Claims & Fraud Specialist III

Job Title: Claims & Fraud Specialist III

Job Location: Remote

Onsite Requirements:

• Over 5 years of claim and fraud experience in banking industry
• strong written and verbal communication
• proficiency in fraud detection tools

Job Description:

• The Claims & Fraud Specialist plays a critical role in supporting operational excellence and risk mitigation across business units.
• This position focuses on data integrity, fraud detection, and process optimization to ensure the organization meets its performance, compliance, and customer experience goals.
• The analyst will leverage data analysis, root cause evaluation, and cross-functional collaboration to identify trends, streamline workflows, and enhance operational resilience.

Key Responsibilities:

• Conducts data quality assessments and coordinates resolution of reconciliation discrepancies
• Performs root cause analysis on operational losses and evaluates corrective action plans
• Assigns and tracks loss events for further investigation and resolution
• Monitors fraud risk indicators and analyzes exceptions from fraud detection systems
• Develops and maintains reporting tools to identify early warning signs of risk or fraud
• Collaborates with internal teams to improve fraud prevention strategies and operational efficiency
• Communicates findings and recommendations to leadership when risk vulnerabilities are identified
• Supports continuous improvement initiatives and contributes to strategic risk reduction efforts
• Provides training and guidance on security protocols and fraud prevention procedures
• Ensures compliance with regulatory requirements including Bank Secrecy Act reporting

Skills and Qualification:

• Associate’s degree or equivalent professional experience required
• 5-10 years of overall industry experience
• Minimum of 5+ years' experience in banking/financial services or fraud prevention
• Strong analytical and problem-solving skills with experience in root cause analysis
• Proficiency in fraud detection tools (e.g., LexisNexis, Fiserv Compass, Biocatch, TransUnion TLO, General Ledger Trans)
• Strong understanding of Debits, Credits, and General Ledgers
• Excellent communication skills, both verbal and written
• Ability to manage multiple tasks and prioritize effectively
• Proficient in Microsoft Office Suite and internal data systems
• Working knowledge of compliance and regulatory frameworks related to fraud and risk

Nice-to-Haves:

• Experience developing operational dashboards or reporting suites
• Familiarity with risk management methodologies and performance metrics
• Demonstrated ability to work independently and collaboratively in a fast-paced environment
  
  

• **3rd party and subcontract staffing agencies are not eligible for partnership on this position. 3rd party subcontractors need not apply.
• This position requires candidates to be eligible to work in the United States, directly for an employer, without sponsorship now or anytime in the future**