Specialist, Claims & Fraud Operations

About the position

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. S/he performs 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. Time of shift - Monday-Friday: (12:00pm EST-9:00pm EST)

Responsibilities

• Analyzes current fraud trends and provide input into rules and parameters.
• 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).
• Develops and maintains Policy and Procedure Manuals.
• Develops registration & licensing documents, policy and procedure manuals, and other documentation as needed.
• Enters fraud cases in the case management system.
• Review fraud alerts involving Cards, ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third-party transfers, elder fraud, identity theft or other operations fraud issues.
• Reports suspicious activity as required by the Bank Secrecy Act.
• Research 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.

Requirements

• H.S. Diploma or equivalent work experience.
• 1-3 years of experience in loss prevention, fraud, regulatory compliance and fraud prevention or security area experience, preferably in financial services.
• Ability to analyze diverse information and develop strategy recommendations.
• Excellent customer service and communication skills, both verbal and written.
• Excellent organization skills.
• Knowledge and experience with root cause analysis.
• Proficient in MS Office Applications.
• Solid ability to multi-task.
• Solid analytical, interpretive, and problem-solving skills.
• Solid knowledge of department computer applications and systems.
• Working knowledge of fraud systems such as Lexus Nexus, Appian, PEP+ (desired-not mandatory).
• Working knowledge of loss and fraud detection/prevention principles, multiple fraud areas, compliance and regulatory issues related to the department and/or company.

Nice-to-haves

• Understanding of financial services industry and how organizations operate.
• Learns about and diligently follows established risk management policies, processes, and procedures.
• Always maintains professional behavior in representing the company.
• Responds promptly to customer inquiries.
• Takes responsibility for issues and, with assistance, works to find a solution.
• Works effectively in team settings.

Benefits

• Base Pay Range Minimum: $40,500.00 USD
• Base Pay Range Maximum: $64,000.00 USD