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Fraud Analyst

Company: Carolina Power & Light Co
Location: Allentown
Posted on: October 14, 2020

Job Description:

SummaryUnder general direction, the Fraud Analyst is responsible for developing and analyzing data, reporting, and analysis to achieve the goals and objectives set forth by management in support of any customer in all vertical lines of Pondera's business in North America. This position requires a well-developed understanding of the dynamics of fraud, waste, and abuse in Government Programs. Position will be responsible for multiple functions, including the utilization of various tools, to gather, analyze and interpret data from various sources, and presenting findings in a clear and concise presentation format. The Fraud Analyst must effectively communicate with appropriate outside authorities, client fraud staff, and law enforcement on fraud case inquiries via phone, email, and video conferencing, while maintaining a strong focus on customer service. Must be motivated and possess a strong work ethic. Work is varied, and is organizationally and relationally complex, and requires a high degree of discretion and independent judgment.SupervisesN/AEssential Functions* Review and analyze data (protected and sensitive) involving Government Programs such as Medicaid, Unemployment, SNAP, TANF, WIC, and Tax and Revenue* Research, review, and analyze criminal intelligence information and draft intelligence reports for client review* Liaison with Government teams of Investigators, Analysts, Auditors* Provide training and guidance on Pondera's suite of tools to clients as requested* Utilize various analyst tools, to gather, analyze and interpret data from various sources* Present findings in a clear and concise presentation format including word, excel, power point, etc.* Effectively communicate with appropriate outside authorities, client fraud staff, and law enforcement on fraud case inquiries via phone, email, and video conferencing while maintaining a strong focus on customer service* Strong interpersonal, communication and collaboration skills* Demonstrated ability to complete projects in an environment with diverse, competing and sometimes conflicting priorities* Manage customer escalations as needed* Flexible work schedule but may require work at times outside of normal business hours due to National clientele* Very infrequent travel may be requiredNon Essential Functions* Other duties as requiredEducation and ExperienceRequired* At least three years experience supporting fraud detection and prevention teams* A Bachelor's Degree in criminal justice, healthcare, business, government administration or closely related field can substitute for the years of required experiencePreferred* Bachelor's Degree in criminal justice, healthcare, business, government administration or closely related field* Experience with fraud detection systems and data warehousing* In-depth knowledge of state & local government* Experience working with Medicaid and/or Medicare populations* Experience working with Unemployment Insurance populations* Experience working with Welfare and Eligibility populations* Experience working with Revenue and Taxation departmentsLicenses, CertificationsRequired* NonePreferred* Professional certifications such as: Certified Fraud Examiner, Current or Former Law Enforcement Certification, Certified Auditor, Certified Inspector General, Certified Law Enforcement Analyst, Certified Public AccountantKnowledge, Skills and AbilitiesRequired* Advanced knowledge and skills utilizing Microsoft Word and Excel* Knowledge of open source research methods (public records data, social media, etc)* Knowledge of fraud detection techniques* Knowledge of third-party, private data sources used for fraud detection* Strong analytical and problem-solving skills, with the ability to seek alternatives, new ideas, and/or approaches to problems, and develop and implement solutions* Strong skills in data visualization* Strong oral and written communication skills, including the ability to effectively communicate with both business and technical users, and make presentations* Strong interpersonal skills, including the ability to maintain effective working relationships with individuals at all levels both inside and outside of the organization* Strong organization skills with the ability to effectively prioritize multiple tasks and meet agreed-on deadlines* Ability to manage multiple tasks with shifting priorities* Detail oriented; able to work independently and set priorities* Ability to work independently and as part of the team* Ability to train users in complex and technical topics* Ability to speak and be understood in English* Ability to treat confidential information with appropriate discretion* Ability to pass a comprehensive background screening/investigationPreferred* Experience in Government social service programs such as Medicaid, SNAP, Unemployment Insurance, etc (preferred)* Knowledge of healthcare, taxation, revenue and welfare programs* Strong understanding of fraud detection technology solutions* Analyst Certifications* Training specializing in Criminal Intelligence Analysis, Criminal Investigations, Fraud, White Collar Crime* Experience utilizing visual analytics or network analysis programs such as Visio and Analyst NotebookPhysical Demands* Frequent on-site, customer interaction* Frequent sitting, standing and walking* Occasional to frequent repetitive motion* Frequent talking and listening in person and over the phone* Close up and distance vision requirementsEmotional/Psychological Demands* Ability to cope with: Long periods of concentration; pressure and deadlines; occasional long or irregular hours; occasional public contact; changing priorities.Work EnvironmentOpen office environment; moderate temperatures; moderate noise levels. Some work from home may be permitted.Do you want to be part of a team helping re-invent the way knowledge professionals work? How about a team that works every day to create a more transparent, just and inclusive future? At Thomson Reuters, we've been doing just that for almost 160 years. Our industry-leading products and services include highly specialized information-enabled software and tools for legal, tax, accounting and compliance professionals combined with the world's most global news services - Reuters. We help these professionals do their jobs better, creating more time for them to focus on the things that matter most: advising, advocating, negotiating, governing and informing.We are powered by the talents of 25,000 employees across more than 75 countries, where everyone has a chance to contribute and grow professionally in flexible work environments that celebrate diversity and inclusion. At a time when objectivity, accuracy, fairness and transparency are under attack, we consider it our duty to pursue them. Sound exciting? Join us and help shape the industries that move society forward.AccessibilityAs a global business, we rely on diversity of culture and thought to deliver on our goals. To ensure we can do that, we seek talented, qualified employees in all our operations around the world regardless of race, color, sex/gender, including pregnancy, gender identity and expression, national origin, religion, sexual orientation, disability, age, marital status, citizen status, veteran status, or any other protected classification under applicable law. Thomson Reuters is proud to be an Equal Employment Opportunity/Affirmative Action Employer providing a drug-free workplace.We also make reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs in accordance with applicable law.More information about Thomson Reuters can be found on States of America;Albany-Georgia-United States of America;Albany-New York-United States of America;Allentown-Pennsylvania-United States of AmericaReq #: JREQ138033Locations: Akron-Ohio-United States of America-Albany-Georgia-United States of America-Albany-New York-United States of America-Allentown-Pennsylvania-United States of AmericaJob Function: Technology Development

Keywords: Carolina Power & Light Co, Allentown , Fraud Analyst, Professions , Allentown, Pennsylvania

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