Analista de Prevenção a Fraude Pleno
Core
Receber, analisar e investigar suspeitas de fraude relacionadas a sinistros, conduzindo investigações internas e externas, avaliando indicadores de fraude e apoiando a mitigação de perdas financeiras.
Role type
Mid-level fraud prevention analyst (claims)
Builds
Investigative reports, executive presentations, and process improvements for claims fraud detection and prevention.
Domain
Insurance / Claims / Fraud Prevention
Required skills
Fraud investigation techniques, document analysis, evidence evaluation, analytical thinking, technical report writing, multi-case management, regulatory compliance knowledge, insurance claims processes.
Preferred skills
Data analysis tools, AI/ML platforms for fraud detection, external investigator management, Spanish (intermediate), Excel, PowerPoint, Word, innovation in automation.
Technologies
AI solutions, data analysis platforms, investigation platforms, Excel, PowerPoint, Word.
Responsibilities
Investigate suspected claims fraud across business lines; conduct internal and external investigations including evidence collection and interviews; evaluate fraud indicators and develop investigative hypotheses; interact with internal areas (Claims, Legal, Compliance, Underwriting, Audit); support adoption of new fraud detection technologies; manage external vendors and experts; monitor emerging fraud trends and propose process improvements; ensure regulatory and governance compliance.
Seniority
Mid-level, hands-on IC
