Claims analyst

Job Title: Claims & Fraud Specialist II
Location:  Remote - EST Hours
Type:  6+ Month Contract with strong likelihood of extensions and/or Full Time conversion

Position Overview:
The Claims & Fraud Specialist supports operational excellence and risk mitigation across business units. This role focuses on maintaining data integrity, detecting fraud, and optimizing processes to meet performance, compliance, and customer experience goals. The specialist will use data analysis, root cause evaluation, and cross-functional collaboration to identify trends, streamline workflows, and strengthen operational resilience.

Key Responsibilities:

• Review customer transactions and activity to identify potential fraud.
• Respond to and refer alerts and flagged transactions for further investigation.
• Monitor fraud risk indicators and analyze exceptions from detection systems.
• Collaborate with internal teams to enhance fraud prevention strategies and operational efficiency.
• Communicate findings and recommendations to leadership when risk vulnerabilities are identified.
• Support continuous improvement initiatives and contribute to strategic risk reduction efforts.
• Provide training and guidance on security protocols and fraud prevention procedures.
• Ensure compliance with regulatory requirements, including Bank Secrecy Act reporting.

Qualifications:

• Associate’s degree or equivalent professional experience.
• Experience in financial services, operations, customer service, or fraud prevention.
• Strong analytical and problem-solving skills, including root cause analysis.
• Familiarity with fraud detection tools such as LexisNexis, Targus, or TransUnion TLO.
• Excellent verbal and written communication skills.
• Ability to manage multiple tasks and prioritize effectively.
• Proficiency in Microsoft Office Suite and internal data systems.
• Working knowledge of compliance and regulatory frameworks related to fraud and risk.

Preferred Attributes:

• Familiarity with risk management methodologies and performance metrics.
• Ability to work independently and collaboratively in a fast-paced environment.

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