Certified fraud examiner jobs near me - 30 jobs

Market Conduct Examiner
Rsm 4.4
Remote certified fraud examiner job
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You'll find an environment that inspires and empowers you to thrive both personally and professionally. There's no one like you and that's why there's nowhere like RSM. Market Conduct Examiner Risk & Regulatory Consulting, LLC (Regulatory Insurance) Work from home-any US location Position Overview The Market Conduct Examiner will be responsible for performing reviews of major insurance companies' operations, marketing, underwriting, rating, policyholder service, producer licensing, complaint handling and claims handling processes to verify compliance with states' insurance statutes and regulations. Specific Duties and Responsibilities (Responsibilities may vary slightly depending on seniority level) Perform comprehensive, targeted and risk focused market conduct examinations to determine compliance with states' insurance statutes and regulations on behalf of state insurance departments. Review and assess insurance company's documentation and data to determine compliance with states' insurance statutes and regulations. Draft examination work papers in an organized manner for supervisory review. Assist with the preparation of reports, exhibits, and other supporting documentation and schedules that detail a company's compliance with insurance statutes and regulations and recommend solutions. Submit draft examination reports and other deliverables for supervisory review. Recommend/document actions to ensure compliance with insurance statutes and regulations. Must possess knowledge of and provide guidance of insurance laws, rules, and regulations. Review and analyze new, proposed, or revised laws, regulations, policies, and procedures in order to determine compliance with states' insurance statutes and regulations and interpret their meaning and determine impact to the insurance company. Analyze reports and records relating to specific and overall operations of insurance companies; prepare clear, complete, concise, and informative compliance reports of condition of insurance companies for supervisory review. Consistently enhance knowledge of: principles, practices, techniques, and methods of insurance examination and regulations; insurance laws and Insurance Commissioner's rulings; and related Attorney General Opinions and court decisions; insurance company practices; statistical sampling procedures; basic mathematics. Requirements Bachelor's Degree in Business, Risk Management, Accounting or Finance; MBA and/or professional certification/s preferred Minimum of 5+ years insurance experience with a State or Federal agency, insurance company, examination firm or with a public accounting firm as an internal or external auditor, adjuster, compliance professional or examiner. Insurance industry experience is a must. Candidates must have completed or are pursuing professional insurance designations such as AIE/CIE, MCM, AIRC, FLMI, CPCU, or CLU. PC skills, including experience in using software for producing presentations, spreadsheets, and project planning (skilled in TeamMate, ACL/Access, and MS Excel, Word and Power Point). Demonstrated history of project management experience. Ability to interact with all levels including executives and senior managers. Strong interpersonal, presentation, analytical and examination/audit skills. Excellent organizational skills and the ability to prioritize multiple tasks, projects and assignments using effective time management skills. Strong written and verbal communication skills are required. Dynamic/flexible demeanor with exceptional client service skills. Forward-thinking leader with a collaborative focus who can consult effectively with key constituents and become recognized as a valued resource. Must be self-motivated, work well independently and possess a sense of urgency. Skilled in team building and team development. Flexibility to travel Risk & Regulatory Consulting, LLC (RRC) was formerly a business segment of RSM US LLP (formerly McGladrey) until 2012 when the separate legal entity was formed. RRC is a strategic business partner with RSM providing actuarial and insurance industry consulting services to RSM clients. Risk & Regulatory Consulting, LLC (RRC) is a national, leading professional services firm dedicated to providing exceptional regulatory services to clients. With over 100 experienced insurance professionals located in 22 states, we believe RRC is uniquely positioned to serve state insurance departments. We offer services in the following regulatory areas: financial examinations, market conduct examinations, insolvency and receiverships, actuarial services and valuations, investment analysis, reinsurance expertise, market analysis and compliance, and special projects. We are a results oriented firm committed to success that builds long term relationships with our clients. RRC is managed by seven partners and our practice includes full time professionals dedicated to our regulatory clients. We are focused on listening to your needs and designing customized examination, consulting, and training solutions that address your needs. We bring multiple service lines together to provide superior and seamless service to our clients. We are committed to training our customers and our team. We have developed various comprehensive in house training programs that have been tailored to meet the needs of our regulatory clients. We offer competitive pricing, outstanding experience, credentials and references. RRC is an active participant in the NAIC, SOFE, and IRES. At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life's demands, while also maintaining your ability to serve clients. Learn more about our total rewards at ************************************************** All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at ************ or send us an email at *****************. RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information. At RSM, an employee's pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $56 - $84
$56-84 hourly Auto-Apply 34d ago

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Fraud Investigative Lead Supervisor
Open 3.9
Remote certified fraud examiner job
Our roster has an opening with your name on it This role is responsible for leading and conducting comprehensive, complex investigations related to regulator concerns related to deposit fraud, play integrity, abuse, account takeovers, organized fraud, and other fraud specific investigations. This position will be a part of internal quality assurance testing as it relates to fraud processes along with preparing and presenting findings. This role is required to stay current on fraud trends and emerging threats and present case studies to the broader team on a recurring basis. As a Fraud Investigative Lead Supervisor, you will be contributing to state-specific reporting and regulatory-related fraud reviews. In addition to completing and leading investigations, this role will be responsible for overseeing direct reports, and managing tasks such as coordinating job rotations, providing regular and consistent feedback to direct reports, reporting significant findings and activity updates to the Fraud investigative Manager, goal coaching, and other supervisory tasks. This role may assist in designing, documenting, implementing, and monitoring of new procedures/services. Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud Investigative Manager. In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs. THE GAME PLAN Everyone on our team has a part to play Train and mentor Fraud Investigators and Fraud Prevention Analysts within our department Participate in quality assurance testing related to fraud prevention efforts Prepare investigation reports, summaries, and present findings Investigate and research allegations of fraud or abuse of system controls and communicate root cause findings Lead applicable state-specific regulatory fraud form reporting and regulator investigations Research, evaluate, and analyze information and intelligence to determine risk Aid in developing fraud mitigation strategies OSINT collection and analysis Collaborate with other departments within our organization, such as Security, Risk, Compliance, and other related teams Analyze past and current fraud trends and suspicious behavior tracking Continually learn and adapt to changing fraud trends and behavior Other tasks and projects as assigned by the leadership team THE STATS What we're looking for in our next teammate 3+ years of fraud experience in daily fantasy sports, online gaming or related industries 1+ years of leadership experience preferred Proficiency with SQL required Experience with digital payments and understanding of e-Commerce platforms Cybersecurity experience a plus Experience interacting with regulators and compliance a plus Prior experience using open-source intelligence Strong verbal and written communication skills Bachelor's degree in related field preferred Demonstrated aptitude for process execution, including identification of areas for improvement In-depth knowledge and understanding of common fraud trends and emerging threats Advanced knowledge of common fraud prevention strategies and systems Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules Effective communication, organizational, problem-solving, and analytical skills Passion for sports and/or gaming industry a plus Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies ABOUT FANDUEL FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product. In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico. The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia. FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT). PLAYER BENEFITS We treat our team right We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level. FanDuel is an equal opportunities employer and we believe, as one of our principles states, “We are One Team!”. As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included. FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************. The applicable salary range for this position is $78,000 - $97,000 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-Hybrid
$78k-97k yearly Auto-Apply 39d ago
Commercial Loan Fraud Specialist
Cooperative Business Services 3.7
Remote certified fraud examiner job
Job DescriptionDescription: The CBS Difference Cooperative Business Services offers a comprehensive, end-to-end commercial lending solution that empowers financial institutions with cutting-edge software, expert services, and strategic business development resources. Additionally, we support borrowers by providing tailored business loans designed to fuel growth and success. With a focus on innovation and collaboration, CBS ensures seamless processes and enhanced opportunities for lenders and borrowers alike. At CBS, our goal is to set the standard for excellence in business lending. We strive to be the best - in our processes, in our service, and in the results, we help our clients achieve. We're deeply committed to serving our partner credit unions and borrowers with integrity, precision, and a shared vision for sustainable growth. Join us on this journey as we continue to transform the future of commercial lending. Your Role in Our Success The Commercial Loan Fraud Specialist conducts comprehensive credit and forensic reviews of commercial loans. The Officer ensures underwriting quality, regulatory compliance, and risk mitigation. This position performs deep-dive financial analysis to identify fraud, misrepresentation, or policy exceptions across the commercial loan portfolio. Here's how you will make an impact: Performs in-depth reviews of commercial loans to assess underwriting quality, loan structure, financial analysis, compliance with internal policies and regulatory requirements. Traces borrower and affiliate financial transactions from loan inception to identify inconsistencies, undisclosed relationships, or unusual fund movements. Investigates potential fraud, misrepresentation, or conflicts of interest involving borrowers, brokers, or originators to safeguard the organization's assets. Reviews insurance coverage, appraisals, environmental reports, and title documentation to verify accuracy and compliance. Identifies and documents exceptions in title searches, policies, and loan documentation to ensure proper risk mitigation and record-keeping. Prepares detailed investigative reports outlining findings, risk implications, and recommended corrective actions for management. Collaborates closely with credit, compliance, legal, and risk management teams to address identified issues and strengthen controls. Preforms other related duties as assigned by management. Requirements: What You Bring to the Table Bachelor's degree in finance, accounting, forensic accounting, or related field (Certified Public Accountant, Certified Fraud Examiner, or Certified Regulatory Compliance Manager designations preferred). 5+ years of experience in commercial lending, loan review, forensic accounting, or financial investigations. Strong knowledge of banking regulations, loan documentation, and fraud detection techniques. The Perks of Being with Us At Cooperative Business Services, we believe in creating an environment where you can thrive both personally and professionally. Here's what you can look forward to as a valued member of our team: Compensation: Base compensation for this role ranges from $78,000-$90,000 annually. Remote Work Environment Generous Holidays: Take advantage of 13 paid holidays each year Comprehensive Insurance Coverage: Choose from a selection of medical, dental, vision, and supplemental benefit plans to suit your needs. Additionally, the company provides company-paid Short-Term Disability (STD), Long-Term Disability (LTD), and life insurance equivalent to 1 time your salary. 401(k) Plan: The company provides a generous matching contribution of up to 6%. Tuition Assistance
$78k-90k yearly 26d ago
Senior Triage Examiner
Insurance Company of The West
Remote certified fraud examiner job
Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here! PURPOSE OF THE JOB The purpose of this job is to manage new Workers' Compensation losses for the first 10 days of the life of the claim. This job takes necessary steps to assess and summarize new losses, prepare an action plan, set diaries, and reserve the file, all in preparation for assigning the file to an examiner for permanent handling. ESSENTIAL DUTIES AND RESPONIBILITIES Administers benefits to injured workers in accordance with statutory and case law as well as pertinent regulations for the first 10 days of the claim. Represents the Workers' Compensation Department and ICW Group when interacting with injured workers. Communicates with insureds to obtain information necessary for processing claims. Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information. Communicates claim activity and processing with the injured worker and insured. Maintains professional client relationships. Communicates effectively with other Company departments. Creates reserves in a timely manner to ensure reserving activities are consistent with company standards and best practices guidelines. Manages complex claims and approves payment of benefits within higher designated authority level. Assesses claims fairly and equitably, acting in the best interest of all parties and providing benefits as prescribed by law. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Prepares an action plan and set diaries, in preparation for assigning the file to an examiner for permanent handling. Assists with special projects and development of more junior team members as needed. SUPERVISORY RESPONSIBILITIES This role does not have supervisory responsibilities but may mentor and/or train junior team members. EDUCATION AND EXPERIENCE High school diploma or general education degree (GED) required. Bachelor's degree from four-year college or university preferred. Minimum of 2-3 years of insurance or claims related experience, or equivalent combination of education and experience required. Minimum 1-2 years of workers' compensation claims experience required. CERTIFICATES, LICENSES, REGISTRATIONS California Only : All examiners must receive certification that meets the minimum standards of training, experience, skill, and further education as required. California Only: California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional (WCCP) certifications preferred. All other jurisdictions: State Workers' Compensation License as required. KNOWLEDGE AND SKILLS Understanding of laws and jurisdictional restraints to manage injuries. Excellent verbal and written communication skills, time management and organizational skills. Requires a high level of attention to detail. Team oriented and a sense of urgency for execution. Able to resolve conflicts fairly and equitably. Problem solving and decision-making ability, PHYSICAL REQUIREMENTS Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear. WORK ENVIRONMENT This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment. We are currently not offering employment sponsorship for this opportunity #LI-ET1 #LI-Hybrid The current range for this position is $61,979.26 - $97,736.56 This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work. WHY JOIN ICW GROUP? Challenging work and the ability to make a difference You will have a voice and feel a sense of belonging We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match Bonus potential for all positions Paid Time Off Paid holidays throughout the calendar year Want to continue learning? We'll support you 100% ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. ___________________ Job Category Claims
$62k-97.7k yearly Auto-Apply 19d ago
Fraud Analytics Analyst
Live Oak Banking 3.8
Remote certified fraud examiner job
About Us Live Oak Bank is a digital bank that serves small business owners across the country. Our groundbreaking spin on service and technology has fueled our mission to be America's Small Business Bank. Our products help customers buy, build, and expand their business, and our high-yield savings and CD products help them grow their hard-earned money. At Live Oak, we never lose sight of the well-being of our people. We believe our employees are the heart of our company. Our commitment to our customers and culture is intertwined, and we seek those who embody and embrace what it takes to empower the American dream. How This Role Impacts Live Oak and its People Drive strategic decisions at Live Oak by analyzing and presenting data and supporting fraud prevention strategies. This analyst will collaborate with the fraud analyst, fraud investigators, and the investigations manager to enhance data and reporting. What You'll Do at Live Oak Design and build new data set processes for modeling, data mining, and data analysis Provides alert support to address emerging threats Analyze data to determine fraud system rules for fraud mitigation Ability to communicate with management to present analysis in a concise and actionable way How You'll Do It Implement and maintain systems/processes for data analysis and data management Identify trends and develop assumptions to model various strategic initiatives Responsible for gathering data from a variety of data sources and performing meaningful analysis Regularly performs analysis and reporting as needed Maintain proper documentation as required for record retention purposes Required Experience 2 years related fraud analytics experience Strong analytical skills Experience in Microsoft Office Proficiency in Data Visualization Tools such as Tableau and Python Proficiency with Database Tools (SQL Server, MySQL, etc.) Our Values Dedication: Possess a deep commitment to Live Oak Bank's mission and core values, exemplified through a strong work ethic, adaptability and pride in your work. Ownership: Take initiative to deliver positive results by proactively and creatively solving problems, while maintaining a high degree of quality. Respect: Treat everyone with courtesy, politeness, and kindness. Innovation: Embrace fresh ideas and fearlessly contribute new solutions to emerging or existing problems. Teamwork: Foster collaboration, accountability, and trust with others and understand that together, we do more For a detailed overview of our employee benefits please visit: *********************************** Live Oak Bank is an Affirmative Action and Equal Opportunity Employer, Minorities/Women/Veterans/Disabled. We consider applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, veteran status or disability. Equal access to programs, service and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources at ***************************. EEO is the Law The base pay range for this position is $56,540.00 - $92,520.00 per year. Compensation may also include annual bonuses and long-term incentives, subject to various metrics and company policy. A candidate's salary is determined by several factors including travel, relevant work experience or skills and expertise. Please note that we provide at least the minimum requirement of paid sick leave to our employees who reside in states that require employer-paid sick leave, including but not limited to Arizona, California, Colorado, District of Columbia, Maine, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, and Washington.
$56.5k-92.5k yearly Auto-Apply 6d ago
SIU Investigator - Underwriting & Premium Fraud
CNA Financial Corp 4.6
Certified fraud examiner job in Westerville, OH
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: * Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders. * Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders. * Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field. * Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions. * Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope. * Identifies opportunities and participates in the design and implementation of process or procedural improvements. * Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff. * Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters. * Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations. May perform additional duties as assigned. Reporting Relationship Typically Manager or Director Skills, Knowledge and Abilities * Solid knowledge of property and casualty claim handling practices * Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required. * Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues * Ability to interact and collaborate with internal and external business partners, including outside agencies * Ability to work independently, exercise good judgment, and make sound business decisions * Detail oriented with strong organization and time management skills * Strong ability to analyze complex, ambiguous matters and develop effective solutions * Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques * Ability to adapt to change and value diverse opinions and ideas * Developing ability to implement change * Ability to travel occasionally (less than 10%) Education and Experience * Bachelor's degree or equivalent professional experience. * Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field. * Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar). #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 31d ago
Senior Account Fraud QC Investigator
Mercury 3.5
Remote certified fraud examiner job
Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners' financial lives. We're looking to hire a Senior Account Fraud QC Investigator to support quality control for account fraud alert investigations across Mercury's consumer and business banking products. This will be the first QC hire for the Account Fraud team and a key contributor in shaping the quality framework for our newly launched BPO partnership. As a Senior Account Fraud QC Investigator, you will be responsible for designing, implementing, and executing fraud quality processes and procedures. This includes conducting quality assessments of fraud alert investigations, creating reports and dashboards, performing quality trend analysis, and translating quality insights into actionable improvements. You'll also leverage your fraud and QC expertise to contribute directly to projects that advance Mercury's account fraud program and help scale high-quality decision-making across internal teams and external partners. *Mercury is a fintech company, not an FDIC-insured bank. Banking services provided through Choice Financial Group and Column N.A., Members FDIC. Here are some things you'll do on the job: Complete manual quality assessments of account fraud alert investigations, ensuring adherence to internal policies, procedures, and applicable regulatory requirements. Partner closely with Account Fraud leadership to define and operationalize the QC program, including quality standards, scoring methodologies, and feedback loops - particularly for BPO-reviewed work. Create quality dashboards, metrics, and trend reports to surface investigation accuracy, consistency, and risks. Provide clear, actionable insights and recommendations based on quality findings to drive continuous improvement across the account fraud program. Lead and participate in quality calibration sessions with internal teams and external BPO partners to ensure consistent investigation outcomes. Assist in the development, refinement, and documentation of fraud investigation quality processes and procedures. Maintain up-to-date knowledge of fraud typologies, industry best practices, regulatory expectations, and internal policy changes to ensure quality standards remain current. Participate in special projects, internal audits, and process improvement initiatives in support of fraud quality control and program scalability. You should: Have 4+ years of experience in the finance or fintech industry with a focus on fraud investigations and quality control, ideally in an account fraud or transaction monitoring environment. Have prior experience building a QC program and/or performing QC for fraud investigations, including reviewing alerts and investigator decisioning. Have experience working with or supporting BPO or vendor-managed fraud operations. Be a highly motivated self-starter who is comfortable building structure in ambiguous, fast-moving, and high-risk environments. Have a strong understanding of banking products and fraud risk across areas such as ACH, wires, checks, debit cards, and account-level activity. Exercise empathy and sound judgment when delivering quality feedback to investigators and partners. Communicate complex findings and recommendations with efficiency and clarity to both operational and cross-functional stakeholders. The total rewards package at Mercury includes base salary, equity (stock options), and benefits. Our salary and equity ranges are highly competitive within the SaaS and fintech industry and are updated regularly using the most reliable compensation survey data for our industry. New hire offers are made based on a candidate's experience, expertise, geographic location, and internal pay equity relative to peers. Our target new hire base salary ranges for this role are the following: US employees in New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $121,700 - $152,100 US employees outside of New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $109,500 - $136,900 Mercury values diversity & belonging and is proud to be an Equal Employment Opportunity employer. All individuals seeking employment at Mercury are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected characteristic. We are committed to providing reasonable accommodations throughout the recruitment process for applicants with disabilities or special needs. If you need assistance, or an accommodation, please let your recruiter know once you are contacted about a role. We use Covey as part of our hiring and / or promotional process for jobs in NYC and certain features may qualify it as an AEDT. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. We began using Covey Scout for Inbound on January 22, 2024. [Please see the independent bias audit report covering our use of Covey for more information.] #LI-AR1
$38k-59k yearly est. Auto-Apply 14d ago
Fraud Analyst
Slope 4.0
Remote certified fraud examiner job
Reporting to the Compliance Lead, the Fraud Analyst will provide fraud mitigation support through the utilization of analytic tools for fraudulent trend recognition, identifying and preventing potential fraud on customer applications and providers. The Fraud Analyst will work closely with the Compliance Lead to detect and mitigate new fraud trends, while aligning with outside departments to optimize the fraud controls and communication in place. The utilization of data & trend identification techniques will be key in the decision-making aspects of the position. What You'll Do: Perform manual reviews and analysis of new account applications and existing customer/provider accounts, identifying and preventing potential fraud Perform alert triage utilizing risk scores and trend analysis in the decisioning of alerts Manage case management for large scale fraud cases Assist Leadership in ongoing identification of high-risk behaviors of the current customer base by performing customer monitoring, assessing transactional activity, and tracking customer behavior to ensure it aligns with their expected behavior and to identify fraud among existing customer base Aggregate and analyze internal data to understand performance of fraud decisioning, finding insights from internal data sets to improve fraud mitigation strategies and customer evaluation rules to curb new fraud trends and patterns Work closely with Customer Service, Operations and Compliance teams to optimize policies and controls to improve monitoring and due diligence of transactions, consumers and providers Work closely with other departments in the identification, management and communication of fraud and ID Theft cases Leveraging AI tools to improve review efficiency and quality, including AI-generated risk summaries, memo drafting support, and automated alert triage to enhance decision-making and workflow throughput Assist with various fraud related duties as needed Perform back-office functions related to research and resolution of fraudulent activity and applicable reporting Support in ongoing bank audits, monitoring and testing, and risk assessments as applicable Monitoring industry trends relative to money laundering or fraud schemes including detection and reporting of suspicious activity Work effectively in a fully remote environment with teams spanning multiple time-zones About You: Bachelor's degree in related field; or equivalent job experience 3+ years prior banking or Fintech experience, preferably in an investigative and analytical role or exposed to fraud-related behavior in Consumer and/or Business segments Proficiency in online and internal application research across applicable systems and reporting and analytical tools An innovative and creative mind looking to suggest new solutions to old problems Detail-oriented, highly analytical and comfortable digging into data Experience/familiarity with Slack, Apple MacOS and GSuite Nice to Have: CAMS, CFCS, or CFE certification a plus
$60k-86k yearly est. Auto-Apply 7d ago
SIU/Fraud Investigator- Long Term Care
Illumifin
Remote certified fraud examiner job
llumifin provides third party administration and technology services to individual and group insurers. The company blends insurance industry knowledge, technology leadership and operational execution to prepare insurers for the digital future. illumifin is a diverse, passionate and empowered team of insurance specialists committed to the growth and success of its customers. With illumifin, there's a brighter future A SIU/Fraud Investigator is responsible for working with multiple business units on coordination, identification, mitigation, and reporting of incidents and risks related to anti-fraud activities. Conducts and/or assists with investigative tasks Reviews referrals of potential fraud, waste, and abuse from both auto-detection programs and from claims organization, as assigned Coordinates and performs investigations with oversight of lead investigator Prepares responses for suspected or alleged fraud Works closely with cross-functional leaders to ensure appropriate resolution, accurate reporting and tracking to meet client specific service level agreements Participates as a subject matter expert during client implementations, audits and system or process development Complies with state and federal laws to meet client contractual requirements Conducts effective research, analysis, and accurate documentation for reporting to clients and illumifin's leadership Schedules surveillance once approved by the client Conducts continuing education to Claims staff May conduct phone calls or basic interviews with witnesses, as assigned Assists with administration tasks relating to Fraud Services Department, as assigned Assists with client and department reporting Interfaces with claimants, providers and clients Conducts telephonic interviews of members, providers, and/or additional witnesses to gather information to support investigation Other duties as assigned
$39k-61k yearly est. 2d ago
Healthcare Fraud Investigator
Contact Government Services, LLC
Remote certified fraud examiner job
Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ
$39k-61k yearly est. Auto-Apply 60d+ ago
Fraud Analytics Analyst
Liveoakbancshares
Remote certified fraud examiner job
About Us Live Oak Bank is a digital bank that serves small business owners across the country. Our groundbreaking spin on service and technology has fueled our mission to be America's Small Business Bank. Our products help customers buy, build, and expand their business, and our high-yield savings and CD products help them grow their hard-earned money. At Live Oak, we never lose sight of the well-being of our people. We believe our employees are the heart of our company. Our commitment to our customers and culture is intertwined, and we seek those who embody and embrace what it takes to empower the American dream. How This Role Impacts Live Oak and its People Drive strategic decisions at Live Oak by analyzing and presenting data and supporting fraud prevention strategies. This analyst will collaborate with the fraud analyst, fraud investigators, and the investigations manager to enhance data and reporting. What You'll Do at Live Oak Design and build new data set processes for modeling, data mining, and data analysis. Provides alert support to address emerging threats. Analyze data to determine fraud system rules for fraud mitigation. Ability to communicate with management to present analysis in a concise and actionable way. How You'll Do It Implement and maintain systems/processes for data analysis and data management. Identify trends and develop assumptions to model various strategic initiatives. Responsible for gathering data from a variety of data sources and performing meaningful analysis. Regularly performs analysis and reporting as needed. Maintain proper documentation as required for record retention purposes. Required and Preferred Experience 2 years related fraud analytics experience, required Strong analytical skills, required Experience in Microsoft Office Proficiency in Data Visualization Tools such as Tableau and Python Proficiency with Database Tools (SQL Server, MySQL, etc.) Our Values Dedication: Possess a deep commitment to Live Oak Bank's mission and core values, exemplified through a strong work ethic, adaptability and pride in your work. Ownership: Take initiative to deliver positive results by proactively and creatively solving problems, while maintaining a high degree of quality. Respect: Treat everyone with courtesy, politeness, and kindness. Innovation: Embrace fresh ideas and fearlessly contribute new solutions to emerging or existing problems. Teamwork: Foster collaboration, accountability, and trust with others and understand that together, we do more For a detailed overview of our employee benefits please visit: *********************************** Live Oak Bank is an Affirmative Action and Equal Opportunity Employer, Minorities/Women/Veterans/Disabled. We consider applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, veteran status or disability. Equal access to programs, service and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources at ***************************. EEO is the Law The base pay range for this position is $56,540.00 - $92,520.00 per year. Compensation may also include annual bonuses and long-term incentives, subject to various metrics and company policy. A candidate's salary is determined by several factors including travel, relevant work experience or skills and expertise. Please note that we provide at least the minimum requirement of paid sick leave to our employees who reside in states that require employer-paid sick leave, including but not limited to Arizona, California, Colorado, District of Columbia, Maine, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, and Washington.
$56.5k-92.5k yearly Auto-Apply 7d ago
Construction Defect Examiner
Claim Assist Solutions
Remote certified fraud examiner job
Parker Loss Consultants, LLC To know more, visit us at ************************************* Construction Defect Adjuster Parker Loss Consultants (An Allcat company) is a national provider of specialty claims management services, including Commercial Property, Commercial Liability and Personal lines of business. Our focus is on each client's trust in our ability to pro-actively manage their Large / Complex assignments. We maintain a consistent approach in managing adjuster caseloads to avoid overlooked opportunities and costly mistakes. What you do: Manage a caseload of Construction Defect Claims in multiple states. Manage new loss assignments, reassignments and proper reserve setting. Be able to perform coverage analysis, responsibilities to defend, tasks to indemnity, and choice of law. Be able to identify issues that need to be resolved, what methods to use, including a focus on risk transfer and resolutions which create a best outcome. Familiar with drafting of complex coverage letters, which include reservation of rights, disclaimers and responses to "push back" letters. Develop legal strategy with counsel and manage Construction Defect litigation consistent with litigation guidelines. This includes both Coverage Counsel and Defense Counsel. Identify appropriate cases for trial and complete pre-trial reports and trial activities. What you bring: You will have 5+ years of litigated Construction Defect claim handling experience with demonstrated roles of increased responsibility and exposure to multiple jurisdictions. Technical background desired with an emphasis on coverage issue identification and policy interpretation. Caseload does include handling Home Builder policies which includes WRAP/OCIP, Project Specific and SIR policies. In-depth knowledge of liability policy language and coverage interpretation. Work experience in a regulated environment and ability to ensure compliance with company procedures. College degree Must have experience working commercial claims (field or desk, but desk preferred), This will start out as a temporary position with the potential to be a full-time position, dependent upon the workload obtained and the initial success of this program. Compensation: $45-60 / hour Location: Remote Parker Loss Consultants, LLC. is an Equal Opportunity Employer and considers all qualified applicants regardless of race, gender, color, religion, national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. #parkerloss
$37k-57k yearly est. Auto-Apply 33d ago
AML Fraud Analyst
Manpowergroup 4.7
Remote certified fraud examiner job
Our client, a leader in financial services and risk management, is seeking an AML Fraud Analyst to join their team. As an AML Fraud Analyst, you will be part of the compliance and fraud investigation team supporting fraud detection and suspicious activity reporting related to government relief programs. The ideal candidate will have analytical mindset, attention to detail, and strong communication skills which will align successfully in the organization. **Job Title:** AML Fraud Analyst **Location: New York, New York** **Pay Range: $45/HR W2** **What's the Job?** + Investigate alerts generated by Verafin related to PPP loan activity and other high-risk transactions. + Conduct in-depth analysis of customer behavior, transaction patterns, and supporting documentation. + Draft and file Suspicious Activity Reports (SARs) with clear, concise, regulator-ready narratives. + Identify fraud typologies including identity theft, synthetic identities, and misuse of government relief programs. + Collaborate with internal teams such as compliance, lending, and operations to gather relevant data and escalate findings. **What's Needed?** + Associate Degree or higher in a relevant field. + Hands-on experience using Verafin for transaction monitoring and case management. + Strong understanding of BSA/AML regulations and SAR writing standards. + Ability to analyze complex data and identify fraud patterns. + Excellent documentation and communication skills. **What's in it for me?** + Opportunity to work in a dynamic and impactful role within the financial industry. + Engage in meaningful work supporting government relief program integrity. + Collaborate with a dedicated team of professionals committed to compliance and fraud prevention. + Gain valuable experience in AML and fraud investigation processes. + Work remotely with flexible arrangements to support work-life balance. **Upon completion of waiting period consultants are eligible for:** + Medical and Prescription Drug Plans + Dental Plan + Vision Plan + Health Savings Account + Health Flexible Spending Account + Dependent Care Flexible Spending Account + Supplemental Life Insurance + Short Term and Long Term Disability Insurance + Business Travel Insurance + 401(k), Plus Match + Weekly Pay If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you! **About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells** _ManpowerGroup (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands -_ **_Manpower, Experis, Talent Solutions, and Jefferson Wells_** _-_ creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent. ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.
$45 hourly 60d+ ago
Fraud Specialist
Customer Support Specialist
Remote certified fraud examiner job
What we're looking for, ranked: You have obsessive attention to detail. You are analytical and love finding patterns in data. You are scrappy, have a bias for action, and work harder than anyone you know. You have experience working in risk or fraud, especially in e-commerce or payments. About Whop Whop is the ultimate virtual market that lets people earn money by starting shops and creating content. We deliver $2.5B per year in income to people across the globe and have more than 5M monthly users. About the role As a Fraud Specialist, you will make sure that merchants are only selling high-quality, trusted products on Whop and all activity on the platform falls within our Terms of Service. You will leverage Whop's fraud tools to investigate payment anomalies, review high-risk merchant flags, and escalate situations as needed. This role reports to the Head of Trust. ✅ Salary: $60,000 📍Remote : This position offers the flexibility to work from anywhere in the world. Available shifts are: 12:00 am EST to 8 am EST 8:00 am EST to 4:00 pm EST 4:00 pm to 12:00 am EST Weekend shifts are rotational - you must be available to work on some weekends. Scope: Responsible for Whop merchant account audits, reviewing risk flags from our internal fraud tooling and setting reserves or suspending accounts accordingly Review merchant applications to access financing options, including review of payment processor statements Escalate fraudulent trends to product and engineering teams so we can build solutions into our product What we're looking for You have previous experience in risk, compliance, or a similar role. You have a deep understanding of risk and fraud at an ecommerce or payments company. You are familiar with Whop, either as a buyer or as a seller. You have obsessive attention to detail; you care deeply about correctness You are low-ego, non-performative, and process-driven You love getting creative and doing anything it takes to solve a hard problem You are scrappy and have a bias for action: no task too small, no idea too big You want to take over the world and are not satisfied with anything other than being the best Your first 90 days will look like the following: Within 30 days, you will deeply understand Whop's product and internal fraud tools and processes. Within 60 days, you will have mastered account audits, financing application reviews, Resolution Center cases, and escalations. Within 90 days, you are detecting fraud patterns and escalating trends to our engineering teams to update fraud solutions within our product.
$60k yearly Auto-Apply 12d ago
SME - Fraud Analytics
EXL Talent Acquisition Team
Remote certified fraud examiner job
Salary: $120k-$165k + Bonus For more information on benefits and what we offer please visit us at *************************************************** The EXL - Fraud Practice will be responsible for shaping, scaling, and executing integrated fraud management solutions for EXL. The role will focus on helping global banks and financial institutions to reduce their fraud losses and modernize their fraud ecosystems - embedding AI, GenAI, and automation across the lifecycle. This role demands a candidate who brings deep fraud domain expertise, consulting acumen, and the ability to translate technology and analytics into measurable business outcomes. Minimum 5 years of experience in Fraud analytics, Strategy, or Risk Management, preferably across Banking, Fintech, or Payments. Proven ability to lead multi-dimensional transformation integrating analytics, digital, operations, and advisory levers. Deep domain understanding across the fraud lifecycle - including application, transaction, merchant, and dispute/chargeback management. Experience with fraud platforms, rules strategy configuration, and decision orchestration tools. Strong client engagement and consulting skills with ability to influence senior stakeholders and CXO-level clients. Exposure to Operational Excellence and continuous improvement frameworks. Excellent communication, presentation, and storytelling skills with a data-driven orientation. Graduate or Postgraduate in Statistics, Economics, Finance, or an MBA with relevant domain experience. High energy, intellectual curiosity, and self-driven mindset, comfortable operating in fast-evolving, ambiguous environments. EEO/Minorities/Females/Vets/Disabilities Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits. Lead short-cycle diagnostic and transformation initiatives across the fraud value chain - identifying pain points, quantifying impact opportunities, and developing executable roadmaps. Support sales and client pursuits by leading solution design, RFP/RFI responses, and development of differentiated value propositions. Drive end-to-end transformation programs leveraging analytics, AI-first frameworks, and automation to optimize fraud prevention, detection, and claims management. Conduct research and benchmarking to generate actionable insights on emerging fraud typologies, regulatory shifts, and best-in-class practices. Develop and continuously evolve knowledge assets including capability decks, frameworks, case studies etc. to strengthen the fraud offering. Evangelize fraud and disputes solutions by collaborating with delivery, digital, and analytics teams to embed innovation and enhance solution maturity. Identify performance bottlenecks and enable data-driven interventions to drive measurable outcomes in fraud savings, false positive reduction, and recovery rates. Build domain and analytics capability through structured training programs, certification paths, and knowledge transfer across global delivery teams.
$39k-71k yearly est. Auto-Apply 60d+ ago
Fraud Analyst (Remote from US)
Jobgether
Remote certified fraud examiner job
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Fraud Analyst in the United States.This role offers the opportunity to take full ownership of fraud detection and prevention within a fast-growing, data-driven environment. You will analyze large datasets, identify fraud patterns, and design risk logic to protect users and optimize transactions. The position combines strategic thinking with hands-on execution, allowing you to shape verification strategies, optimize authentication flows, and improve approval rates while maintaining a seamless user experience. You will collaborate closely with product, payments, data, and engineering teams, gaining exposure to multiple markets and complex payment systems. The ideal candidate thrives on autonomy, accountability, and leveraging data to drive actionable outcomes. This role provides a chance to make a tangible impact on a global, high-volume marketplace.Accountabilities: Take ownership of fraud detection and prevention for assigned products Analyze large datasets using SQL to identify patterns, anomalies, and emerging attack vectors Design, implement, and optimize dynamic fraud risk rules to scale with business growth Monitor and improve False Positive Rates, balancing security and user experience Manage 3DS decisioning and authentication strategies across multiple regions Track and report fraud trends, providing data-driven insights and recommendations Collaborate with Product, Payments, Data, and Engineering teams to enhance fraud prevention systems Maintain fraud detection workflows, alerts, and decision logic used by the team Requirements: Proven experience in fraud analysis, payments risk, or risk management with clear ownership over results Strong SQL skills and hands-on experience with large datasets (mandatory) Experience creating and maintaining dynamic fraud risk rules Knowledge of 3DS and regional authentication strategies Ability to manage False Positive Rates and approval rates effectively Solid understanding of fraud patterns, user behavior, and payment-related risks Strong problem-solving, critical thinking, and data-backed decision-making skills Full professional proficiency in English Nice-to-Haves: Python experience, familiarity with fintech/payment tools (e.g., Adyen, Stripe Radar, Sift, Forter), experience in multi-market international environments, and knowledge of PSD2/SCA concepts Benefits: Competitive salary range (€37,200 - €42,780, depending on experience) Employee Stock Options program Performance-based bonuses, referral bonuses, and additional paid leave Personal learning and professional development budget Paid volunteering opportunities Flexible work location: office, remote, or hybrid, with opportunities to travel Clear growth and promotion processes with structured feedback Why Apply Through Jobgether?We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1
$39k-71k yearly est. Auto-Apply 3d ago
Fraud Specialist
Vercel 4.1
Remote certified fraud examiner job
Vercel gives developers the tools and cloud infrastructure to build, scale, and secure a faster, more personalized web. As the team behind v0, Next.js, and AI SDK, Vercel helps customers like Ramp, Supreme, PayPal, and Under Armour build for the AI-native web. Our mission is to enable the world to ship the best products. That starts with creating a place where everyone can do their best work. Whether you're building on our platform, supporting our customers, or shaping our story: You can just ship things. About the Role: We're seeking a Fraud Specialist to join our Trust & Safety team, which protects the integrity of our platform across key abuse areas such as fraud, phishing, malware, CSAM, platform abuse, and IP/DMCA infringement. In this role, you will collaborate across Operations, Product, Finance, and Engineering teams to strengthen and scale Vercel's fraud prevention capabilities. You'll analyze fraudulent activity, refine detection systems, develop operational processes, and help mitigate risk to both our users and the business. If you're based within a pre-determined commuting distance of one of our offices (SF, NY, London, or Berlin), the role includes in-office anchor days on Monday, Tuesday, and Friday. If you're located beyond that distance, the role is fully remote. For location-specific details, please connect with our recruiting team. What You Will Do: Investigate abuse vectors causing financial loss or reputational risk to the business. Monitor, maintain, and improve fraud detection and anomaly alerting systems. Develop and refine operational workflows to scale fraud prevention efforts. Manage and monitor the performance of internal tooling and fraud rules. Work cross-functionally across, Operations, Engineering, Product, and Finance to mitigate areas of risk. Represent Trust & Safety during incident response and create mitigation processes. About You: 3+ years of experience in fraud or chargeback operations, investigations, or a related Trust & Safety vertical. Experience with user restriction systems and setting, tracking, and using KPIs to understand and optimize operations workflows and outcomes. Proven track record working cross-functionally to deliver impactful results. Strong attention to detail, and the ability to translate investigations into scaled systems. Worked with abuse detection systems that leveraged Machine Learning and/or LLMs for large-scale anti-fraud enforcement. Ability to take large data sets and distill key insights into actionable trends and strategies. Bonus If You: Experience across multiple Trust & Safety domains, especially when it comes to web hosting or user generated content. Ability to create and interpret SQL queries. Experience using abuse-related ticketing and case management systems. Understanding of chargebacks and the overall payments landscape. Benefits: Competitive compensation package, including equity. Inclusive Healthcare Package. Learn and Grow - we provide mentorship and send you to events that help you build your network and skills. Flexible Time Off. We will provide you the gear you need to do your role, and a WFH budget for you to outfit your space as needed. The San Francisco, CA base pay range for this role is $128,000 - $192,000. Actual salary will be based on job-related skills, experience, and location. Compensation outside of San Francisco may be adjusted based on employee location. The total compensation package may include benefits, equity-based compensation, and eligibility for a company bonus or variable pay program depending on the role. Your recruiter can share more details during the hiring process. Vercel is committed to fostering and empowering an inclusive community within our organization. We do not discriminate on the basis of race, religion, color, gender expression or identity, sexual orientation, national origin, citizenship, age, marital status, veteran status, disability status, or any other characteristic protected by law. Vercel encourages everyone to apply for our available positions, even if they don't necessarily check every box on the job description. #LI-LC1
$35k-55k yearly est. Auto-Apply 6d ago
Fraud & Verification Analytics, Lead
Braviant Holdings 4.2
Remote certified fraud examiner job
Please note: while we appreciate interest from all applicants, Braviant Holdings is unable to sponsor visas at this time. Who We Are:Founded in 2015 and based in Chicago, IL, privately held Braviant Holdings, Inc is a leading providerof tech- enabled credit products which combine breakthrough technology and cutting-edge machinelearning to transform how people access credit online. The Company's next-generation approach to lendingreduces credit barriers and creates a Path to Prime helping millions of underbanked consumers build credithistory, reduce their cost of borrowing, and take control of their personal finances. Braviant has beennamed multiple times to the Inc. 5000 list of fastest growing private companies and has beenrecognized as a Best Place to Work. Position Summary:Reporting to the Chief Growth & Strategy Officer, the Fraud Analytics Lead role is a compellingopportunity for a data-driven professional with strong expertise to design and execute fraud and riskmitigation strategies. The successful candidate will leverage advanced analytics to optimize businessoperations and develop proactive fraud prevention solutions. This role requires a combination ofcritical thinking, technical expertise, and the ability to collaborate with partners across Operations,Credit, Technology and Compliance to identify, mitigate, and solve complex business challenges.What you'll be doing: Monitor applications, transactions, and customer activity to detect and prevent fraud and identity risks such as synthetic identities, account takeovers, and first-party fraud. Apply machine learning models and statistical techniques to enhance fraud detection and prevention capabilities. Access and manage fraud and verification tools and data providers to ensure effectiveness and ROI Develop and maintain dashboards to track key fraud and risk performance metrics Stay current on industry best practices, regulatory requirements, and emerging technologies in online-lending fraud prevention Partner with Operations, Credit, Technology and Compliance to align fraud strategies with enterprise objectives What you'll bring: Degree in Data Science, Applied Mathematics, Statistics, Economics, Computer Science or a related field 4-6 years of experience in fraud analytics, data science, or a related field within FinTech or online lending space. Advanced proficiency in Python for programming, data analysis, and predictive modeling Proficiency in SQL, Excel and experience with data visualization tools Knowledge of optimization, stochastic processes, experimental design and A/B testing Strong knowledge of various fraud typologies impacting online financial services, relevant regulatory requirements and compliance framework Passion for keeping your skills up to date and exploring new methodologies The ability to distill complex problems and analysis into a clear and concise narrative Benefits and Perks• Medical benefits paid by employer/employee split of 80/20• Dental and Vision covered at zero cost to you for employee only coverage• PTO, Sick and Floating Holidays• 14 Company Holidays• Participation in the Company Profits Interest Units long term incentive plan• Remote work environment• Internet stipend• Team and company events/get togethers Braviant is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, or any other characteristic protected by applicable law
$33k-57k yearly est. Auto-Apply 54d ago
Analyst, Fraud Intelligence
Extend A Care for Kids 3.5
Remote certified fraud examiner job
About Extend: Extend is revolutionizing the post-purchase experience for retailers and their customers by providing merchants with AI-driven solutions that enhance customer satisfaction and drive revenue growth. Our comprehensive platform offers automated customer service handling, seamless returns/exchange management, end-to-end automated fulfillment, and product protection and shipping protection alongside Extend's best-in-class fraud detection. By integrating leading-edge technology with exceptional customer service, Extend empowers businesses to build trust and loyalty among consumers while reducing costs and increasing profits. Today, Extend works with more than 1,000 leading merchant partners across industries, including fashion/apparel, cosmetics, furniture, jewelry, consumer electronics, auto parts, sports and fitness, and much more. Extend is backed by some of the most prominent technology investors in the industry, and our headquarters is in downtown San Francisco. About The Role The Fraud Intelligence team is the secret sauce behind Extend's post-purchase protection platform. We build cutting-edge analytics engines based on signals and transactions from hundreds of millions of users to detect and prevent fraud, drive smarter decisions, and unlock business value. We love uncovering beautiful patterns in messy data to catch bad actors and stop fraud in its tracks. You'll have the opportunity to shape new fraud prevention product features and analytics capabilities from the ground up. You'll work cross-functionally to develop go-to-market strategies based on your analysis. If you're data-obsessed, impact-driven, and excited to tackle complex problems at the intersection of analytics and fraud prevention, you'll thrive on our team. This is a high-ownership role where your work will directly protect retailers, enhance customer trust, and drive the company's bottom line! What You'll Be Doing Analyze large-scale behavioral, transactional, and interaction data to uncover signals indicative of fraud and abuse Apply strong business acumen to rapidly identify actionable insights, analyze fraud patterns, and validate hypotheses Influence business cases and pricing strategies, and contribute to proof-of-concept initiatives with prospective merchants Respond swiftly to emerging fraud threats by developing monitoring frameworks, dashboards, and mitigation solutions in collaboration with cross-functional teams Partner closely with leadership, go-to-market, fraud operations, product, and engineering teams to define and execute effective fraud strategies Champion a culture of continuous learning, experimentation, and collaboration across the fraud and broader data science teams What We're Looking For Hands-on, proactive, and analytical professional who is passionate about using data to solve complex, real-world problems 2+ years of experience in fraud analytics, ideally within an e-commerce or retail environment Prior experience in a startup or high-growth environment is preferred Bachelor's degree or higher in a quantitative field such as Mathematics, Statistics, Computer Science, Engineering, Operations Research, Physics or related field Strong grasp of core data science and analytics concepts, including statistical analysis, modeling, and data wrangling Proficiency in SQL and experience in Python (pandas, NumPy, scikit-learn, etc.) Exceptional communication and stakeholder management skills, with a proven ability to work cross-functionally and influence outcomes High attention to detail, strong intellectual curiosity, and a deep understanding of user behavior and fraud patterns Empathetic, humble, and collaborative team player Candidates must be located within the continental United States Expected Pay Range: $110,000 - $135,000 per year salaried* *The target base salary range for this position is listed above. Individual salaries are determined based on a number of factors including, but not limited to, job-related knowledge, skills and experience. Life at Extend: Working with a great team from diverse backgrounds in a collaborative and supportive environment. Competitive salary based on experience, with full medical and dental & vision benefits. Stock in an early-stage startup growing quickly. Generous, flexible paid time off policy. 401(k) with Financial Guidance from Morgan Stanley. Extend CCPA HR Notice
$32k-54k yearly est. Auto-Apply 60d+ ago
Fraud Detection Specialist I
City National Bank 4.9
Remote certified fraud examiner job
WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially fraudulent, or out of pattern, based on the client's normal activity. Alerts and/or transactions may consist of various payment types and colleagues in this department are tasked with reviewing and verifying these alerted transactions via outbound and/or inbound call, in addition to initiating dispute claims. This position will play a key role in the prevention of losses to City National Bank and its clients. The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center knowledge, and a general knowledge of fraud identification and prevention. WHAT WILL YOU DO? * Demonstrate resiliency and adaptability in a fast-paced contact center environment * The Fraud Specialist is responsible for reviewing fraud alerts and internal notifications to identify fraudulent or suspicious activity * Approach problems logically and with good judgment to ensure the appropriate customer outcome * Demonstrate personal excellence including punctuality, integrity, and accountability * Comfortable in a metrics driven environment that requires the ability to prioritize and multitask * Think critically and exercise independent judgement * Following established policies and procedures, initiates appropriate actions steps to mitigate risk and protect the Bank from financial loss * Opens cases/claims on all suspicious activity and appropriately investigate, and escalate when needed * Works to detect various fraud schemes (email compromise, elder abuse, counterfeit checks, ATO, etc.) and characteristics of red flags, performs additional duties as assigned. * Performs defined mitigation steps to reduce financial loss to our customers and the bank * Ability to complete assigned duties within daily deadlines, both efficiently, timely, and with minimal supervision to meet KPIs and SLAs WHAT DO YOU NEED TO SUCCEED? *Required Qualifications** * Bachelor's Degree or equivalent * Minimum 2 year of general office, back office banking or accounting experience required * Advanced computer experience required (e.g. MS Word, Outlook and Excel) * Minimum 3 years in banking operations. * Minimum 2 years of experience in fraud investigations, disputes, and /or fraud exposure. *Additional Qualifications* * Must work well in a team environment, as well as independently * Must have a strong and positive work ethic and follow CNB core values * Must be flexible and adapt quickly to change * Ability to multi-tasks and meet specific performance goals * Advanced Knowledge of PC functions in a Windows based environment * Effective written and oral communication skills to interact effectively with all levels of bank personnel and clients. *WHAT'S IN IT FOR YOU?* *Compensation*Starting base salary: $22.27 - $33.43 per hour. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. *Benefits and Perks* At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date * Generous 401(k) company matching contribution * Career Development through Tuition Reimbursement and other internal upskilling and training resources * Valued Time Away benefits including vacation, sick and volunteer time * Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs * Career Mobility support from a dedicated recruitment team * Colleague Resource Groups to support networking and community engagement Get a more detailed look at our ********************************* ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at ********************************** *INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT* City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. *Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled. Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.
$22.3-33.4 hourly 25d ago

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Updated January 17, 2026

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