Analista Sênior de Investigação de Sinistros e Prevenção à Fraude
Core
Senior claims investigation and fraud prevention analyst managing external vendor investigations, ensuring quality, SLA compliance, and evidence validity for insurance clients.
Role type
Senior IC claims investigation and fraud prevention analyst
Builds
Investigative reports, evidence validation, and operational dashboards for insurance clients
Domain
Insurance / Claims Management / Fraud Prevention
Required skills
Claims investigation management, fraud analysis, vendor/partner management, SLA monitoring, evidence evaluation, report critical analysis, process-oriented management, Excel proficiency
Preferred skills
Insurance syndication experience, Compliance or Audit experience, team management of third-party investigators, Power BI, executive reporting
Technologies
Excel, Power BI
Responsibilities
Receive, register, and triage initial investigation requests; Manage the full case investigation flow ensuring traceability; Monitor and control investigation SLAs and deliverables; Define and track investigative strategies with partner firms; Validate questionnaires and field interview directions; Technically guide vendors on investigative procedures; Monitor execution of third-party diligences; Evaluate materiality and quality of evidence; Critically analyze received reports for objectivity and completeness; Identify inconsistencies and quality deviations; Collaborate with Fraud Prevention and Claims teams; Produce management reports and track operational indicators; Ensure compliance with client investigation standards.