Specialist, Fraud & Investigations - ALO, Money Out

Are you passionate about being part of a team that delivers extraordinary care to help individuals and businesses prepare for and protect their retirement? If so, then Nationwide Financial could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care.

Key Responsibilities:

• Investigate moderate to complex fraud cases across Annuity and Life Operations, identifying patterns and root causes.

• Recommend, implement, and monitor fraud prevention policies and controls to ensure effectiveness and compliance.

• Communicate case developments and findings to management, Legal, DRM, and other internal stakeholders.

• Represent Operations on cross-functional fraud-related committees and working groups.

• Provide proactive support to business partners, including data analysis, trend identification, training, and consultation to raise fraud awareness and prevention capabilities.

• Lead or support projects focused on continuous improvement, onboarding new fraud prevention tools, and evaluating/implementing enhanced fraud controls.

• Own and manage the ALO Fraud Prevention SharePoint site and dashboard, ensuring content is current and actionable.

• Stay current on industry fraud trends (e.g., deepfakes, account takeover, cybersecurity threats) through ongoing education, seminars, conferences, and company-sponsored training.

• Collaborate with IT, Risk, and Compliance teams to assess fraud risks related to new products, services, or operational changes.

• Prepare reports and metrics for senior leadership and regulatory bodies as needed.

Qualifications:

• Experience in fraud investigation, risk mitigation, or related fields.

• Strong analytical and communication skills.

• Ability to work independently and manage complex cases.

• Experience with Power BI and other tools used to collect real time data and develop reports is highly preferred.

• Familiarity with AML and fraud detection tools is a plus.

• Commitment to continuous learning and technical proficiency.

Join us in protecting our clients and business while shaping the future of fraud prevention in Operations.

This position will be hired on a SuccessFlex basis.

The hired associate must reside within 35 miles of the following location(s), or be willing to commute to the following location(s):

Ohio: 1000 Yard St, H Building, Grandview Heights, OH, 43212

Work schedule: 2 days in office, 3 days remote

It is our intention to fill this role in Grandview Heights, Ohio. However, on occasion, applications from internal candidates working remotely who bring critical industry skills and relevant experience may be considered.

This role does not qualify for employer-sponsored work authorization.  Nationwide does not participate in the Stem OPT Extension program.

Internal Compensation Grade: F3

#LI-LH1

#insurancefraud

#riskmitigation

#fraud

Job Description Summary

Are you passionate about protecting our customers and our company from fraud and its negative impacts? We are skilled investigators who use technology, data, and our investigative skills to identify fraud patterns and trends, proactively and reactively, and prevent wrongful, criminal actions aimed at Nationwide. If you are tenacious, naturally curious and adaptable to the constantly evolving investigative environment in which we work, we want to know more about you!
As a Specialist, you’ll be responsible for conducting comprehensive fraud investigations and providing fact-based analysis and educated recommendations to our business partners so they can mitigate any fraud risk or concern. Additionally, you’ll be responsible for partnering and consulting with business units and leaders to implement state of the art fraud detection and prevention capabilities to help protect members and the enterprise from fraudulent activity. You’ll be responsible for monitoring tools and reports designed to proactively detect suspicious activity and fraud techniques. In addition to the primary purpose of this job, individuals on this team are involved in various one time and/or ongoing projects as well as identifying opportunities for continuous improvement efforts.

Job Description

Key Responsibilities: 

• Investigates moderate to complex cases suspected of insurance fraud and other irregularities primarily involving Retirement Plans, Life Insurance, Annuities, and Nationwide Business Solutions Group (NBSG). Conducts complex investigations with minimal direction. May involve another level of expertise (e.g. Legal, Management, Cyber Security, etc). Ensures that assigned cases are investigated and reported back to the requesting party in a timely manner.

• Maintains assigned claims and referral files in a confidential manner; documents all relevant facts about files in the appropriate electronic handling system(s).

• Proactively provides support to business partners which may include, analyzing and trending information, consultation/training, and investigative changes/impacts leading to increased awareness.

• Supports various one time and/or ongoing projects that involve continuous improvement efforts, onboarding new fraud prevention tools/capabilities, and evaluating new fraud controls. 

• Keeps management advised of developments that impact fraud case results for assigned investigations.

• Responsible for monitoring and maintaining various tools, systems, and processes designed to proactively identify suspicious activity.

• Monitors communications and responds to general inquiries related to fraud and investigations.  Delivers clear, concise, and complete case resolution responses that include investigative details and recommendations.

• Monitors Anti Money Laundering (AML) and Fraud reports on a regular cadence to identify fraudulent “red flags” and AML activity.

• Maintains and pursues technical proficiency, including participating in continuing fraud education through fraud seminars and other company-sponsored courses.

• Delivers an outstanding customer service experience to all internal, external, current, and prospective customers. 

May perform other responsibilities as assigned.

Reporting Relationships:  Reports to Manager, Fraud & Investigations

Typical Skills and Experiences: 

Education:  Bachelor’s degree in criminal justice, business administration, or similar field preferred

License/Certification/Designation:  ACFE/CFE Preferred

Experience:  Three to five years of related experience in Financial Service/Insurance operations. Insurance investigation experience or professional investigation experienced preferred.

Knowledge, Abilities and Skills:   Demonstrated knowledge of current trends in fraudulent claims; specific “red flags,” “red flag events” and other criteria that indicate possible fraud; effective and appropriate methods for suspected fraudulent insurance acts investigation. Maintains current understanding of insurance and financial services industry, focusing on the Nationwide enterprise. Knowledge of industry-leading fraud detection and prevention tools.

Other criteria, including leadership skills, competencies and experiences may take precedence.

Staffing exceptions to the above must be approved by the hiring manager’s leader and HR Business Partner.

Values:  Regularly and consistently demonstrates Nationwide Values.

Job Conditions: 

Overtime Eligibility: Not Eligible (Exempt)

Working Conditions: Normal office environment.

ADA:  The above statements cover what are generally believed to be principal and essential functions of this job.  Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. 

We currently anticipate accepting applications until 10/20/2025. However, we encourage early submissions, as the posting may close sooner if a strong candidate slate is identified before the deadline.

Benefits

We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here.

Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.

This position could be filled within any of the lower 48 U.S. states.

Smoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247.

For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf

NOTE TO EMPLOYMENT AGENCIES:

We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.

The national salary range for Specialist, Fraud & Investigations - Financial Services : $70,000.00-$145,500.00

The expected starting salary range for Specialist, Fraud & Investigations - Financial Services : $78,000.00 - $117,000.00