L&A Business Risk Investigator

Job Summary:Responsible for reviewing, assessing and analyzing a wide scope of suspected fraudulent situations for the life organization. Provide Investigative expertise to limit losses and protect company assets. Investigate cases of potential fraud and irregularities and proactively conduct investigations designed to target and address insurance files that may violate company policy and underwriting guidelines. Reviews and performs investigations relating to ?at risk? policies which are contestable, or which otherwise require special investigation, such as fraud or financial misrepresentation using risk and underwriting tools. Responsible for ensuring a comprehensive view of the Life business risk profile is taken. Recommend checks and balances to eliminate, turn away, or rescind business that is not deemed appropriate. Duties and Responsibilities:?Conducts investigations relating to ?at risk? policies which may be contestable, or which otherwise require special investigation, such as fraud, financial misrepresentation.?Review blocks of issued policies as required using AWD technology and other risk tools; provide risk analysis and recommendations for further investigation.?Review new business applications via AWD technology and validate and verify application for accuracy using risk tools (e.g. Accurint, Public Web Sites, Other).?Drive complex risk selection reviews, recommendations and decisions regarding applications with quality, timeliness and productivity. ?Prepare investigative reposts covering all phases of the investigation in each case. Support the development of training materials and/or conduct training for Underwriting staff in the detection of appropriate leading indicators. ?Develop and drive loss control surveys that identify key objects, evaluate risk and develop risk control recommendations and report findings necessary to determine insurability and/or maintain profitability. ?Conduct risk evaluations (description of the operation, key objectives, bottlenecks and general conditions). Report findings of probable exposures and/or unexpected risk to appropriate management.?Conduct research for underwriters or business customers on unique or unidentified exposures, or any other technical subject requiring similar analysis. ?Analyze financial trends, recognize opportunities to provide risk control processes and/or services that can help reduce financial misrepresentation. ?Communicate with various departments regarding all underwriting related issues and discuss resolutions or best practices.?Partner with corporate audit and shared service underwriting to provide risk analysis.?Identify, report and provide solutions regarding potential risk.?Productivity and quality goals must be achieved: requires focus on managing daily workload, emphasis on time management and quality standards.?Provide creative solutions to business problems utilizing business knowledge and technology expertise. ?Recommend and implement workflow changes that will improve risk management during the Underwriting/New Business process.?Uses expertise in Life products, terminology, technology, and sales concepts to support and enhance daily operations.?Performs miscellaneous duties as required by management.?Must maintain appropriate attendance.Skills, Knowledge and/or Experience:?College degree or equivalent SIU experience?Minimum 5-7 years experience in the investigative field with preferred specialties in insurance, legal and law enforcement?Experience with internal monitoring processes, including monitoring risk within business units and identifying risk indicators. ?Comprehensive knowledge of life insurance products, terminology and technology.?Knowledge of regulations related to insurance products and sales practices.?Ability to analyze complex issues or problems and independently arrive at solutions.?Ability to interact effectively and professionally with a wide variety of personalities and all levels of management.?Ability to prepare written case summaries and make recommendations on course of action.?High degree of integrity and confidentiality required?Demonstrated organizational and prioritization skills with the ability to multi-task. ?Ability to effectively monitor and control high volumes of complex data.?Ability to manage multiple tasks and prioritize changing work loads.?Solid knowledge of administrative systems/business functions utilized to service life business.?Excellent written and verbal communication skills.?Working knowledge of desktop applications including AWD, Public Websites, Lotus Notes, MS Word, Excel and Access. Special Working Conditions: ?Works in a team environment where the work requirements and procedures constantly change, requiring strong adaptability skills and ability to accept change. ?Core business hours require coverage and limit the availability of flex hours.?Work volume and business need restricts when time off can be taken.?Over-time will be required in response to business need.?Adherence to, Phoenix Companies Policies and Procedures; especially those relating to regulations and controls. Phoenix is committed to ensuring a safe, healthy, product and efficient work environment for our employees. Pre-employment drug testing and our substance abuse policy for applicants are integral components of our efforts to ensure such a safe working environment. Commencing on or about January 1, 2008, for jobs posted on or after January 1, 2008, Phoenix requires all prospective employees to whom Phoenix has given a conditional offer of employment to submit to a pre-employment urinalysis drug test. All prospective employees must receive a negative result as a condition of employment.

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