fraud detection specialist

Alliant Credit Union

<div><p>In this hybrid role based at our Chicago Headquarters, you will be responsible for reviewing and analyzing fraud alerts to mitigate fraud losses to Alliant Credit Union. Identify fraud patterns impacting member's deposit accounts.</p>
<p><b>
Essential Responsibilities</b></p>
<ul>
<li>Review customer accounts for the prevention and detection of possible fraud.</li>
<li>Research and analyze account activity to assess levels of risk and fraud.</li>
<li>Complete back-office functions related to research and resolution of fraudulent activity and service support.</li>
<li>Assess the level of risk and make decisions which directly impact the customer experience and risk to Alliant Credit Union.</li>
<li>Utilize case management system or processes to manage individual case load, document and archive assigned cases from case origination through resolution, and accurately articulate the circumstances and events of the investigation.</li>
<li>Provide phone support to call center and members on fraud matters.</li>
<li>Assist with updating departmental procedures.</li>
</ul>
<p><b>Education &amp; </b>Years of Experience</p>
<ul>
<li>Minimum - High School or Equivalent</li>
<li>Preferred- 4 Year Bachelors Degree in Business, Finance or Related</li>
</ul><ul><li>Minimum - 2 Years Fraud or Related</li>
<li>Preferred - 3 Years Fraud</li></ul><br>
<p></p>
<p><b>
Compensation &amp; Benefits:</b></p>
<p><b>
Typical hiring range:&rlm;&rlm;&lrm;</b> &lrm; $46,100.00 to $65,300.00&lrm; Annually. Actual compensation will be determined using factors such as experience, skills &amp; knowledge.</p>
<p>
&lrm;<b>Benefits:</b> Alliant provides a benefits package including health care, vision, dental, and 401k with employer match including:</p>
<ul>
<li>Annual performance bonus</li>
<li>Work from home up to 3 days a week</li>
<li>Paid parental leave</li>
<li>Employee discount programs</li>
<li>Time off including paid personal and sick days</li>
<li>11 paid holidays</li>
<li>Education reimbursement</li>
</ul>
<ul><li><i>Note that eligibility and cost of benefits can vary depending on the number of regularly scheduled hours, and job status such as regular full-time, regular part-time, or temporary employment.</i></li></ul><br>
<p></p>
<p><i>
Adhere to and ensure compliance of all business transactions with policy and process of the Bank Secrecy Act. Ensures compliance with all applicable state and federal laws, company procedures and policies. Maintains integrity and ethics in all actions and conversations with or regarding credit union members and their accounts; complies with Privacy Act directives.</i></p>
<p><i>
The responsibilities listed do not contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this position. Duties, responsibilities and activities may change at any time with or without notice.</i></p></div>

Associate Fraud Risk Analyst

L.A. Care Health Plan

<div></div><div><div><div><div><div><div><div><p>Special Investigation Unit Investigator III
</p></div></div></div></div><div><div><div><div><b>Job Category: </b>Administrative, HR, Business Professionals
</div></div></div></div><div><div><div><div><b>Department: </b>Special Investigations Unit
</div></div></div></div><div><div><div><div><b>Location:
</b>Los Angeles, CA, US, 90017
</div></div></div></div><div><div><div><div><b>Position Type: </b>Full Time
</div></div></div></div><div><div><div><div><b>Requisition ID: </b>13060
</div></div></div></div><div><div><div><div><div><b>Salary Range:</b> $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)</div><br>
<div></div>
<div>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation&rsquo;s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br>
<br>
Mission: L.A. Care&rsquo;s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br>
</div><div><div><div><div>Job Summary</div>
</div><div><p>
The Special Investigation Unit Investigator III performs in-depth evaluation of potential fraud &amp; abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for fraud, waste &amp; abuse. In addition, this position is responsible for building the investigative approach and provide leadership for Investigators through mentoring, on-site audit leadership and hands-on training of investigative techniques.</p><br>
<p></p>
<div>Responsible for in-depth investigations requiring subject matter expertise for suspected provider, pharmacy, employer or member fraud or abuse across all products at L.A. Care Health Plan. Ensures adherence to L.A. Care's policies and procedures for its various product offerings. Conducts investigation-related training. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.</div>
</div></div><div><div><div>
Duties</div>
</div><div><p>
Investigates allegations and complex issues pertaining to potential health care fraud by providers or members. Makes potential fraud &amp; abuse determinations by utilizing a variety of sources including data analytics to detect unusual billing. Proactively seeks out and develops leads received from fraud tips and any variety of sources (e.g., fraud alerts, media) and initiates appropriate action. Writes comprehensive investigatory/fact-finding reports and summaries documenting interviews and findings. Reviews information contained in standard claims processing system files (e.g. claims history, provider files) to determine provider billing patterns and detect potential fraudulent or abusive billing practices or vulnerabilities in Medi-Cal/Medicare policies and initiates appropriate action. This position is a leader at onsite audits as assigned in conjunction with investigation development. Completes investigations after referrals to law enforcement (Department of Health Care Services (DHCS), Centers for Medicare &amp; Medicaid Services (CMS), Department of Justice (DOJ) or local police). Participates at hearings/appeals and can testify as a witness in court proceedings. Initiates the process with L.A. Care&rsquo;s Recovery Services for recoupment of overpaid monies.</p><br>
<p></p>
<p>Submits referrals of suspected fraud cases within mandated period of time as required by DHCS and CMS. Prepares and submits investigative report documenting all phases of an investigation. Compiles and maintains various documentation and other reporting requirements while following all confidentiality and security guidelines. Maintains cases referred to law enforcement and responds to requests for information; pursues applicable administrative actions during investigation/case development.</p><br>
<p></p><div>Participates in industry meetings/trainings and is able to effectively share and gather significant information. Develops and maintains strong working relationships with associates and regulators including DHCS, DOJ the FBI, Local Law Enforcement, Prosecutors, etc. Continually enhances investigative skills and understanding of emerging issues and trends impacting the industry.</div><br>
<div></div><p>Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project&rsquo;s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.</p><br>
<div></div>
<div>Perform other duties as assigned.</div>
</div></div><div><div><div>
Duties Continued</div>
</div></div><div></div><div><div><div>Education Required</div>
</div><div><div>Bachelor's Degree in Criminal Justice or Related Field</div><div>
In lieu of degree, equivalent education and/or experience may be considered.</div></div></div><div><div><div>
Education Preferred</div>
</div><div><div>Master's Degree in Criminal Justice or Related Field</div></div></div><div><div><div>
Experience</div>
</div><div><div><b>
Required:</b></div>
<p>Minimum of 5 years of experience in healthcare fraud investigation/detection and/or healthcare related specialty including but not limited to; Pharmacy, DME, Mental Health, Behavioral Health, Hospice, Home Health, Dental etc.</p>
<p>Experience conducting fact-finding interviews or investigations to gather information and draw conclusions from various accounts and versions of the same event.</p><br>
<p></p>
<p>Experience managing large amounts of data including pivot tables, complex calculations, and ability to perform comparisons across multiple large data sets</p><br>
<p></p>
<p><b>Preferred:
</b></p><div>Diverse experience as subject matter expert (SME) with multiple specialties including: Pharmacy, DME, Mental Health, Behavioral Health, Hospice, Home Health, Dental etc.</div>
</div></div><div><div><div>
Skills</div></div><div><div><br>
<b>Required:</b><br>
Excellent research skills and the ability to support conclusions with documentary evidence.</div><br>
<div></div>
<div>Excellent analytical, problem solving, and resolution skills and the ability to discern the practical application of regulatory and legal requirements.</div><br>
<div></div>
<div>Demonstrated strong organizational skills and the ability to manage multiple demands and priorities.</div><br>
<div></div>
<div>Excellent and effective communication skills, both verbal and written.</div><br>
<div></div>
<div>Proficient computer skills, including computer applications such as MS Word and Excel.</div><br>
<div></div>
<div>Understanding of the vital importance of commitment to excellence and demonstrating a high regard for organizational values.</div><br>
<div></div>
<div>Ability to maintain in-depth working knowledge of fraud investigation techniques and mentor less experienced team members.</div><br>
<div></div>
<div><b>Preferred:
</b></div><div>Proficiency with Access.</div>
</div></div><div><div><div>
Licenses/Certifications Required</div>
</div></div><div></div><div><div><div>Licenses/Certifications Preferred</div>
</div><div><div>Accredited Health Care Fraud Investigator (AHFI)</div><div>
Certified Fraud Examiner (CFE)</div><div>
Certified Professional Coder (CPC) designation by the American Academy of Professional Coders</div></div></div><div><div><div>
Required Training</div>
</div></div><div></div><div><div><div>Physical Requirements</div>
</div><div><div>Light</div></div></div><div><div><div>
Additional Information</div>
</div></div></div><div></div><div><b>
Salary Range Disclaimer:</b> The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.</div><br>
<div></div>
<div><b>L.A. Care offers a wide range of benefits including</b></div>
<ul><li>Paid Time Off (PTO)</li>
<li>Tuition Reimbursement</li>
<li>Retirement Plans</li>
<li>Medical, Dental and Vision</li>
<li>Wellness Program</li>
<li>Volunteer Time Off (VTO)</li></ul><div><br>
</div></div></div></div></div><p><br>
<b>Nearest Major Market: </b>Los Angeles
<br>
<b>Job Segment: </b>Medical Coding, Pharmacy, Behavioral Health, Clinic, Hospice, Healthcare</p></div></div></div><div></div>

Special Investigation Unit Investigator III

Wells Fargo

<div><b>About this role:</b><br>
<br>
Wells Fargo is seeking a Fraud &amp; Claims Operations Representative in Detection Operations as part of Fraud &amp; Claims Management. Learn more about the career areas and business divisions at wellsfargojobs.com
<br>
<br>
<b>In this role, you will:</b><ul><li>
Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity</li><li>
Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim</li><li>
Oversee multiple claim types, take appropriate action to decision the case using multiple systems and applications, and may contact third parties for research, as needed</li><li>
Receive direction from supervisor and escalate questions or issues</li><li>
Interact with immediate team and functional area on wider range of information, plus internal or external customers</li></ul><b>
Required Qualifications:</b><ul><li>
1+ year of customer service support experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education</li></ul><b>
Desired Qualifications:</b><ul><li>
Customer service focus with the ability to listen to customer needs and recommend solutions</li><li>
Call center customer service experience in the financial services industry</li><li>
Ability to navigate multiple computer system windows, applications, and utilize search tools to find information</li><li>
Banking industry experience</li><li>
Check negotiability experience</li><li>
Bilingual speaking proficiency in Spanish/English</li><li>
Excellent verbal, written, and interpersonal communication skills</li><li>
Ability to perform in a fast-paced and high-pressure phone queue environment</li><li>
Outstanding problem solving and decision-making skills</li><li>
Basic Microsoft Office (Word, Excel, and Outlook) skills</li></ul><b>
Job Expectations:</b><ul><li>
7 weeks paid Training. Must be able to attend full duration of required training period</li><li>
Ability to work additional hours as needed</li><li>
Must work on-site at the location posted</li></ul><b>
Post-Training Work Schedule:</b><ul><li>
Schedules will be assigned after an offer is extended and will fall within the hours of operation.</li><li>
Hours of Operation: Monday - Friday 5am - 5pm; Saturday 6:00am - 3pm (AZ time).</li><li>
Schedules are based on business needs and may includes working Saturdays and some holidays.</li></ul><b>
Location:</b>
<ul><li>2850 S Price Rd, Chandler, AZ 85286</li></ul><b>
Posting End Date:</b>
<br>
13 May 2026<br>
<b>*Job posting may come down early due to volume of applicants.</b>
<br>
<br>
<b>We Value Equal Opportunity</b><br>
<br>
Wells Fargo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.<br>
<br>
Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance program requirements.<br>
<br>
Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process.<br>
<br>
<b>Applicants with Disabilities</b><br>
<br>
To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo .<br>
<br>
<b>Drug and Alcohol Policy</b><br>
<br>
Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy to learn more.<br>
<br>
<b>Wells Fargo Recruitment and Hiring Requirements:</b><br>
<br>
a. Third-Party recordings are prohibited unless authorized by Wells Fargo.<br>
<br>
b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.</div>

Fraud & Claims Operations Representative- TFS/PCC

Old National Bank

<div>Overview:
<div>
Old National Bank has been serving clients and communities since 1834. With over $70 billion in total assets, we are a regional powerhouse deeply rooted in the communities we serve. As a trusted partner, we thrive on helping our clients achieve their goals and dreams, and we are committed to social responsibility and investing in our communities through volunteering and charitable giving.</div><div></div><div><i><br>
We continually seek highly motivated and talented individuals as our people are critical to our success. In return, we offer competitive compensation with our salary and incentive program, in addition to medical, dental, and vision insurance. 401K, continuing education opportunities and an employee assistance program are also included in our benefit suite. Old National also offers a variety of </i><i>Impact Network Groups</i><i> led by team members who are passionate about driving engagement, creating awareness of diverse backgrounds and experiences, and building inclusion across the organization. We offer a unique opportunity to join a growing, community and client-focused company that is firmly rooted in its core values.</i></div>
Responsibilities:
<p><b>
Position</b><b> </b><b>Summary</b></p><p>
Old National Bank has an outstanding opportunity in its dynamic Risk Management Department for a Fraud Investigator. The Fraud Investigator at Old National Bank will be responsible for investigating assigned cases relating to deposit account fraud, loan fraud, theft, embezzlement, and other suspicious activity. The Fraud Investigator will support the activities of the corporation&rsquo;s operating units and branch locations as a consultative resource responding to questions and inquiries. Further, the Fraud Investigator will perform research and verify the accuracy of information regarding cases or future prevention measures. This position will comply with all state and federal rules, regulations and laws while utilizing sound judgment and the highest degree of confidentiality.</p><div><b>
Salary Range</b></div><div>
The salary range for this position is $51,700.00/Yr. - $101,500.00/Yr.. The base salary indicated for this position reflects the compensation range applicable to all levels of the role across the United States. Actual salary offers within this range may vary based on a number of factors, including the specific responsibilities of the position, the candidate&rsquo;s relevant skills and professional experience, educational qualifications, and geographic location.</div><div></div><p><b><br>
Key Accountabilities</b></p><div><b>
Key Accountability 1:</b><b> </b>Research and investigate suspicious activity and cases.</div><br>
<div></div><ul><li>
Utilizing a variety of reports, review and investigate suspicious activity.</li><li>
Investigate assigned cases at various risk levels as an expert analyst and interviewer.</li></ul><div></div><p><b><br>
Key Accountability</b><b> </b><b>2:</b><b> </b>Comply with all state and federal rules, regulations and laws.</p><ul><li>
Ensure that all investigations are handled in an efficient and timely manner to meet all regulatory guidelines and requirements.</li><li>
Represent the corporation to local, state, and federal law enforcement agencies as needed.</li><li>
Maintain a role in the preparation of Suspicious Activity Reports and provide supporting documentation with the filing requirements of FinCEN.</li></ul><div></div><p><b><br>
Key Accountability 3:</b> Serve as a consultative resource for the bank&rsquo;s banking center locations and corporate operating units.</p><ul><li>
Serve as the point of contact and educational resource for fraud related questions and inquiries.</li></ul><div></div><p><b><br>
Key Competencies for Position</b></p><p><b>
Strategy in Action &ndash;</b> <i>Build your strategic mindset capability</i><i>.</i></p><ul><li>
Breaks down larger goals into smaller achievable goals and communicates how they are contributing to the broader goal.</li><li>
Actively seeks to understand factors and trends that may influence role. Anticipates risk and develop contingency plans to manage risks.</li><li>
Identified opportunities for improvement and seeks insights from other sources to generate potential solutions. Aligns activities to meet individual, team and organizational goals.</li></ul><div></div><p><b><br>
Compelling Communication &ndash;</b><b> </b><i>Openly and effectively</i><i> </i><i>communicates</i><i> </i><i>with others.</i></p><ul><li>
Effectively and transparently shares information and ideas with others.</li><li>
Tailors the delivery of communication in a way that engages the audience and that is easy to understand and retain.</li><li>
Unites others towards common goal.</li><li>
Asks for others' opinions and ideas and listens actively to gain their support when clarifying expectations, agreeing on a solution and checking for satisfaction.</li></ul><div></div><div><b><br>
Makes Decisions &amp; Solves Problems &ndash;</b><b> </b><i>Seeks deeper understanding and takes action</i><i>.</i></div><br>
<div></div><ul><li>
Takes ownership of the problem while collaborating with others on a resolution with an appropriate level of urgency.</li><li>
Collaborates and seeks to understands the root causes of problems.</li><li>
Evaluates the implications of new information or events and recommends solutions using decisions that are sound based on what is known at the time.</li><li>
Takes action that is consistent with available facts, constraints and probable consequences.</li></ul><div></div><p><b><br>
Delights Clients &ndash;</b><b> </b><i>Continuously</i><i> </i><i>seeks</i><i> </i><i>and applies knowledge leading to a best-in-class client experience.</i></p><ul><li>
Passionately serves internal/external clients with excellence.</li><li>
Maintains a growth mindset staying current with developments and trends in areas of expertise influencing client satisfaction both internally and externally.</li><li>
Understands data, metrics and/or financial information, and how they tie to client satisfaction and business outcomes related to position, client and/or team.</li><li>
Nurtures client relationships by listening, prioritizing, and acting responsibly to meet client needs, mitigate risk and add shareholder value.</li></ul><div></div><p><b><br>
Q</b><b>ualifications and Education Requirements</b></p><ul><li>
Bachelor&rsquo;s degree in business, accounting or law enforcement or equivalent experience.</li><li>
Years of experience will determine the level of the position. Minimum of 3 years in financial institution fraud investigation, financial crimes law enforcement or other related fields or be a subject matter expert in retail banking, lending, wealth management, operations or technology.</li><li>
Strong to advanced investigative, analytic and decision-making skills</li><li>
Problem solving skills with the ability to define problems and propose solutions.</li><li>
Must have strong interpersonal skills, business writing skills and expertise as well as verbal communication skills.</li><li>
Strong time management skills and ability to complete multiple projects simultaneously.</li></ul><div></div><p><b><br>
Key Measures of Success/Key Deliverables:</b></p><ul><li>
Works independently and follows procedures and job aids.</li><li>
Maintains an error ratio of 85% or better after six months in the position for all cases.</li><li>
Sets priorities for daily work related to escalations and case work, completing cases timely according to procedures.</li><li>
Communicates effectively with internal and external customers in a timely manner.</li></ul><div></div><div><b><br>
Old National is proud to be an equal opportunity employer focused on fostering an inclusive workplace and committed to hiring a workforce comprised of diverse backgrounds, cultures and thinking styles.</b></div><div></div><div><br>
As such, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, status as a qualified individual with disability, sexual orientation, gender identity or any other characteristic protected by law.</div><div></div><div><i><br>
We do not accept resumes from external staffing agencies or independent recruiters for any of our openings unless we have an agreement signed by the Director of Talent Acquisition, SVP, to fill a specific position.</i></div><div></div><p><b><i><br>
Our culture is firmly rooted in our core values.</i></b></p><p><b><i>
We are optimistic. We are collaborative. We are inclusive. We are agile. We are ethical.</i></b></p><p><b><i>
We are Old National Bank. Join our team!</i></b></p></div>

Fraud Investigator II

Sumitomo Group

<div><p>SMBC Group is a top-tier global financial group. Headquartered in Tokyo and with a 400-year history, SMBC Group offers a diverse range of financial services, including banking, leasing, securities, credit cards, and consumer finance. The Group has more than 130 offices and 80,000 employees worldwide in nearly 40 countries. Sumitomo Mitsui Financial Group, Inc. (SMFG) is the holding company of SMBC Group, which is one of the three largest banking groups in Japan. SMFG&rsquo;s shares trade on the Tokyo, Nagoya, and New York (NYSE: SMFG) stock exchanges.</p><p></p><p><br>
In the Americas, SMBC Group has a presence in the US, Canada, Mexico, Brazil, Chile, Colombia, and Peru. Backed by the capital strength of SMBC Group and the value of its relationships in Asia, the Group offers a range of commercial and investment banking services to its corporate, institutional, and municipal clients. It connects a diverse client base to local markets and the organization&rsquo;s extensive global network. The Group&rsquo;s operating companies in the Americas include Sumitomo Mitsui Banking Corp. (SMBC), SMBC Nikko Securities America, Inc., SMBC Capital Markets, Inc., SMBC MANUBANK, JRI America, Inc., SMBC Leasing and Finance, Inc., Banco Sumitomo Mitsui Brasileiro S.A., and Sumitomo Mitsui Finance and Leasing Co., Ltd.</p><div><div><div><h2 class="jobSectionHeader"><b>
Role Description</b></h2></div><div><p>
Within the Business Control Department America&rsquo;s Division &ndash; Anti Fraud Operations (&quot;BCDAD Anti-Fraud Operations&quot;) is responsible for the first-level disposition of potential fraud transaction screening. The team monitors corporate bank accounts, financial transactions, money transfer (CHIPS, FED, SWIFT and ACH) historical activity, Cash Management Services (CMS) account records, and other financial data to analyze identify potentially fraudulent activity. In addition, the team supports the maintenance of NICE Actimize Integrated Fraud Management (IFM-X) solution transaction policy rules and scoring to improve efficiency and effectiveness of the system. The Analyst follows established guidelines and procedures to identify and resolve problems and alerts. Individuals are expected to contribute to workflow, process change redesign, and to form a strong basic understanding of the specific process. The position will not typically have a formal management role.</p><p></p><p><br>
The Analyst&rsquo;s primary focus is on execution within defined policies and procedures guidelines, with some expansion based on developing capabilities and experiences, in partnership with more experienced staff. He/she may act as a subject matter expert (SME) in projects relating to tools utilized by the team. The position may lead a working group and train others or be an independent contributor. This position provides a first and second-level review on fraud related transactions. The team member may be involved in formulating metrics, drafting training materials and procedures, perform quality control assessments, briefing findings, conducting tests in the UAT/REL environment, and escalating issues involving complex transactions to next level of management.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Responsibilities</b></h2></div><div><ul><li>
The analyst is responsible to monitor bank accounts, financial transactions, money transfer (CHIPS, FED, SWIFT and ACH) historical activity, CMS account activity, and other financial data to identify any potentially fraudulent activity. The analyst will analyze the day-to-day transaction flow of Wires and ACH&rsquo;s for fraudulent activity.</li><li>
Research of prior payment history to ascertain if new transactions are low risk. Maintain requisite system access and permissions in the performance of transactional research duties.</li><li>
Disposition of fraudulent alert transactions within the NICE Actimize IFM-X software based on a scoring and rules-based model. Conduct further escalation when required, and canceling transactions from further processing when identifying fraud; approving transactions confirmed non-fraud after completing account research or customer confirmation.</li><li>
Work with internal bank departments to place some alerted transactions into repair or Reject/Cancel protocols when errors are discovered in various payment fields.</li><li>
Interact with bank relationship managers, internal departments, and customers via recorded call-backs to validate information to properly disposition alerts. Utilize an updated anti-fraud script designed to ascertain how remittance change instructions were received by the customer. Document key interactions with entities in the NICE Actimize IFM-X software.</li><li>
Provides first or second-level review (4-eye review) and due diligence on transactions pertaining to fraud alerts. Record decision-making on all alerted transactions referred for manual review.</li><li>
Escalate confirmed fraud events to 1st line of defense personnel (Anti-Fraud Governance) including senior management, and other bank entities.</li><li>
Conduct end-of-day reporting for operations and routinely track report reconciliation between CMS and Actimize.</li><li>
Document ongoing system performance and anomalies discovered after significant change management or during normal operations.</li><li>
Employee will recommend changes to Anti-Fraud Operations procedures manual and local job aid, assist in the preparation of training materials, and perform control assessments.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Qualifications and Skills</b></h2></div><div><ul><li>
0 to 2 years&rsquo; work experience in Financial Services, Compliance, Payment System or Money Transfer preferred.</li><li>
BA/BS (or equivalent experience)</li><li>
Association of Certified Fraud Examiners (ACFE) or equivalent certifications preferred.</li><li>
Basic knowledge of fraud.</li><li>
Experience and knowledge of Actimize IFM-X is a plus.</li><li>
Functional level knowledge of banking policies, statutory and compliance regulations.</li><li>
Sense of urgency, accuracy, and accountability; responsive to time-sensitive needs.</li><li>
Flexibility to meet the demands of a constantly changing environment.</li><li>
Strong data analytical skills and the ability to make conclusions based on findings.</li><li>
Good attention to detail; will need to examine transaction data and records to detect and trace fraudulent activity.</li><li>
Solid interpersonal skills, and ability to make formal presentations.</li><li>
Experience working with Powerpoint, and Microsoft Outlook/Teams.</li><li>
Routine use of Excel spreadsheets including familiarity with formulas, calculations, and formatting. Experience with VLOOKUP, pie charts, and pivot tables is a plus.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Additional Requirements</b></h2></div></div></div><div></div><p>
SMBC&rsquo;s employees participate in a Hybrid workforce model that provides employees with an opportunity to work from home, as well as, from an SMBC office. SMBC requires that employees live within a reasonable commuting distance of their office location. Prospective candidates will learn more about their specific hybrid work schedule during their interview process. Hybrid work may not be permitted for certain roles, including, for example, certain FINRA-registered roles for which in-office attendance for the entire workweek is required.</p><p></p><p><br>
SMBC provides reasonable accommodations during candidacy for applicants with disabilities consistent with applicable federal, state, and local law. If you need a reasonable accommodation during the application process, please let us know at accommodations@smbcgroup.com.</p></div>

Anti-Fraud Operations Analyst

bunq

<div>
 We&rsquo;re all about giving our users a smooth, worry-free banking experience while keeping their money safe from fraudsters 🛡️ As a Fraud Ops Analyst, you&rsquo;ll be the go-to person for spotting any suspicious activity, protecting users at every stage, and making sure we stay compliant with all the rules.
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 You&rsquo;ll handle everything related to fraud cases, take charge of tricky situations, and come up with smart ideas to make our processes even better for a safer and smoother banking experience.
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  Take Ownership
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   Become a detective in fraud prevention, using your in-depth investigation and problem-solving skills to protect our users from suspicious activity 🕵️&zwj;&male;️
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   Keep an eye out for potential risks, using your knowledge of fraud monitoring and prevention to stay one step ahead
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   Bring empathy and effective communication into every interaction to provide the best support possible
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   You thrive working during night hours and can stay productive and focused from 23:00 to 08:00 Amsterdam time.
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   You have knowledge of fraud monitoring and prevention
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   You speak English fluently and have strong communication skills, while showing empathy
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   You're a problem solving enthusiast, and can prioritize your work when needed
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   You thrill at leading thorough investigations, using your attention to detail for efficient resolution
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   You already have a advantage if you're familiar with the financial/banking sector, and if terms like KYC, KYB, payment and compliance operations ring a bell
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   Your expertise in KYC and PayOps, as these will be strong advantages when tackling fraud cases and improving our processes will be a plus.
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  Your space to perform
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 We give you the space and the tools you need to succeed:
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 🤟 Great, international colleagues, who share your mindset
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 👩&zwj;💻 Hybrid setup: after 3 months in-office, work 2 days remote, 3 days in-office weekly
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 📚 We support growth with bunq Academy and &euro;1500 annual learning budget
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 🚴&zwj;&female;️ A Multisport gym card for your health and wellbeing (in Turkey)
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 🇧🇬 Flex Benefits: &euro;70 monthly budget via Re: benefit, offering access to 150+ perks tailored to your lifestyle in Bulgaria
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 🚌 Travel expenses are covered whether you come walking or by bike, bus or car (though we prefer green choices 🌳) (In Turkey)
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 🧳 Digital Nomad Program: After your first year, enjoy up to 20 days per year to work while traveling, combining flexibility with strong team collaboration
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 🚀 We reward tenure with a dedicated travel budget: &euro;1.5k after 2 years and &euro;3k after 4 years to visit another core office
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 💻 A MacBook so you can Get Shit Done with us
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 🥦 Delicious lunches from our fabulous in-house chefs with vegan and vegetarian options
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 ⚕️ Private health insurance, just in case
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 💸 Monthly contribution to your phone and internet bills (in Turkey)
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 🍻 Friday drinks and other celebrations - bunq style
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Fraud Ops Analyst - Night shift

Aircall

<p></p><div><div><p><div><div><div><b>Remote NY</b></div><div><b>Customer Experience &ndash; 14003 - Support Ops /</b></div><div><b>Permanent Full Time Employee /</b></div><div><b>Remote</b></div></div></div></p></div><p></p><div><div><div><br>
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We are seeking a dedicated and detail-oriented Senior Fraud Operations Specialist to join our Fraud Ops team. In this senior role, you will lead complex fraud investigations and drive data-informed decisions that directly protect Aircall's services and customers.</div><div><br>
Reporting to our Fraud Operations Manager, you will also be a key escalation point for the team and help define and shape processes related to fraud prevention and detection.</div>
</div></div><div><div><h3 class="jobSectionHeader"><b>
Key Responsibilities:
</b></h3><div><div><div><ul><li><p>Diligently investigate and resolve complex, high-impact fraud cases originating from internal teams (Engineering, Sales, Success, Billing Support, Number Operations) and carrier partners, applying strong analytical judgment and clear documentation</p>
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<li><p>Handle complex escalations and take difficult final decisions with direct business impact, ensuring every decision is thoroughly documented and backed by data</p>
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<li><p>Conduct advanced data analysis using tools such as Looker, Datadog, SQL, HEX and similar platforms to identify emerging fraud patterns, quantify risk and support data-driven decisions</p>
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<li><p>Review and assess KYC (Know Your Customer) and KYB (Know Your Business) documentation to evaluate customer risk profiles and flag suspicious onboarding activity</p>
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<li><p>Partner with customer account owners and cross-functional stakeholders to communicate fraud findings clearly and support resolution</p>
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<li><p>Assist the Fraud Operations Manager in identifying process improvement opportunities and contribute to the refinement of fraud detection and prevention practices</p>
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<li><p>Accurately document fraud attempts, trends and loss events to support reporting and continuous improvement efforts</p>
</li>
</ul></div></div></div></div></div><div><div><h3 class="jobSectionHeader"><b>Qualifications:<br>
</b></h3><div><div><div><br>
<ul><li><div><b>5+ years of experience</b> in Fraud Prevention, Risk Management, or Trust &amp; Safety at a technology company</div>
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<li><div><b>Proficiency in data analytics tools</b> (Looker, Datadog, SQL or equivalent). You are comfortable extracting data for your ad-hoc analyses independently</div>
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<li><div><b>Solid judgment</b> when handling complex, high-impact fraud cases. Able to make well-supported, data-driven decisions under ambiguity</div>
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<li><div><b>Hands-on experience</b> reviewing <b>KYC</b> and <b>KYB</b> documentation as part of fraud or risk assessment processes</div>
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<li><div><b>Experience with ATO</b> (account takeover) detection and response, including containment workflows and post-incident monitoring</div>
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<li><div>Experience with <b>fraud detection tools</b>, <b>case management platforms</b> (e.g. Zendesk), and industry best practices</div>
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<li><div><b>Exceptional written and oral communication</b> skills. Able to convey complex fraud scenarios to varied audiences in plain language, with clear and actionable conclusions</div>
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<li><div>Highly proactive, organized, and accountable. Capable of ruthless prioritization across concurrent cases and comfortable escalating blockers without being prompted</div>
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<li><div><b>Customer-first mindset</b> with a track record of strong internal and external stakeholder management</div>
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<li><div>Nice to have: experience in the TelCo sector, familiarity with telecom fraud vectors (e.g. toll fraud, phishing, callback scams) is a strong plus</div>
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</ul></div></div></div></div></div><div><div>$60,000 - $68,000 a year</div></div><div><div><i>
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</i></div></div></div></div><p></p>

Senior Fraud Operations Specialist

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