Allstate · 7 hours ago
MCU Data Analyst Lead Consultant - Remote
United States
Full-time
Remote
Mid, Senior Level
$75K/yr - $126K/yr
3+ years expAllstate is a company dedicated to protecting families and their belongings from uncertainties. They are seeking an MCU Data Analyst Lead Consultant to support data analysis for the Major Case Unit, focusing on identifying and mitigating claim fraud risks through data-driven insights and collaboration with various departments.
BankingFinanceFinancial ServicesInsuranceInsurTechVenture Capital
No H1B
Responsibilities
Utilize data analytics tools to support the design and implementation of claim fraud detection and prevention initiatives
Compiles, cleans, organizes and analyzes complex data to understand fraud results, potential patterns and unusual “relationships” of various entities
Develop and maintain comprehensive data models to identify fraud patterns and trends
Pilot technical solutions to enhance both operational and data analysis capabilities for fraud detection and prevention
Collaborate with internal partners such as IT, Legal, Compliance, and Claims to ensure alignment and effective fraud mitigation solutions. Design and operate reports to measure the effectiveness and loss cost containment of fraud mitigation tools, processes, and initiatives
Build automated self-service reports to track referrals, assignments, performance metrics, and outcomes of claim fraud
Develop a consistent communication strategy to keep all stakeholders informed and engaged
Develop and maintain strong relationships with key departments to foster a culture of transparency and trust
Ensure timely and effective communication with all relevant parties during fraud investigations and affirmative actions
Collaborate and respond to MCU Analysts requests for detailed data, analysis and reporting to illustrate any patterns of possible fraud in order to validate or negate suspicions
Presents data outcomes in a clear and organized manner to effectively convey what the results mean and how they can affect our fraud investigations
Qualification
Required
Extensive experience in data analysis
Strong collaboration skills
Ability to work across departments to ensure the integrity and security of company operations
Utilize data analytics tools to support the design and implementation of claim fraud detection and prevention initiatives
Compiles, cleans, organizes and analyzes complex data to understand fraud results, potential patterns and unusual 'relationships' of various entities
Develop and maintain comprehensive data models to identify fraud patterns and trends
Pilot technical solutions to enhance both operational and data analysis capabilities for fraud detection and prevention
Collaborate with internal partners such as IT, Legal, Compliance, and Claims to ensure alignment and effective fraud mitigation solutions
Design and operate reports to measure the effectiveness and loss cost containment of fraud mitigation tools, processes, and initiatives
Build automated self-service reports to track referrals, assignments, performance metrics, and outcomes of claim fraud
Develop a consistent communication strategy to keep all stakeholders informed and engaged
Develop and maintain strong relationships with key departments to foster a culture of transparency and trust
Ensure timely and effective communication with all relevant parties during fraud investigations and affirmative actions
Collaborate and respond to MCU Analysts requests for detailed data, analysis and reporting to illustrate any patterns of possible fraud in order to validate or negate suspicions
Presents data outcomes in a clear and organized manner to effectively convey what the results mean and how they can affect our fraud investigations
Preferred
3–5+ years of experience in data analytics, fraud detection, or claims operations within the insurance or financial services industry
Proficiency in coding and query languages, including Python and R. Power BI and SQL required
Strong experience with data analytics and visualization platforms such as Alteryx, Tableau, and Power BI, with a proven ability to build and maintain automated dashboards and self-service reporting tools
Familiarity with fraud detection models, anomaly detection techniques, and predictive analytics
Strong understanding of claims processes, fraud referral workflows, and SIU operations
Experience working with cross-functional teams including IT, Legal, Compliance, and Operations
Knowledge of data governance, privacy regulations, and secure data handling practices
Excellent communication and stakeholder engagement skills, with the ability to translate complex data insights into actionable business strategies
Experience in project management or leading initiatives that span multiple departments or systems
Prior experience working with SIU / MCU is a plus
Prior experience handling 1st and 3rd party claims is a plus
Prior litigation and testimony experience a plus
Company
Allstate
Allstate is an insurance company that offers car, home, and life insurance services. It is a sub-organization of Allstate.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$500M2024-06-24Post Ipo Debt· $500M
2014-01-13Post Ipo Equity
1993-06-11IPO
Leadership Team
Jonathan Adkisson
SVP & General Manager - Direct Distribution
Guy Hill
Executive Vice President, Product Management
Recent News
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