At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description The new MCU Data Analyst Lead Consultant will directly support data analysis for the Major Case Unit in its efforts to find suspected patterns of fraud for further investigation and possible affirmative action where evidence supports further pursuit. This role involves leveraging data analysis to identify, investigate, and mitigate claim fraud risks within the organization, while also supporting operational aspects by designing and operating reports and building an infrastructure to measure the effectiveness and loss cost containment of fraud mitigation tools, processes, and initiatives. Additionally, this role will be responsible for but not limited to building automated self-service reports to track referrals, assignments, performance metrics, and outcomes of suspected claims fraud. The ideal candidate will have extensive experience in data analysis, strong collaboration skills, and the ability to work across departments to ensure the integrity and security of company operations.
Key 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.
Preferred Qualifications - 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.
#LI-JS2
Skills Critical Thinking, Fraud Investigation, Information Collection, Insurance Investigation, Medical Billing
Compensation Compensation offered for this role is 75,100.00 - 126,325.00 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
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