What are the responsibilities and job description for the FWA Analyst position at Continental General?
Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. Join our team to help make a difference in the lives of others!
About Continental General:
The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 100,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.
About the Role:
The FWA Analyst reviews and supports investigations under the guidance of the SIU Manager(s). The role involves analyzing data, managing investigative cases from identification to resolution, measuring impact, and completing necessary reporting.
Essential Job Responsibilities:
A FWA Analyst will:
Use company systems and tools to identify instances of fraud, waste, and abuse (FWA) through data analysis.
Under the guidance of the SIU Manager(s), identify and conduct thorough reviews of known or suspected fraud, waste, and abuse (FWA).
Maintain documentation to support findings, including formal reports, graphs, audit logs, and other relevant materials.
Contribute to the creation and delivery of training programs related to FWA.
Ensure compliance with all relevant laws, regulations, and company procedures.
Perform other duties as assigned.
Basic Requirements:
Bachelor’s degree or equivalent experience.
1 year experience with direct Anti-Fraud experience or 4 years of experience in the insurance industry focused in Operations, Claims, or New Business units.
Strong analytical abilities with a proven capacity to identify and systematically organize critical data.
Strong verbal and written communication skills.
Pass a pre-employment criminal background check and drug test.
Preferred Requirements:
Experience in Long-Term Care (LTC) and/or Life insurance.
Knowledge of HIPAA, data privacy, and data security practices
Certified Fraud Examiner (CFE), Certified AML [Anti-Money Laundering] and Fraud Professional (CAFP), or similar
Why Join Us?
Opportunity to collaborate across departments while supporting fraud, waste, and abuse investigations, contributing to a culture of integrity and compliance in a growing insurance organization.
Competitive salary and benefits
Collaborative and fast-paced work environment.
Professional development and growth opportunities within the insurance space.
Benefits:
Competitive Salary & Target Bonus Program
Retirement Savings – 401(k) with a company match
Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term & long-term disability, and life insurance.
Work-Life Balance – 20 days of PTO, 10 paid holidays, and paid volunteer time off.
Flexible Work Options & Perks – Hybrid and remote opportunities, wellness programs, and weekly paid lunch for onsite staff.
Health Savings & Flexible Spending Accounts – Includes a company match for HSAs.
