Job Summary
Performs descriptive analysis by gathering and analyzing data to accurately represent past performance; gathers and synthesizes data; incorporates industry leading data visualization techniques to generate reports and executive summaries pertaining to Aflac Trust and overall department operations; performs independent review of problem situations and reports findings to management as assigned
Principal Duties & Responsibilities
- Researches, plans, organizes, and conducts data mining and analyses of enterprise wide Aflac data to identify the possibility of fraudulent or suspicious activities; scope to include employees, policyholders, accounts, associates, brokers, hierarchy, TPAs, and entities; focus to include operational objectives, special projects, or ad hoc requests as assigned
- Establishes and maintains effective data in the systems, and chronological and specialized project reference files to meet current reporting needs and future enhancements; performs research and analysis to provide accurate and meaningful information
- Guided by more experienced analysts while operating with latitude for independent action and decision-making within the framework of established policies and procedures; works under minimal supervision providing assistance on department process analysis or investigations; establishes sound internal control practices and consistent interpretation and implementation of department policy and standards across the organization; supports the awareness and understanding of and monitors adherence to all applicable regulatory requirements, policies, procedures, and department processes to ensure that the appropriate control environment is documented and tracked, being mindful of priority, expiration, and deadlines
- Executes department process and procedure reviews; provides input on recommendations, changes, or enhancements that streamline activities or enhance service turnaround times, productivity, and quality; facilitates effective and efficient use of corporate resources; enhances customer satisfaction; coordinates workflow and task assignments, being mindful of priority, expiration, and deadlines; performs scheme research to identify possible enterprise level fraud activities or transactions with a scope that includes producers, hierarchy, policyholders, and employees
- Establishes and maintains effective working relationships within the department and throughout the organization
- Performs other duties as required
Education & Experience Required
- Minimum Required Bachelor's Degree Statistics, Business Management, Risk Management, Criminal Justice or a related field
- Minimum Required one to two years of job-related experience
Education & Experience Preferred
- Preferred Knowledge, practical experience and designation/certification in one or more of the following (desired): Certified Fraud Examiner (CFE); Fraud Claims Law Specialist (FCLS); Health Care Anti-Fraud Associate (HCAFA); Certified Insurance Fraud Investigator (CIFI); Certified Insurance Fraud Analyst (CIFA); Six Sigma and/or Lean Six Sigma
Or an equivalent combination of education and experience.
Job Knowledge & Skills
- Proficient in data analysis, process and quality control, and associated tools and methods, including graphical analysis; control charts; correlation & regression analysis; hypothesis testing; design of experiments; and the like
- Ability to convey methods and analyses output to all levels of employees paired with the ability to prepare statistical studies and trend analysis using internal and external information to demonstrate relevant changes or improvement
- Knowledge and understanding of corporate ethics and integrity expectations, Compliance-related metrics and understanding of field force duties, responsibilities and metrics
- Ability to work independently and as part of a team to meet deadlines in a dynamic, fast-paced environment
- Experience with Business Intelligence tools, such as Business Objects
- Excellent oral, written, and interpersonal communication skills to interact effectively with all levels of internal and external customers
- Basic knowledge and skills in Microsoft Access, Business Intelligence Reporting Tools, Business Case Preparation, Business Cost/Benefit Analysis, Financial/Budget Analysis, Business Performance Analysis & Forecasting, and Statistical Analysis
- Basic knowledge and skills in Visio, SAP, Adobe Acrobat, Advanced Analysis Tools, Lean Six Sigma and Statistical Analysis Tools preferred
- Intermediate knowledge and skills in Microsoft Excel, PowerPoint, and Word, and Data Trend Analysis & Interpretation
Competencies
- Acting with Integrity
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
Working Conditions
The statements below describe the general nature and level of the work and are not an exhaustive list of all responsibilities, duties, and skills required.
Normal office environment (virtual or in-person)
Travel
None Required
Career Progression Acknowledgement
Normal Career Progression - This is a normal career progression (NCP) position and incumbent may progress to the next level in the job family without further competition when there is an existing business need, qualifications identified in the job profile are met, advancement recommended by management, with human resources approval, and in accordance with company guidelines.
