SIU Intelligence Analyst - Senior (P&C Insurance)

Company Description

Searching for a place to make your mark? Every great team depends on the individual contributions of its members – the skills, talents and the passion that each team member brings. At Citizens, we’re building a workforce of top achievers committed to our company’s mission and vision. Our company values the knowledge that comes from experienced and dedicated individuals with a variety of backgrounds, in or out of insurance.

Citizens' Mission is to serve the people of Florida as the state's insurer of last resort, and as an innovative thought leader focused on promoting a healthy property insurance market.

 At Citizens, we are a team of dedicated, service-minded professionals committed to our policyholders. Come achieve and maximize your potential with us!

Job Description

ABOUT our Special Investigations Unit (SIU):

Financial responsibilities drive Citizens’ Special Investigations Unit’s (SIU) commitment to finding ways to more quickly identify and more effectively fight insurance fraud. To do this, Citizens’ SIU is committed to building the strongest, most innovative, and most talented investigative and analytical teams. This requires that we recruit high achievers who thrive in an environment that emphasizes individuality, respect, growth, and ownership, and where the best ideas—even if new or untried—are the ones that make it to the top. As a part of the Citizens’ SIU team, you will be recognized and rewarded for your talents and outstanding performance, dedication, and loyalty.

Citizens’ SIU is currently looking for an SIU Senior Analyst to join our Data Analytics team. The Data Analytics team leverages cutting-edge analytic software, discovers, and communicates meaningful patterns in data with the purpose of drawing conclusions to make informed investigative actions and management decisions. SIU Analysts support basic and major investigations that span all aspects of insurance operations (i.e., claims, underwriting, vendor relations, and agent services), in support of the identification and investigation of suspicious property insurance claims and policies, and act as a resource for senior leadership. The ideal candidate is an independent self-starter with intermediate to advanced SQL experience, strong experience working with Power BI, and analytical experience who will thrive in an innovative, collaborative environment. The position is in the Jacksonville office with the potential for occasional overnight travel.

POSITION DESCRIPTION:

This position’s primary purpose is to lead the efforts in the detection of fraud impacting Citizens’ claims and policies by providing independent and objective data gathering, reconciling, and visual analyses. Design, code, conduct, test, debug and conduct studies and analyzes the data to assist with the fraud detection processes.  

ESSENTIAL FUNCTIONS:

• Models ethical behavior and executes job responsibilities in accordance with Citizens core values, ethics, and information protection policies
• Conducts data gathering assignments; Plans, designs and develops ad hoc query and data mining of insurance claims, policy, agency and payment records using available tools and internal data warehouse, including quality assurance of data.
• Reconcile, interpret and analyze moderate to highly complex internal and external data sets to support decision making and detect potential fraudulent trends and patterns involving Citizens’ claims and policies.
• Summarizes and provides independent and objective appraisals of analytical findings using innovative and high-quality data visualization and presents recommendations of results to individual contributors and management.
• Collaborates with business units across the enterprise and self-initiates designs and implements statistical/predictive models and uses cutting edge algorithms to assist with detection of potentially fraudulent activity.
• Participates in the creation and delivery of fraud awareness training to Citizens’ employees, business partners and other stakeholders as necessary to facilitate the identification and referral of potentially fraudulent insurance acts to SIU.
• Researches, evaluates and recommends business solutions that may include software procurement, internal application development and changes to the scope of vendor services.
• May coach, advise, counsel or train less experienced staff; may also direct the work and activities of others, provide input in the Performance Management goal setting and review process.

Qualifications

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Advanced SQL query and or advanced knowledge with one of the programming languages like Python, R and proficiency in any one of the reporting tools like Power BI, Tableau, etc