Fraud Analyst

• 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

• 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

• 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

• Experience in healthcare benefits, financial services, or fraud prevention environments
• Knowledge of regulatory frameworks such as HIPAA, AML, or related compliance standards

• 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

• 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.

• 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!

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.