Job Description
Job Title: Fraud Investigator Location: Onsite in Pensacola, FL or Vienna, VA with option to work remote 1x/week. Pay Rate: Open to Both C2C and W2 options Position Type: Multiyear Contract Description - To identify, review, investigate fraud activity, claims/cases and risk exposures from various delivery channels.
- Review transactional activities, internal/external inquiries, and perform investigations to protect client and its members' financials and assets, and control and mitigate potential fraud loss.
- Ensure adherence to applicable federal and state laws, rules and regulations. Work is performed under close supervision.
- Perform basic/routine tasks requiring moderate analysis and solving problems of moderate complexity.
Responsibilities - Investigate various types of transactions/activities/cases (Check Fraud) including reported or alleged loss of assets from various business channels
- Respond to inquiries using various communication venues (including inbound telephone calls) to provide explanation for action taken in response to a specific alert or case
- Communicate with internal and external customers on fraud and security issues, problem resolution, account information and investigations
- Collect evidence and related documentation via available systems and methods; ensure chain of evidence/documentation is maintained in accordance with federal and state laws, rules, regulations, policies and procedures
- Review data gathered to substantiate/disqualify a loss claim or charge off, and escalate as needed
- Research public record databases to identify, analyze and verify information related to primary investigations, validation reviews, discrepancies associated with information provided, and assess potential fraud risk
- Create detailed reports of investigations to include actions taken and results
- Prepare and maintain data for analysis and reference
- Detect fraud trends, red flags and recommend preventive measures to business units and management
- Monitor timeline from identification/notification of fraudulent activity to closure ensuring service level agreements and regulatory requirements are met
- Collaborate with other business units to gain an understanding of transactions, processes and procedures, their impact on other business units’ processes and procedures, and identify risk potential for fraudulent activity
- Identify risk exposure/fraud activity, and recommend restorative/control action (e.g. ,freezing accounts, contacting/alerting members or appropriate internal/external security/financial personnel, adding restrictions or fraud alerts or holds to members' accounts)
- Determine if suspicious activities are caused by processing errors requiring corrections and/or recommending to management changes to business policies and/or processes to prevent reoccurrence
- Support projects related to fraud detection, prevention or root analysis
- Involved in driving continuous process improvement to increase member experience quality; reduce losses; minimize financial risk and maintain high operational efficiency
- Maintain knowledge of applicable federal and state laws, rules, regulations, and policies and procedures
- Perform other duties as assigned
Qualifications - Familiarity with applicable federal and state laws, rules and regulations (e.g., Bank Secrecy Act, USA Patriot Act, and OFAC regulations)
- Familiarity with fraud trends and threats
- Exposure to member/customer service, preferably in a financial institution or contact center
- Exposure to applying various analytical techniques used in determining and resolving fraud and identity theft in transactions and membership applications
- Exposure to working with all levels of staff, management, stakeholders, vendors
Desired - Familiarity with products, services, programs, policies, and procedures
- Basic skill managing multiple priorities independently and/or in a team environment to achieve goals
- Basic skill determining "Intent" and "No Intent" scenarios
- Basic skill in identifying and responding to Red Flags (e.g., Known Fraud Patterns, Check Image Details, Membership Specific Info, etc.)
- Basic skill assimilating information, analyzing facts, and developing logical conclusions
- Basic skill interpreting and synthesizing large amounts of information
- Basic skill exercising initiative and using good judgement to make sound decisions
- Basic skill identifying and analyzing business requirements and recommending solutions
- Basic organizational, planning and time management skills
- Basic investigative, research, analytical, and problem solving skills
- Basic skill following, interpreting, and applying relevant data/instructions to guidelines, procedures, practices, and regulations
- Effective active listening skills to accurately respond to inquiries and account requests
- Basic skill building relationships through rapport, trust, diplomacy and tact
- Basic skill to influence, negotiate, and persuade to reach agreeable exchange and positive outcomes
- Basic verbal and written communications skills
- Basic word processing, spreadsheet, and presentation software skills
Education - Associate's degree in Business Administration, Criminal Justice, Finance, or related field, or the equivalent combination of education, training, and experience
- Desired - Bachelor's degree in Business Administration, Criminal Justice, Finance, or related field
Ref: #850-Rockville (ALTA IT)
Job Tags
Contract work, Remote job,