Fraud Prevention Analyst, Claims
Top Benefits
About the role
Fraud Prevention Analyst - Claims
Job Location: Remote
Who We Are
The Commonwell Mutual Insurance Group is not just another insurance company; we are a P&C Mutual company with solid grass roots within our community. We’re proud to be a leader within the P&C industry offering a Mutual experience rich with history, opportunity and exceptional customer service. We are committed to profitable growth, team development, ingenuity, built on strong connections in our remote first work environment. We encourage a work-life balance and we are serious about what we do.
Our Promise To You
Here at The Commonwell, we are all about Protecting Individuals, Together! Our vision is to continue to build an environment that develops and attracts the very best by empowering everyone to foster a workplace where everyone can perform at their very best, be their authentic self and bring their whole self to work.
The Opportunity
At The Commonwell, protecting individuals, together, means safeguarding our members and our organization from risk. As a Fraud Prevention Analyst in our Claims team, you will play a critical role in detecting, preventing, and investigating fraudulent activity. By analyzing data, reviewing claims, and collaborating with internal and external partners, you will help ensure we continue to deliver fair outcomes to our members while protecting the integrity of our business.
Who you are
You are naturally curious and detail-oriented, with a strong analytical mindset and a keen sense for patterns and anomalies. You thrive in investigative work, balancing independence with collaboration, and are motivated by the opportunity to make a meaningful impact on fraud prevention. You bring professionalism, discretion, and strong judgment to every interaction, along with the ability to clearly communicate complex findings to colleagues and partners.
How you will create an impact
As Fraud Prevention Analyst, you will:
- Review claims flagged by automated fraud detection tools and conduct daily claim reviews for potential fraud indicators.
- Liaise with Claims Leaders to raise awareness of risk indicators and support development of investigation plans.
- Refer matters for advanced investigation to Senior Claims Investigators and assist in Open-Source Investigations.
- Manage assignments and case tracking through the FRISS Case Management tool.
- Analyze referral and detection results to identify fraud trends and organized activity.
- Support fraud-related reporting, data extracts, and proposals to leadership, law enforcement, or industry partners.
- Collaborate with Claims, Underwriting, and Distribution teams to share insights on emerging risks and trends.
- Assist in the development of fraud awareness training and awareness initiatives across Claims.
What you will bring
- Post-secondary education or professional designation in a relevant field.
- Minimum 3 years of experience in P&C claims adjust ing (with a combination of Auto PD, A B/BI injury, residential, commerc ial, and/or farm property)
- CIP/CRM/FCIP designation (or working towards).
- Strong analytical, investigative, and problem-solving skills with attention to detail.
- Experience in fraud detection, claims analysis, or insurance investigations is an asset.
- Proficiency in Microsoft Office and comfort with data tools (e.g., Power BI, FR ISS), and high level of computer literacy including Open Source investigation techniques.
- Effective communication skills — verbal, written, and interpersonal — with the ability to convey investigative findings clearly.
- A collaborative approach with strong relationship-building skills across teams and with external partners.
- High standards of ethics, integrity, and confidentiality.
- Ability to manage competing priorities, work independently, and meet deadlines in a fast-paced environment.
Perks of Being a Commonwell Crew Member
- Remote work environment
- Flexible Work arrangements
- Competitive Compensation Package
- Training and Development Opportunities
- Pension and savings programs
- Paid volunteer days
- Wellness and Recognition programs/Platforms
- Parental Leave Top-up
JOIN THE #Commonwell Crew! We saved you a spot!
About The Commonwell Mutual Insurance Group
We are committed to profitable growth, team development, ingenuity, while having fun at work. We offer a complete range of insurance products including residential, automobile, commercial, farm and watercraft. We encourage a work-life balance and we are serious about what we do!
Fraud Prevention Analyst, Claims
Top Benefits
About the role
Fraud Prevention Analyst - Claims
Job Location: Remote
Who We Are
The Commonwell Mutual Insurance Group is not just another insurance company; we are a P&C Mutual company with solid grass roots within our community. We’re proud to be a leader within the P&C industry offering a Mutual experience rich with history, opportunity and exceptional customer service. We are committed to profitable growth, team development, ingenuity, built on strong connections in our remote first work environment. We encourage a work-life balance and we are serious about what we do.
Our Promise To You
Here at The Commonwell, we are all about Protecting Individuals, Together! Our vision is to continue to build an environment that develops and attracts the very best by empowering everyone to foster a workplace where everyone can perform at their very best, be their authentic self and bring their whole self to work.
The Opportunity
At The Commonwell, protecting individuals, together, means safeguarding our members and our organization from risk. As a Fraud Prevention Analyst in our Claims team, you will play a critical role in detecting, preventing, and investigating fraudulent activity. By analyzing data, reviewing claims, and collaborating with internal and external partners, you will help ensure we continue to deliver fair outcomes to our members while protecting the integrity of our business.
Who you are
You are naturally curious and detail-oriented, with a strong analytical mindset and a keen sense for patterns and anomalies. You thrive in investigative work, balancing independence with collaboration, and are motivated by the opportunity to make a meaningful impact on fraud prevention. You bring professionalism, discretion, and strong judgment to every interaction, along with the ability to clearly communicate complex findings to colleagues and partners.
How you will create an impact
As Fraud Prevention Analyst, you will:
- Review claims flagged by automated fraud detection tools and conduct daily claim reviews for potential fraud indicators.
- Liaise with Claims Leaders to raise awareness of risk indicators and support development of investigation plans.
- Refer matters for advanced investigation to Senior Claims Investigators and assist in Open-Source Investigations.
- Manage assignments and case tracking through the FRISS Case Management tool.
- Analyze referral and detection results to identify fraud trends and organized activity.
- Support fraud-related reporting, data extracts, and proposals to leadership, law enforcement, or industry partners.
- Collaborate with Claims, Underwriting, and Distribution teams to share insights on emerging risks and trends.
- Assist in the development of fraud awareness training and awareness initiatives across Claims.
What you will bring
- Post-secondary education or professional designation in a relevant field.
- Minimum 3 years of experience in P&C claims adjust ing (with a combination of Auto PD, A B/BI injury, residential, commerc ial, and/or farm property)
- CIP/CRM/FCIP designation (or working towards).
- Strong analytical, investigative, and problem-solving skills with attention to detail.
- Experience in fraud detection, claims analysis, or insurance investigations is an asset.
- Proficiency in Microsoft Office and comfort with data tools (e.g., Power BI, FR ISS), and high level of computer literacy including Open Source investigation techniques.
- Effective communication skills — verbal, written, and interpersonal — with the ability to convey investigative findings clearly.
- A collaborative approach with strong relationship-building skills across teams and with external partners.
- High standards of ethics, integrity, and confidentiality.
- Ability to manage competing priorities, work independently, and meet deadlines in a fast-paced environment.
Perks of Being a Commonwell Crew Member
- Remote work environment
- Flexible Work arrangements
- Competitive Compensation Package
- Training and Development Opportunities
- Pension and savings programs
- Paid volunteer days
- Wellness and Recognition programs/Platforms
- Parental Leave Top-up
JOIN THE #Commonwell Crew! We saved you a spot!
About The Commonwell Mutual Insurance Group
We are committed to profitable growth, team development, ingenuity, while having fun at work. We offer a complete range of insurance products including residential, automobile, commercial, farm and watercraft. We encourage a work-life balance and we are serious about what we do!