Fraud analyst jobs near me - 290 jobs

What you will find ... 100% REMOTE exceptional benefits (pension plan options) top ranked hospital in the U.S. What you will do ... design & build Epic Cadence build Epic Security break-fix & support Epic Cadence implement Epic Security for scheduling liaison with operational stakeholders Wish list ... 5+ years Epic Cadence & Epic Security build REQUIRED Epic Cadence Certification REQUIRED Epic Security Certification recent Epic Security work Decision Tree a plus

This is a remote Secure File Transfer / MOVEit Administrator opportunity supporting businesscritical data movement across the organization. The role will step directly into ownership of existing MOVEit Automation and SFTP services, ensuring secure, reliable, and compliant file transfers for internal teams and external trading partners. The position is a 3-6 month contract with a strong likelihood of conversion, created to fill an operational gap and provide continuity for a critical function. Success in this role requires not only technical expertise, but the ability to communicate clearly with business stakeholders, explain risks and timelines, and proactively prevent disruptions. Work hours are 8:00am-5:00pm Central Time, and candidates must be U.S.-based. Key Areas of Focus Enterprise File Transfer Operations: Maintain and support automated inbound and outbound file transfers using MOVEit Automation. Security & Compliance: Ensure all file transfers meet HIPAA, PCI DSS, and SOC 2 requirements through proper encryption, access controls, and monitoring. Automation & Reliability: Design, manage, and improve automated workflows to minimize manual intervention and business impact. Partner Enablement: Support onboarding and offboarding of external trading partners while enforcing internal security standards. Business Communication: Translate technical issues into business impact, status updates, and resolution timelines for nontechnical stakeholders. Daily Responsibilities Monitor MOVEit Automation jobs and SFTP services to ensure successful, ontime file transfers. Troubleshoot failed, delayed, or corrupted transfers and perform root cause analysis. Manage SFTP users, folder permissions, SSH keys, and credential resets. Maintain PGP/GPG keys and SSL/TLS certificates to ensure secure data in transit. Review system and security logs to identify suspicious or unauthorized activity. Coordinate firewall allowlisting/denylisting and submit required changes through ServiceNow. Support internal teams and external partners with file transfer questions and issues. Maintain documentation for workflows, configurations, and operating procedures. Communicate issues, risks, and resolutions clearly to business stakeholders. *Top Skills' Details* 1) MOVEit Automation / Managed File Transfer Administration (3+ years) How applied: Owns the configuration, monitoring, and support of automated inbound and outbound file transfer workflows supporting businesscritical processes. Ensures jobs run successfully within SLA, investigates failures, and implements retries or fixes without business disruption. Key attributes of success: Reliability, ownership, attention to detail, and proactive issue prevention. 2) SFTP Administration (OpenSSH, Managed SFTP Platforms) (3+ years) How applied: Manages secure access to SFTP services including user provisioning, folder structures, permissions, and keybased authentication for internal teams and external trading partners. Key attributes of success: Strong security mindset, consistency, and ability to balance access with risk. 3) Encryption, Certificates, and Key Management (PGP/GPG, SSL/TLS, SSH) (3+ years) How applied: Maintains and rotates encryption keys and certificates, validates secure connections, and ensures data in transit meets compliance and security requirements. Prevents outages caused by expired keys or certificates. Key attributes of success: Precision, forward planning, and compliance awareness. 4) Monitoring, Troubleshooting, and Incident Response (3+ years) How applied: Actively monitors logs and alerts, identifies failed or abnormal transfers, performs root cause analysis, and restores service quickly while communicating status to business stakeholders. Key attributes of success: Problemsolving, calm execution under pressure, clear communication. 5) Windows Server & PowerShell Automation (2-3+ years) How applied: Supports the underlying Windows environments and uses PowerShell to automate administrative tasks, improve operational efficiency, and reduce manual intervention. Key attributes of success: Technical efficiency, process improvement mindset. 6) Business Communication & Stakeholder Support (3+ years in enterprise environments) How applied: Translates technical file transfer issues into clear business impact, timelines, and next steps for nontechnical stakeholders and external partners. Supports onboarding/offboarding and ongoing partner relationships. Key attributes of success: Professional communication, accountability, and partnership orientation. *Experience Level* Intermediate Level *Job Type & Location*This is a Contract position based out of Brentwood, TN. *Pay and Benefits*The pay range for this position is $30.00 - $35.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type*This is a fully remote position. *Application Deadline*This position is anticipated to close on Jan 21, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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

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.

Fraud AnalystJob Category: Finance and AccountingTime Type: Part time Minimum Clearance Required to Start: DOJ MBIEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel: Local* * * The Opportunity: The Fraud Analyst position is a great opportunity for analysts to further their career path supporting the Department of Justice on large and complex fraud investigations. You will gain invaluable experience working with federal agents, investigators, attorneys and other experts in the detection of criminal activity. You will sharpen your data analysis and consolidation skills by accessing, collecting, examining and analyzing data, evidence and other information from a variety of sources including public access and law enforcement databases. CACI is committed to growing our eDiscovery workforce and has included tuition reimbursement for Relativity certifications, the ACEDS certification and Paralegal Certificates! This is a great opportunity for someone to grow their careers. Please apply if you are interested to hear more! Responsibilities: Typical duties include, but are not limited to, the following: Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing or other types of fraud. Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns to analyze and research. Analyze data and draft written conclusions and recommendations regarding possible fraudulent billing patterns to be further investigated. Prepare interim and final reports on progress of findings for use by AUSAs and supervisory attorneys. Reports shall include significant findings, conclusions, and recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of the case. Work with the assigned AUSAs, supervisory AUSAs and/or and investigators to determine applicable administrative statutory and regulatory law and identify possible violations or causes of action. Develop an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigation. Determine proof required to assist in affixing legal responsibility for litigation, and devise methods for obtaining, preserving, and presenting evidence to greatest effect. Initiate contacts with federal, state, and local officials, and other organizations, including Medicare and Medicaid contractors, related to the subject of the investigation for the purpose of gathering facts, obtaining records, learning sequences of events, obtaining explanations, and otherwise advancing investigative objectives. Examine records, correspondence, audits, or reviews pertaining to the transactions, events, or allegations under investigation. Establish and verify relationships among all facts and evidence obtained and presented to confirm authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Assist in the compilation and analysis of documents and physical evidence, and creation of charts and graphs for use in hearings, presentations, or trial. Review defense presentations, expert reports, and arguments. Create financial damage models for use in litigation. Participate in negotiations as requested. Travel with USAO MD personnel to conduct interviews. Work with independent experts/consultants. This position is Part Time (32 hours) Qualifications: Required: Experience in document analysis, particularly in relation to fraud cases. Two years' experience in performing on-line database research and telephone research. Working knowledge of various public repositories of information. Excellent oral and written communication skills. Undergraduate degree preferred; familiarity with automated litigation support helpful. DOJ MBI must be obtainable (US citizenship required) Desired: Experience in a litigation support environment preferred. Undergraduate degree preferred but not required. Certification or training courses completed related to fraud analysis. Familiarity with automated litigation support helpful. Excellent attention to detail and ability to perform tasks accurately and quickly. - ________________________________________________________________________________________ What You Can Expect: A culture of integrity. At CACI, we place character and innovation at the center of everything we do. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose - to ensure the safety of our nation. An environment of trust. CACI values the unique contributions that every employee brings to our company and our customers - every day. You'll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality. A focus on continuous growth. Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground - in your career and in our legacy. Your potential is limitless. So is ours. Learn more about CACI here. ________________________________________________________________________________________ Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits. Learn more here. Since this position can be worked in more than one location, the range shown is the national average for the position. The proposed salary range for this position is: $57,500-$117,900 CACI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any other protected characteristic.

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.

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.

Our roster has an opening with your name on it The Analyst, Fraud Prevention role is responsible for analyzing and monitoring daily risk reporting to identify fraudulent or suspicious activity across the FanDuel Group brands. This position plays a key role in assisting our organization with Fraud prevention and response. This role requires an intermediate understanding of existing and emerging fraud risks within Daily Fantasy Sports, online gaming or related industries. Candidates for this role must pass 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 into the Fraud and Risk Supervisor. 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 Conduct daily reviews of risk reporting to detect, prevent and mitigate fraudulent or suspicious activity; including but limited to customer deposits and withdrawals Perform detailed account due diligence and settlement of customer accounts Ensure all daily customer withdrawals are screened accurately Assist with applicable state-specific regulatory Fraud form reporting Support internal teams with various Fraud and Risk reviews or requests Resolve customer issues in relation to Fraud and Risk matters when necessary Additional tasks and projects as assigned by team leadership THE STATS What we're looking for in our next teammate Preferably 1+ years of fraud experience in daily fantasy sports, online gaming or related industries preferred Experience with digital payments and understanding of e-Commerce platforms ideal Bachelor's degree in related field preferred Intermediate knowledge of common fraud prevention strategies and systems Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules Strong communication, organizational, problem-solving and analytical skills Available to work flexible hours that include nights and weekends 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 hourly range for this position is $25.96 - $32.69 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

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.

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

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.

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

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

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

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.

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

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

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

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.Key Responsibilities Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp's proprietary software, systems and tools. Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement. Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims. Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement. Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables. Ensures smooth operations and improves customer satisfaction. Other duties as required. Requirements and Qualifications High School Diploma or GED required. Associates or Bachelor's Degree preferred. 5+ years' experience in healthcare field working in billing or collections. 1+ years' client facing/customer services experience. Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements. Equivalent combination of education and experience will be considered. Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology. Strong understanding of the revenue cycle process. Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements. Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims. Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms. Demonstrate strong ability to review client/payer contracts to identify complex underpayments. Regular and predictable attendance. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Special Considerations and Prerequisites Practices and adheres to EnableComp's Core Values, Vision and Mission. Proven ability to meet and/or exceed productivity targets and goals. Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders. Must be a self-starter and able to work independently without direct supervision. Proven written and verbal communication skills. Strong analytical and problem-solving skills. Proven experience working with external clients; strong customer service skills and business acumen. Ability to prioritize and manage multiple competing priorities and projects concurrently. Must be able to remain in stationary position 50% of the time. Occasionally moves about inside the office to access office equipment, etc. Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don't just take our word for it! Hear what our people are saying: “I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” - Revenue Specialist “I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” - Supervisor, Operations