Senior Compliance Analyst - Life & Health Insurance Fraud Investigations - Hybrid

Job Family

Regulatory Compliance

At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment — one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there.

We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we’re part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what’s important to them.

We’re empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good — for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms.

Transamerica is organized into three distinct businesses. These include
1) World Financial Group, including Transamerica Financial Advisors,
2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and
3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs.

Transamerica employs nearly 7,000 people. It’s part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide. For more information, visit

Helps to mitigate legal exposure, insurance and claims fraud risks to the organization by enforcing company policies, procedures and regulatory requirements. Possesses and applies broad knowledge of concepts and principles; performs multiple moderate to complex suspicious claims investigations to determine if fraud can be substantiated and claim payments should be paid or denied.

Responsibilities:

• Responsible for investigating and analyzing multiple moderate to complex investigations that have been referred to the Financial Crimes Unit (FCU) for potential fraud, including investigating potential fraudulent activity committed by insurance agents.
• Performs a thorough investigation including; (1) quickly gathering and analyzing the facts, (2) assessing the associated risks; and (3) providing prompt conclusions and recommendations to management.
• Utilizes data analytic tools to identify moderately complex and occasionally complex claims for investigation and/or for support in the evidence of the fraud.
• Reviews the facts of a case and works with Management team to determine if there is potential application fraud, if claim payments should be paid or denied, if fraud can be substantiated and supports a lawsuit or state fraud filing.
• Review current policies and procedures; identify and help to implement new and/or enhanced practices.
• Works independently, prioritizing own responsibilities, and managing own workload.
• Assist in responding to regulatory inquiries with direction from senior levels.
• Collaborate with business partners to gather facts and educate them on red flags and controls to mitigate fraud risks.
• Foster a culture of compliance to help prevent, detect and reduce company risk with respect to financial crime.
• Assist team members with research and assigned tasks and…