Fraud Analyst

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 WA Why 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! Ready to Join Us? Take the first step toward your new career in creating better lives —apply now! For any questions or to check on your application, reach out to [email protected]. Please visit our career page and apply directly: www.naviabenefits.com/workatnavia 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