Insurance Compliance Specialist

Job Summary

A company is looking for a Compliance Specialist to assist in ensuring compliance with State and Federal Fraud Regulations.

Key Responsibilities

• Lead the Fraud program and ensure compliance with anti-fraud plans and regulations
• Monitor and analyze potential fraud activities, escalating concerns as necessary
• Draft and maintain compliance documentation, including procedures and job aids

Required Qualifications

• 3 years of experience designing and implementing anti-fraud controls
• 3 years of experience assessing fraud risks and performing risk assessments
• 1 year of insurance experience
• Preferred Certified Fraud Examiner Certification
• Must pass a drug screen and background check