Fraud Analyst job at Navia Benefit Solutions in AZ, CA, CO, FL, GA, IA, IL, IN, KS, MA, ME, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, OR, PA, SD, TN, TX, UT, WA
Title: Fraud Analyst
Location: Remote
Job Description:
About Navia Benefit Solutions:
We’re a people first benefit administrator that relies on a fast-growing team of creative thinkers, problem-solvers, and go-getters to bring our participant and client experience to the next level. Our mission? To create better lives and provide a simple and amazing benefits experience. If you love providing excellent service, innovating the way benefits are administered, and being part of an inclusive workplace community, you’ll fit right in.About the Role:
Navia is seeking a detail-oriented and highly analytical Fraud Analyst to join our team. This role is responsible for identifying, investigating, and mitigating potential fraudulent activity across participant accounts. The ideal candidate will have a keen eye for identifying anomalies, maintain strict confidentiality, and thrive in a structured, deadline-driven environment that involves repetitive and high-volume analysis.What You’ll Do:
Conduct thorough research and investigation of participant accounts to identify potential fraud or suspicious activity
Analyze large datasets and spreadsheets, including reviewing IP addresses, transaction histories, and account behaviors, to detect patterns or irregularities
Identify and escalate findings where information appears inconsistent, out of place, or indicative of fraudulent behavior
Prepare and issue legal notices and correspondence to clients and participants related to fraud investigations
Maintain strict confidentiality when handling sensitive personal and financial information
Perform daily report reviews to monitor system-generated alerts, flagged accounts and ongoing account activity
Ensure all investigations and documentation are completed accurately and in compliance with internal policies and regulations
Meet strict deadlines for case resolution, reporting, and compliance requirements
Maintain detailed, organized documentation of case findings and actions taken
Collaborate cross-functionally with compliance, legal, service, and operations, and executive leaders as needed
Continuously monitor trends and patterns to proactively identify emerging fraud risks
Assist teammates with escalations, appeals, Salesforce cases and tasks as needed
Other duties as assigned
Required Qualifications:
2+ years of experience within Navia’s Service Operations or fraud analysis experience, risk management, compliance, or a related field
Experience working with large datasets and spreadsheets
Familiarity with fraud detection methods and investigative techniques
Key Skills and Competencies:
Exceptional attention to detail with the ability to detect subtle inconsistencies
Analytical mindset with strong pattern recognition skills
Ability to work through repetitive, process-driven tasks with consistency and accuracy
Strong time management skills and ability to meet deadlines
Excellent written communication skills
High level of integrity and professionalism when handling sensitive information
Ability to work independently while managing a high volume of cases
Preferred Qualifications:
Experience in healthcare benefits, financial services, or fraud prevention environments
Knowledge of regulatory frameworks such as HIPAA, AML, or related compliance standards
Work Environment:
Role involves significant time reviewing reports and spreadsheets
Requires sustained focus on repetitive tasks with high accuracy
Fast-paced environment with daily deadlines and performance expectations
Hybrid or remote work flexibility may be available depending on role requirements
Candidates within 30 miles of one of our four office locations may be asked to come into the office for a hybrid schedule depending on the role.
Eligible candidates will reside in one of the following states: AZ, CA, CO, FL, GA, IA, IL, IN, KS, MA, ME, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, OR, PA, SD, TN, TX, UT, AND WAWhy Join Navia?
Impact: Play a pivotal role in supporting employers and employees nationwide.
Growth: Advance your skills with a team committed to excellence and innovation.
Culture: Join a company that values collaboration, innovation, and customer-first solutions.
Perks and Benefits:
Competitive Salary Range:$45,000-$50,000 Anually
Generous health benefits
Company sponsored wellness benefits
Complimentary Life Insurance and Long-Term Disability Insurance
Paid time off
6 Paid Holidays & 2 Paid Floating Holidays
Work from home and hybrid schedules available!
Not all positions allow for remote work, but those that do will only be available in the following states: AZ, CO, FL, GA, IL, IN, KS, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, PA, SD, TN, TX, UT.
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Location: Remote
Job Description:
About Navia Benefit Solutions:
We’re a people first benefit administrator that relies on a fast-growing team of creative thinkers, problem-solvers, and go-getters to bring our participant and client experience to the next level. Our mission? To create better lives and provide a simple and amazing benefits experience. If you love providing excellent service, innovating the way benefits are administered, and being part of an inclusive workplace community, you’ll fit right in.About the Role:
Navia is seeking a detail-oriented and highly analytical Fraud Analyst to join our team. This role is responsible for identifying, investigating, and mitigating potential fraudulent activity across participant accounts. The ideal candidate will have a keen eye for identifying anomalies, maintain strict confidentiality, and thrive in a structured, deadline-driven environment that involves repetitive and high-volume analysis.What You’ll Do:
Conduct thorough research and investigation of participant accounts to identify potential fraud or suspicious activity
Analyze large datasets and spreadsheets, including reviewing IP addresses, transaction histories, and account behaviors, to detect patterns or irregularities
Identify and escalate findings where information appears inconsistent, out of place, or indicative of fraudulent behavior
Prepare and issue legal notices and correspondence to clients and participants related to fraud investigations
Maintain strict confidentiality when handling sensitive personal and financial information
Perform daily report reviews to monitor system-generated alerts, flagged accounts and ongoing account activity
Ensure all investigations and documentation are completed accurately and in compliance with internal policies and regulations
Meet strict deadlines for case resolution, reporting, and compliance requirements
Maintain detailed, organized documentation of case findings and actions taken
Collaborate cross-functionally with compliance, legal, service, and operations, and executive leaders as needed
Continuously monitor trends and patterns to proactively identify emerging fraud risks
Assist teammates with escalations, appeals, Salesforce cases and tasks as needed
Other duties as assigned
Required Qualifications:
2+ years of experience within Navia’s Service Operations or fraud analysis experience, risk management, compliance, or a related field
Experience working with large datasets and spreadsheets
Familiarity with fraud detection methods and investigative techniques
Key Skills and Competencies:
Exceptional attention to detail with the ability to detect subtle inconsistencies
Analytical mindset with strong pattern recognition skills
Ability to work through repetitive, process-driven tasks with consistency and accuracy
Strong time management skills and ability to meet deadlines
Excellent written communication skills
High level of integrity and professionalism when handling sensitive information
Ability to work independently while managing a high volume of cases
Preferred Qualifications:
Experience in healthcare benefits, financial services, or fraud prevention environments
Knowledge of regulatory frameworks such as HIPAA, AML, or related compliance standards
Work Environment:
Role involves significant time reviewing reports and spreadsheets
Requires sustained focus on repetitive tasks with high accuracy
Fast-paced environment with daily deadlines and performance expectations
Hybrid or remote work flexibility may be available depending on role requirements
Candidates within 30 miles of one of our four office locations may be asked to come into the office for a hybrid schedule depending on the role.
Eligible candidates will reside in one of the following states: AZ, CA, CO, FL, GA, IA, IL, IN, KS, MA, ME, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, OR, PA, SD, TN, TX, UT, AND WAWhy Join Navia?
Impact: Play a pivotal role in supporting employers and employees nationwide.
Growth: Advance your skills with a team committed to excellence and innovation.
Culture: Join a company that values collaboration, innovation, and customer-first solutions.
Perks and Benefits:
Competitive Salary Range:$45,000-$50,000 Anually
Generous health benefits
Company sponsored wellness benefits
Complimentary Life Insurance and Long-Term Disability Insurance
Paid time off
6 Paid Holidays & 2 Paid Floating Holidays
Work from home and hybrid schedules available!
Not all positions allow for remote work, but those that do will only be available in the following states: AZ, CO, FL, GA, IL, IN, KS, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, PA, SD, TN, TX, UT.
Apply To This Job