictability which allows brokers and agents to act with confidence."

Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.

Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion.

Today the Berkley brand comprises more than 50 businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by our Executive Chairman, founder and largest shareholder, William. R. Berkley and our President and Chief Executive Officer, W. Robert Berkley, Jr., W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.

The Company is an equal employment opportunity employer.

The SIU Operations Analyst is responsible for identifying, understanding, interpreting, and analyzing data to support anti-fraud efforts.

• Interpret and analyze complex data sets to support decision making and detecting potential fraudulent patterns and trends
• Conducts data gathering using available tools and internal data warehouses
• Create, summarize, and present analytic findings using data visualization link analysis tools
• Works with various State Insurance Departments and Fraud Bureaus to complete mandatory annual compliance and fraud plans
• Completes detailed monthly, quarterly, semi-annual, and annual reports specific to SIU data tracking to provide to Claims and SIU leadership
• Collaborates with multiple units across the enterprise by designing statistical/predictive models along with using algorithms to assist in detection of fraudulent activity
• Completes review of triaged identified claims through fraud detection tools for assignment to SIU personnel
• Act as a liaison with intelligence and analytic function with outside agencies or groups, whose mission includes detection and deterrence of insurance fraud
• Collaborate with SIU Investigators regarding data identified as part of a major case to include plans of action
• Extract and validate accuracy of data identified through multiple sources to ensure the information is related

• Must have 3 or more years of prior analyst experience
• Advanced knowledge of AI, Machine Learning, and RPA processes
• Working knowledge of advanced visualization techniques using Tableau
• Advanced knowledge creating link analysis diagrams and reports
• Demonstrate knowledge of investigative methods in regards to laws, rules and regulations involving insurance fraud
• Advanced analytical capability, data mining, and problem-solving skills
• Effective speaking and presentation skills
• Knowledge of privacy regulations and compliance requirements
• Advanced capability with MS Office products
• Easily adapts to new or changing situations and priorities
• Ability to be flexible and multi-task
• Dedicated to meeting the expectations of internal and external customers
• Strong organizational and prioritization skills
• Ability to properly handle sensitive and confidential information
• Ability to work both independently and in a team environment
• Demonstrate a strong work ethic with a positive attitude
• Excellent verbal and written communication skills

Education Requirement

Bachelor’s Degree
Completion of one or more of the following designations: Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS)