"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, weve 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

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