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

Job description

Job Family Regulatory Compliance 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. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment — one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we’re part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what’s important to them. We’re empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good — for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It’s part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Job Description Summary 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. Job Description Responsibilities: • Independently evaluate complex fraud, misconduct, misrepresentation, unauthorized activity, claims fraud, application fraud, agent misconduct, or other SIU matters. • Prepare referrals and supporting documentation for law enforcement, fraud bureaus, Departments of Insurance, or other external parties. • Support SIU regulatory obligations, reporting, regulatory inquiries, fraud referral tracking, and state insurance fraud requirements. • Independently conduct complex investigations, monitoring, reviews, and analysis involving potential financial crimes, policy violations, or regulatory requirements. • Analyze complex information and data to identify risks, patterns, anomalies, root causes, trends, and emerging typologies. • Prepare comprehensive investigative files, conclusions, recommendations, and documentation supporting risk-based decisions and regulatory obligations. • Recommend improvements to investigative methods, monitoring, controls, workflows, reporting, dashboards, metrics, and overall program effectiveness. • Support audits, examinations, reporting obligations, management reporting, dashboards, testing, projects, and implementation of new capabilities. • Collaborate with internal partners to resolve complex matters, communicate findings, and support risk mitigation. • Guide less experienced analysts on case handling, documentation, investigative approach, quality expectations, and escalation. • Independently manage workload, meet performance expectations, and proactively support additional team priorities when capacity allows. Qualifications: • Bachelor’s degree in business, marketing, pre-law or other relevant field, or equivalent education and experience. • Four years of regulatory, securities, or advertising compliance experience. • Areas of experience desired may vary based upon assigned compliance functions and may include contract development, claims, underwriting, legal research, fraud or anti-money laundering investigations and/or communications. • Securities and some advertising industry positions require comprehensive knowledge of the securities laws, regulations, rules, and applicable FINRA licensing (Series 7 & 24 or Series 6 & 26, as applicable). • Written and verbal communication skills. • Analytical and research skills. • Proficiency using MS Office tools. Preferred Qualifications: • Experience independently conducting complex investigations, reviews, monitoring, risk assessments, and regulatory support. • Ability to analyze complex information, identify patterns and anomalies, draw supported conclusions, and make sound risk-based recommendations. • Demonstrated ability to identify trends, root causes, control gaps, and improvement opportunities. • Strong analytical, investigative, critical thinking, communication, prioritization, and independent judgment skills. • Knowledge of applicable laws, regulations, policies, procedures, industry guidance. • Experience supporting AML, Fraud/SIU, sanctions, customer due diligence, transaction monitoring, suspicious activity monitoring, or financial crimes programs. • Experience supporting audits, examinations, regulatory inquiries, reporting obligations, testing, control en