fraud analyst

Zions Bancorporation

<div>ETO is committed to helping our employees grow, develop, and advance in their career. Our Workforce of the Future, DEI and UpSkilling initiatives allow you to network across the organization, volunteer in our community, and build your technical and soft skills. We believe that investing in your success and well-being is an investment in our customers and our business.
Together we are building a culture that values diversity, celebrates growth and creates a space of belonging for all our team members. Our people are what set us apart and make us great.
Zions Bancorporation is currently accepting applications for a Digital Banking Fraud Analyst. This position is in-office in Midvale, UT. The schedule will be Monday-Friday 9:00 am-6:00 pm MDT.
The ideal candidate for this position will have the skills and experience necessary to:<ul><li> Monitor and review the fraud risk, unique or highly complex exceptions generated from various fraud prevention systems, filters, and exception files.</li><li> Identify, prevent, and mitigate digital banking, mobile, electronic, and/or ACH banking fraud losses.</li><li> Conduct research and analysis, prepare management report, and make recommendations to senior officers.</li><li> Work through high volumes of potential alerts to confirm limited actual fraud events.</li><li> Research digital banking access logs to identify unauthorized access and/or transactions.</li><li> Assist digital banking customers with malware infected computers or other access devices.</li><li> Handle inbound and outbound fraud and malware related calls with customers and other financial institutions.</li><li> Perform other duties as assigned.</li></ul><div></div> 
The position also supports the implementation and daily operations of Zelle. Ensures smooth workflows, monitors transactions, and maintains compliance with network rules and regulations.
Key Responsibilities:<ul><li> Monitor Zelle transactions, review tokens, fraud, and disputes.</li><li> Track fraud trends, disputes, complaints.</li><li> Maintain documentation for procedures, fraud response, and dispute resolution.</li><li> Support fraud investigations and audit requests.</li><li> Provide research and analysis for Zelle-related projects.</li></ul> 
Qualifications:<ul><li> Requires a bachelor's degree in a related field and 2+ years of financial services experience with fraud and/or information security processes and procedures, preferably in an online banking fraud prevention, detection, and mitigation area.</li><li> A combination of education and experience may meet requirements.</li><li> Working knowledge of loss and fraud detection/prevention principles, compliance and regulatory issues related to the department and/or company.</li><li> Working knowledge of fraud and digital banking systems and detection tools.</li><li> Zelle-related experience.</li></ul><div></div><ul><li> 
 Demonstrates strong communication skills both written and verbal.</li><li> Possess skills needed to conduct client phone interviews to identify fraud/scams.</li><li> Knowledge and experience with root cause analysis.</li><li> Solid analytical, interpretive, and problem-solving skills.</li><li> Participate in process improvement idea generation.</li><li> Ability to use various software applications.</li><li> Works to meet tight deadlines to mitigate loss.</li></ul>
Benefits:<ul><li> Medical, Dental and Vision Insurance - START DAY ONE!</li><li> Life and Disability Insurance, Paid Parental Leave and Adoption Assistance</li><li> Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts</li><li> Paid Training, Paid Time Off (PTO) and 11 Paid Federal Holidays, and any applicable state holidays</li><li> 401(k) plan with company match, Profit Sharing, competitive compensation in line with work experience</li><li> Mental health benefits including coaching and therapy sessions</li><li> Tuition Reimbursement for qualifying employees enrolled in an accredited degree program related to the needs of the business, maximum of $5,250 per calendar year, employees are eligible for the program upon hire</li><li> Employee Ambassador preferred banking products</li></ul> 
Pay range (depending on experience): $23.00-$28.00</div>

Digital Banking Fraud Analyst (in-office) - Midvale, UT

Mashreq

<div>
 Job Purpose
 
 - Conduct thorough post-transaction reviews of suspected fraud cases (e.g., account takeover, identity misuse)
 
 
 - Analyze case-level data using basic SQL or visualization tools to identify emerging fraud trends and propose hypotheses for rule enhancements to the strategy team
 
 
 - Extract, summarize, and report on key fraud metrics including loss patterns, alert volumes, and operational bottlenecks through dashboards or scheduled reports
 
 
 - Maintain MIS for FP&amp;I for the bank as per regulatory and group standards.
 
 
 - Review and analyze system / data base logs of Mashreq Pakistan Systems for fraud cases.
 
 
 - Prepare Daily trends of various legs including but not limited to EFM Systems, Tickets etc.
 
 
 - Prepare Dashboards for EFM, ticketing systems, Transaction Monitoring to measure the associated risks.
 
 
 - Deep dive into key areas for process automation.
 
 
 - Analyze data for rule setting to minimize/mitigate fraud risk through effective utilization of fraud detection tools.
 
 
 - Be a back up for Transaction monitoring system for fraud detection when applicable.
 
 
 
 Key Result Areas
 
 - Implement Dashboards for daily trends for management visibility.
 
 - Profiling of accounts to abnormal activities for fixtures/changes in journeys/processes where applicable
 
 - Assist in fraud prevention &amp; detection measures to implement strategies.
 
 
 Knowledge, Skills and Experience
 
 - Bachelor 4 years, preferably in computer Science.
 
 - Proficient in data science &amp; machine learning.
 
 - 01 years of experience in fraud detection, risk management, payments, or a related field (preferably in fintech, banking, or e-commerce)
 
 - Able to write simple SQL queries or use dashboards (Power BI) to extract and interpret case-level analyses.
 
 - Strong analytical and investigative skills with attention to detail.
 
 - Understanding of regulatory requirements.
 
 - Ability to think critically and work efficiently in a fast-paced, high-growth environment
 
 - Excellent written and verbal communication skills
 
 - Comfortable working in a fast-paced, execution-driven environment
</div>

Fraud Analyst.FPI - MBP.Client Experience and Conduct Group-MBPKLTD

Intuit

<div><h2 class="jobSectionHeader">Overview</h2>
One out of every two small businesses fails within their first five years, most often due to running out of cash. QuickBooks Capital is on a mission to make a dent in that statistic, by providing small businesses access to the capital they need when they need it, leveraging the data inside QuickBooks for faster and better decisioning. This way, our customers never again have to worry about not making payroll or saying no to a business opportunity. That&rsquo;s how we power prosperity. 
 
QuickBooks Capital is a nimble and high-priority business unit within Intuit that is looking to reinvent small business borrowing. We are the fastest growing SMB lending business in the market. We are looking for top talent and team members that love new challenges, cracking tough problems and working cross-functionally. If you are looking to join a fast-paced, innovative and incredibly fun team, then we encourage you to apply. 
 
 As a key leader of the Credit Risk Management team for Intuit&rsquo;s business credit card product, this individual will be responsible for developing, optimizing and managing strategies for credit card underwriting, risk-based pricing, portfolio management, debt collections and loss forecasting. They will provide a strategic vision for growing product adoption by leveraging test and learn agendas, life time valuations based decisioning and risk prediction models. They will be responsible for developing and maintaining the credit policy for all stages of the product life cycle, and will be accountable for program performance. 
 
 They will lead a team of analysts to set analytical agendas by identifying business priorities, framing key risk questions, and translating them into clear analysis roadmaps for the team. They will identify business problems that require modeling solutions and collaborate heavily with the Data Science team in the development and deployment of risk and performance prediction models. They will be an active proponent of leveraging AI and automation in developing analytical insights, updating models and deploying strategy changes. 
 
This individual will effectively partner with multiple cross-functional teams to implement and monitor strategy changes across the card lifecycle. They will partner heavily with the marketing team to identify prospects from Intuit&rsquo;s vast customer base and drive customer acquisition efforts. This is a high visibility leadership role that presents an excellent opportunity to grow an analytical team through hiring, mentoring and developing talent. 
Responsibilities
Develop, implement and manage credit risk management strategies across customer targeting, underwriting, portfolio management, collections and drive overall card profitability
Leverage cashflow analyses and other business data of Intuit&rsquo;s Quick Books customers to enhance underwriting and overall risk management
Develop A/B tests to help understand credit risk/return tradeoffs using hypothesis testing frameworks
Develop monitoring frameworks and reporting on key performance indicators
Establish performance expectations and maintain accountability for variance with actuals
Partner with the Data Sciences team to develop and maintain models that predict multiple customer behaviors including default risk, utilization and profitability
Partner with Product, Engineering, Compliance, Marketing, Operations, Capital Markets and other functions to implement and monitor credit strategy changes
Proactively contribute innovative concepts for the creation of new financing products at Intuit 
Qualifications
Minimum 8 years of experience in credit risk analytics and risk management, with some people management experience 
 
Familiarity with risk scoring and modeling techniques including regression modeling, multivariate analyses and machine learning 
 
Familiarity with credit data such as bureau attributes and risk scores, cash flow attributes and alternate data sources 
 
Excellent analytical and problem-solving skills with a proven track record of converting analysis insights into business recommendations 
 
Exceptional verbal and written communication skills to effectively communicate complex ideas and influence senior audiences in decision making 
 
Proficiency with analytical packages and tools such as SQL, SAS, Python, R and Tableau
MS/PhD in quantitative fields such as Statistics, Mathematic, Finance, Economics, Operations Research. 
Intuit provides a competitive compensation package with a strong pay for performance rewards approach. This position may be eligible for a cash bonus, equity rewards and benefits, in accordance with our applicable plans and programs (see more about our compensation and benefits at Intuit&reg;: Careers | Benefits). Pay offered is based on factors such as job-related knowledge, skills, experience, and work location. To drive ongoing fair pay for employees, Intuit conducts regular comparisons across categories of ethnicity and gender. The expected base pay range for this position is: 
Mountain View $199,500 - $270,000
New York City $187,000 - $253,000</div>

Senior Staff Fraud Risk Analyst

Centene

<div>You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Please note: this is a remote role with preference on candidates located in Texas.
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.<ul><li>
Conduct investigations of potential waste, abuse, and fraud</li><li>
Document activity on each case and refer issues to the appropriate party</li><li>
Perform data mining and analysis to detect aberrancies and outliers in claims</li><li>
Develop new queries and reports to detect potential waste, abuse, and fraud</li><li>
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions</li><li>
Assist with complex allegations of healthcare fraud</li><li>
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies</li><li>
Complete various special projects and audits</li><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li></ul>
Education/Experience: 
Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required. 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required.
Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

SIU Investigator

ibex. Pakistan

<div>
 We are looking for a Fraud and Risk Agent to help monitor and review transactions for unusual or suspicious activity. You will investigate possible fraud, work with other teams to solve problems, and help improve how we prevent future issues.
 
 
 
 Qualifications
 
 
 
 <ul>
 <li>
 0-1 years of experience in fraud detection, risk management, payments, or a related field (preferably in fintech, banking, or e-commerce)
 </li>
 <li>
 Strong analytical and investigative skills with attention to detail
 </li>
 <li>
 Familiarity with fraud detection tools and/or internal case management systems (e.g, Salesforce)
 </li>
 <li>
 Understanding of regulatory requirements such as KYC/AML
 </li>
 <li>
 Ability to think critically and work efficiently in a fast-paced, high-growth environment
 </li>
 <li>
 Excellent written and verbal communication skills
 </li>
 <li>
 Willingness to work flexible hours, including weekends or holidays if needed
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Monitor real-time transactions for suspicious or high-risk activity using internal and third-party tools
 </li>
 <li>
 Investigate cases of potential fraud, account takeovers, identity theft, chargebacks, or other suspicious activity
 </li>
 <li>
 Analyze fraud trends and contribute to the development of rules and strategies to prevent financial loss
 </li>
 <li>
 Escalate complex or high-impact cases to senior risk analysts or internal teams
 </li>
 <li>
 Collaborate with customer support, compliance, engineering, and legal teams to improve processes and reduce fraud
 </li>
 <li>
 Prepare accurate and timely reports on fraud incidents, resolutions, and risk trends
 </li>
 <li>
 Maintain up-to-date knowledge of fraud typologies, regulations (e.g., KYC, AML), and industry best practices
 </li>
 <li>
 Respond to requests from payment processors or financial institutions related to fraud or disputes
 </li>
 <li>
 Recommend improvements to policies, workflows, and automation tools
 </li>
 </ul>
</div>

Fraud and Risk Agent

Plymouth Rock Assurance

<div>We are seeking a highly skilled and motivated candidate with specialized experience in NJ provider/PIP initiatives to join our team in order to assist with Major Case Investigation. The ideal candidate will have a strong background in identifying, investigating, and resolving complex cases of insurance fraud within the Personal Injury Protection (PIP) and healthcare provider space. Proficiency in investigative techniques, industry regulations, and PIP claim regulations is essential.

RESPONSIBILITIES
<ul>
<li>Lead and conduct comprehensive investigations into major fraud cases, including healthcare fraud, staged accidents, exaggerated injuries, and fraudulent billing practices related to PIP claims.</li>
<li>Analyze and review claims data to identify red flags, trends, and patterns indicative of fraudulent activity, particularly focusing on NJ provider claims.</li>
<li>Collaborate with internal teams, external stakeholders, and law enforcement agencies to gather evidence and build cases.</li>
<li>Interview witnesses, claimants, and providers as part of the investigative process, documenting findings thoroughly.</li>
<li>Provide detailed reports and recommendations on cases for potential legal action or denial of claims.</li>
<li>Stay current with NJ PIP regulations, fraud detection techniques, and industry best practices.</li>
<li>Work closely with legal, compliance, and claims teams to ensure that investigative findings align with company policies and regulatory requirements.</li>
<li>Provide testimony and expert witness support in legal proceedings when necessary.</li>
</ul>
QUALIFICATIONS
<ul>
<li>Minimum of 5 years of experience in insurance fraud investigation, with a focus on PIP claims and NJ provider networks.</li>
<li>Proven expertise in the detection, investigation, and resolution of complex fraud cases in the insurance or healthcare industry.</li>
<li>Strong understanding of New Jersey PIP laws, regulations, and claims processing.</li>
<li>Proficiency in utilizing investigative tools, claims management software, and fraud detection systems.</li>
<li>Excellent written and verbal communication skills, with the ability to present complex findings clearly and effectively.</li>
<li>Ability to work independently, manage multiple investigations simultaneously, and meet deadlines.</li>
<li>Strong analytical and problem-solving skills.</li>
<li>Bachelor's degree or equivalent experience in criminal justice, insurance, or a related field.</li>
</ul>
SALARY RANGE

The pay range for this position is $70,000 to $103,500 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.
PERKS &amp; BENEFITS
<ul>
<li>4 weeks accrued paid time off, 8 paid national holidays per year, and 2 floating holidays</li>
<li>Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)</li>
<li>Annual 401(k) Employer Contribution</li>
<li>Free onsite gym and health center at our Woodbridge Location
</li><li>Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
</li><li>Robust health and wellness program and fitness reimbursements</li>
<li>Various Paid Family leave options including Paid Parental Leave</li>
<li>Tuition Reimbursement
</li></ul>ABOUT THE COMPANY

The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of &ldquo;A-/Excellent&rdquo;.</div>

Claims Representative, SIU

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
This position can be work from home anywhere in the United States.
Position Summary
We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self-Funded investigations team.
In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA).
Key Responsibilities
<ul><li>Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.
</li><li>Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers.</li><li>
Research and prepare cases for clinical and legal review.</li><li>
Document all appropriate case activity in case tracking system.</li><li>
Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law.
</li><li>Facilitate the recovery of company and customer money lost as a result of fraud, waste and abuse.
</li><li>Cooperate with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud.
</li><li>Demonstrate high level of knowledge and expertise during interactions with internal and external partners.
</li><li>Provide trial testimony in support of criminal or civil proceedings.</li><li>
Give frequent presentations to internal and external customers regarding ongoing case investigations.</li><li>
Respond quickly and accurately to questions and leads from internal and external customers.</li><li>
Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations.
</li></ul>Required Qualifications<ul><li>
3-5 years investigative experience in the area of healthcare fraud, waste and abuse.</li><li>
Experience in in Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research.
</li><li>Ability to travel approximately 10% of time for business purposes.</li></ul>
Preferred Qualifications<ul><li>
Certified Professional Coder (CPC), AHFI, CFE
</li><li>Knowledge of CVS/Aetna's policies and procedures</li><li>
Understanding of self-funded insurance plan operations</li><li>
Strong communication and customer service skills and the ability to effectively interact with Aetna's customers</li><li>
Resident of North Carolina</li></ul>
Education<ul><li>
Bachelor's degree preferred or equivalent work experience.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. 
Additional details about available benefits are provided during the application process and on Benefits Moments. 
We anticipate the application window for this opening will close on: 07/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Senior Investigator, Special Investigations Unit (Aetna SIU)

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