Insurance Fraud Analyst I / II

Insurance Fraud Analyst I / II

This position is entry level / intermediate technical work within the Insurance Fraud Section of the Office of Attorney General. Work includes the receipt, analysis, verification, and dissemination of information of a confidential and sensitive nature for a variety of purposes including investigation and litigation support. The successful candidate will work closely with criminal prosecutors to prepare court documents, organize trial exhibits, and attend court proceedings.

The employee is responsible for performing analytical work involving referrals made to the Insurance Fraud Section, which may involve fraud and deception. In this position, an employee may have contact with the public. Assignments and supervision are received from the legal staff and / or investigative staff dependent on the nature of the case(s). Work is reviewed in progress and upon completion to ensure accuracy and compliance with established office procedures and policy.

Assignments progress in difficulty and complexity, and are designed to provide experience in investigative analysis techniques and resources. An Insurance Fraud Analyst II will complete most assignments independently with the supervisor providing a general outline of assignments, established priorities, and deadlines.

Examples Of Duties

• Conducts initial review of referrals, and assists legal staff and investigative staff in case determination
• Organizes, maintains, and disseminates referral and investigative files digitally and in hardcopy as required
• Serves as the initial OAG contact with the referring party, either telephonically, electronically, or in person, and conducts the initial interview with said party in order to clarify any issues and to ensure that all required documents are provided
• Serves as the OAG liaison with the industry on selected and varied issues and problems that may arise, and serves as a source for responding to questions
• Provides assistance to agents relative to data checks, background checks, and claims histories
• Provides pre-operational planning assistance to agents with warrant executions
• Assists with the execution of search warrants for the purpose of cataloging data and documentary evidence
• Analyzes and transcribes toll records during criminal investigations
• Provides assistance to both legal and investigative staff regarding the analysis and organization of documentary evidence as well as the preparation of various spreadsheets, charts, and graphs pertinent to casework handled by the Section
• Prepares investigative reports on evidence and data analyzed
• Provides litigation support through preparation and presentation of material / evidence for official proceedings / court
• Testifies in court proceedings and grand jury proceedings regarding analytical findings
• Uses electronic data processing systems to research, analyze, and store data
• Performs miscellaneous, albeit pertinent duties, determined by the direction of current casework
• Presents analytical briefings, cases studies, and presentations on behalf of the OAG at conferences, seminars, and trainings
• Ascertains training needs of the industry with respect to OAG jurisdiction

Minimum Experience and Training