Teams at Emergent Holdings

Investigates suspected insurance fraud involving claims, providers, premium avoidance, and organized fraud schemes. The role assesses referrals, develops investigative plans, manages investigative vendors, analyzes records and intelligence, conducts interviews and field investigations, prepares reports, coordinates with law enforcement, supports regulatory compliance, and monitors cases through prosecution. Additional responsibilities include vendor billing review, restitution and recovery efforts, fraud training, presentations, quality assurance, trend analysis, and stakeholder relationship management.

The Guidewire Business Analyst gathers, validates, and documents business and functional requirements for insurance projects. The role translates requirements into specifications, user stories, acceptance criteria, workflows, data models, and system functionality. It coordinates with business, technical, operations, and project teams; supports Guidewire configuration, integration, testing, implementation, and go-live activities; manages project documentation and timelines; facilitates meetings; and serves as a subject matter expert within a SAFe Agile environment.

Identifies and evaluates delegated underwriting authority opportunities, conducts program administrator due diligence, assesses portfolio performance and risk, develops financial and profitability analyses, and prepares Program Assessment Reports for executive approval. Partners with underwriting and actuarial teams to validate assumptions, manage opportunity pipelines, and support implementation of approved insurance programs.