Principal, Advanced Analytics - Internal Claims Fraud

Posted An Hour Ago
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Hiring Remotely in Remote, OR, USA
Remote or Hybrid
94K-176K Annually
Senior level
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Join us, and pursue your tomorrow, today.
The Role
Lead hypothesis-driven analyses of complex claims, payment, employee, and vendor data to detect fraud signals, generate investigator-ready leads, improve lead lifecycle, partner with investigations and modeling teams, and deliver actionable recommendations to reduce loss.
Summary Generated by Built In
Description
We're looking for an experienced, highly independent advanced analytics professional to join our Internal Claims Fraud Advanced Analytics team.
In this stakeholder-focused role, you will analyze complex claims data to identify fraud signals, develop investigator-ready leads, and uncover fraud patterns that protect the company from financial loss. You will partner directly with the Claims Fraud Investigation team and cross-functional operational, data, technology, and analytics teams to turn ambiguous business problems into structured analyses and actionable recommendations.
We are looking for someone who can independently determine the right analytical approach, distinguish signal from noise, challenge assumptions, and translate complex findings into decisions and actions. This is not a reporting or dashboard-development role.
Internal Claims Fraud Analytics is an evolving capability, giving you an exciting opportunity to shape our analytical roadmap, lead-generation approach, data foundation, and future fraud detection capabilities.
What You'll do
  • Lead complex claims fraud analyses by translating ambiguous investigative questions into clear hypotheses; leverage sound analytical methods to develop recommendations.
  • Conduct exploratory data analysis of claims, payment, employee, and vendor data to proactively identify suspicious patterns, anomalies, control gaps, and emerging fraud risks.
  • Improve the fraud lead-generation lifecycle from initial hypothesis development through signal development, validation, investigator handoff, outcome feedback, and iterative refinement.
  • Develop investigator-ready, comprehensive analyses, not just data pulls; helping stakeholders understand which leads to prioritize and why.
  • Partner closely with the Claims Fraud Investigation team to validate signals, improve lead efficacy, prioritize opportunities, and measure investigative outcomes.
  • Partner with Data Science Modeling and tech teams to translate key analytical findings, like fraud indicators, into model-ready inputs.
  • Independently manage multiple analytics priorities, proactively set expectations, surface tradeoffs, resolve roadblocks, and influence prioritization based on business value.
  • Synthesize complex analysis into concise, compelling recommendations and clearly communicate findings, implications, and tradeoffs to senior leaders.
  • Develop reusable datasets, queries, and documentation to strengthen team's data foundation and accelerate future analysis.

Why You'll love this role
  • Your work matters: Directly support fraud investigations and protect the company from financial loss.
  • You'll work in a dynamic, real-world environment: Claims fraud problems are complex and varied; great for someone who loves to learn new things and solve new problems.
  • You're empowered to improve how we operate: You have the freedom to influence and improve how we detect fraud, generate leads, enable investigators, and build scalable analytical capabilities for the future.

Requirements
  • Experience in fraud, investigative, risk, audit, SIU, or similarly hypothesis-driven analytics.
  • Experience analyzing claims data: navigate complex relationships across claims, exposures, payments, parties, employees, vendors, and other claims-related data.
  • Strong stakeholder orientation: actively listen, challenge and reframe requests when needed, establish clear objectives and expectations, facilitate working sessions, influence prioritization toward the highest-value opportunities.
  • Strong analytical judgment and intellectual curiosity: follow unexpected signals, challenge assumptions, determine whether an apparent anomaly represents meaningful risk.
  • Proven ability to independently lead complex analyses with limited direction, from initial problem framing through recommendation and implementation.
  • Ability to thrive in an ambiguous, evolving environment and help create structure, repeatability, and best practices as the capability matures.
  • Advanced SQL or SAS: complex joins, large datasets, multiple grains of data, query optimization, validation, and development of reusable analytical assets.

What success looks like
  • Be a trusted thought partner for our stakeholders. You think critically and holistically about the data/analysis that will best serve our stakeholders.
  • Our Internal Claims Fraud Investigator stakeholders receive clearer, faster insights that help them prioritize and progress fraud investigations.
  • You deliver meaningful better leads, better decisions, measurable outcomes and scalable capability (e.g., improved detection, reduced losses, smoother stakeholder experience).
  • You develop efficient and reusable queries, clear documentation, and repeatable approaches that the entire team can leverage.
Qualifications
  • Bachelor's Degree plus a minimum 5 years, typically 7 or more years, of related experience required; Mathematics, Economics, Statistics or other quantitative field are preferred fields of study.
  • Master's Degree preferred; advanced education may be substituted for years of experience (Ph.D. with no professional experience).
  • Deep knowledge of data sources, tools and business drivers.
  • Ability to apply advanced analytical concepts to improve business outcomes.
  • Ability to build analytic tools that will be used by business teams to analyze results and opportunities.
  • Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization, etc.), PowerPoint, and statistical software packages (SAS, Emblem).
  • Must have good planning, analytical, decision-making and communication skills.
  • Ability to present data, visually and verbally, to guide conversations with business managers.

About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
  • California
  • Los Angeles Incorporated
  • Los Angeles Unincorporated
  • Philadelphia
  • San Francisco

$94,000.00 - 176,000.00

Skills Required

  • Experience in fraud, investigative, risk, audit, SIU, or similarly hypothesis-driven analytics
  • Experience analyzing claims data including claims, exposures, payments, parties, employees, and vendors
  • Strong stakeholder orientation and ability to influence prioritization
  • Strong analytical judgment and intellectual curiosity
  • Proven ability to independently lead complex analyses from problem framing through recommendation and implementation
  • Ability to thrive in ambiguous, evolving environments and create repeatable best practices
  • Advanced SQL or SAS proficiency (complex joins, large datasets, query optimization, validation, reusable assets)
  • Bachelor's degree plus minimum 5 years (typically 7+) of related experience
  • Master's degree preferred (advanced education may substitute for years of experience)
  • Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization) and PowerPoint
  • Proficiency with statistical software packages (SAS, Emblem)
  • Ability to build analytic tools used by business teams
  • Strong planning, decision-making, communication, and presentation skills (visual and verbal)
  • Deep knowledge of data sources, tools, and business drivers

What the Team is Saying

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Liberty Mutual Insurance Compensation & Benefits Highlights

  • Parental & Family Support Paid bonding leave covers 8 weeks for all parents, with birth parents receiving up to 16 weeks at 100% pay, alongside substantial family‑building support such as up to $40,000 for adoption/surrogacy and fertility coverage up to $50,000 medical/$25,000 pharmacy.
  • Retirement Support The 401(k) structure includes a 100% match up to 5% each pay period plus an additional 3% year‑end contribution for eligible employees, and student‑loan payments can be matched in the same way as 401(k) contributions.
  • Healthcare Strength Comprehensive medical, dental, and vision offerings are paired with robust mental‑health resources, including an Employee Assistance Program and 12 free therapy sessions for employees and family members, with on‑site health centers in Boston and Plano.

Liberty Mutual Insurance Insights

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The Company
HQ: Boston, MA
40,000 Employees
Year Founded: 1912

What We Do

Liberty Mutual Insurance exists to help people embrace today and confidently pursue tomorrow. A Fortune 100 company and global leader in property and casualty insurance, we’ve spent over a century creating innovative products, services and technologies to meet the world’s ever-changing needs and make a difference for our customers and communities.

Why Work With Us

We offer the agility, work flexibility, project ownership and access to emerging tech you’d expect from a start-up — combined with the stability, resources and benefits that come from working at a leading Fortune 100 company. All in a welcoming, inclusive environment that values the unique insights, perspectives and backgrounds of each person.

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About our Teams

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Employees engage in a combination of remote and on-site work.

Typical time on-site: Flexible
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