The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or documentation which may include customer data and/or review for fraud/risk activities. Will be tasked with making decisions on disputed transactions and/or suspect activity flagged for investigative review. They perform other such duties as assigned including trouble shooting operational issues. The incumbent participates in projects requiring coordination with other teams. The Specialist, Claims & Fraud Operations manages competing priorities in an accurate and timely manner. Analyzes current fraud trends and provide input into rules and parameters. Develops and maintains Policy and Procedure Manuals. Develops registration & licensing documents, policy and procedure manuals, and other documentation as needed. Completes governmental reports such as SAR. Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third party transfers, elder fraud, identity theft or other operations fraud issues. Researches discrepancies, accumulate all necessary information and take appropriate action to stop, and where possible, prevent fraud and identity theft losses. Reviews daily reports for unauthorized share activity. Maintains case files and work with law enforcement agencies and internal departments. Enters fraud cases in the case management system. Reports suspicious activity as required by the Bank Secrecy Act. Assists in the preparation of filing bonded claims and un-bonded charge off recommendations. Conducts daily new business and member account and/or changed account review and due diligence actions in compliance with the USA Patriot Act Member Identification Program (MIP).
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Job Type
Full-time
Career Level
Entry Level
Education Level
Bachelor's degree
Number of Employees
5,001-10,000 employees