Special Investigations (Healthcare) Investigator II
IEHP 4.7
Remote job
Special Investigations Unit Investigator II (Healthcare)
The SIU Investigator II is responsible for investigating and analyzing suspected cases of fraud, waste, and abuse within the healthcare environment. This role conducts comprehensive investigations, leveraging data analytics and other sources to identify unusual billing patterns and potential violations. The position ensures compliance with state and federal regulations, including CMS, HHS-OIG, DMHC, and DHCS requirements, and supports the organization's Fraud, Waste, and Abuse (FWA) Program. Duties include reporting findings to regulatory agencies and implementing measures to prevent, detect, and correct fraudulent activities.
Education & Requirements
Four (4) years or more of relevant professional experience in health care environment, with an emphasis in fraud, waste, and abuse investigations, including Federal and State reporting
Experience in health care fraudinvestigation, detection, and/or healthcare related specialty including but limited to; Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, Claims
Bachelor's degree from an accredited institution, in lieu of the required degree, a minimum of four years of additional relevant work experience is required for the position
Accredited Healthcare FraudInvestigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), or similar certification is preferred
Salary:
$80,059.20 - $106,059.20 USD Annually
Hybrid Schedule, Monday & Friday are work from home days, Tuesday - Thursday onsite in Rancho Cucamonga, CA.
Medical Insurance with Dental and Vision
Career and professional development
CalPERS retirement, 457(b) option with a contribution match
$80.1k-106.1k yearly 2d ago
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Fraud Investigative Lead Supervisor
Open 3.9
Remote 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 FraudInvestigative 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 Fraudinvestigative 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 FraudInvestigative 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 FraudInvestigators 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 40d ago
Fraud and Waste Investigator
Humana 4.8
Remote job
Become a part of our caring community and help us put health first The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Where You Come In
The Fraud and Waste Professional 2 coordinates investigation with internal and external entities including compliance, internal business partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
What Humana Offers
We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education
Use your skills to make an impact
WORK STYLE: Remote anywhere in US, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
WORK HOURS: Monday-Friday, 8 hours/day, 5 days/week, ideally, associates will work on EST (regardless of their home time zone). Must start between 6AM-9AM (in the employee's time zone), some flexibility might be possible, depending on business needs.
Required Qualifications - What it takes to Succeed
Bachelor's degree or equivalent work experience
Minimum 2 years of investigative and/or claims experience
Knowledge of healthcare payment methodologies
Strong organizational, interpersonal, and communication skills
Inquisitive nature with ability to analyze data to metrics
Computer literate (MS Word, Excel, Access)
Strong personal and professional ethics
Ability to travel up to 5%, to attend trainings and meetings, as required
Preferred Qualifications
Bilingual in Spanish
Bachelor's degree and/or additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI).
Understanding of healthcare industry, claims processing and investigative process development.
Experience in a corporate environment and understanding of business operations
Additional Information
Work at Home Requirements
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$65,000 - $88,600 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-22-2026
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$65k-88.6k yearly Auto-Apply 6d ago
Fraud Investigator
Nymbus, Inc. 4.4
Remote job
Job Description
Nymbus (******************** is a high growth fintech company that enables financial institutions to transform their capabilities and drive value in today's digital finance world.
At Nymbus, we believe when you set off on the path to innovation you should feel excitement and confidence, not fear and dread. With Nymbus we are bringing delight back into the banking process. We want our partners to be thrilled about the possibilities we are creating together and the lasting impact our collaboration will bring to the industry and consumers.
The journey to growth begins with doing something different. And that journey starts with the great people that make Nymbus. Thank you for considering and entrusting Nymbus to be the catalyst that helps take your career through your next chapter.
WORK ENVIRONMENT:
We are a remote first company. This role, as most of our positions, is remote. You may be required at times to visit client sites or attend meetings at designated locations.
POSITION SUMMARY:
The FraudInvestigator plays a critical role in protecting the financial assets, operational integrity, and reputation of Nymbus clients by leading advanced investigations into complex and high-impact fraud cases across multiple payment channels and products. This role involves the proactive identification of suspicious patterns and anomalies through the review of transactional data, case alerts, and non-alert-based referrals from both internal and external sources.
The Investigator will perform in-depth case analysis, connect cross-channel and cross-client fraud activity, and determine the root cause of fraudulent behavior. They will work directly with clients to present investigative findings, provide recommendations for risk mitigation, and ensure timely resolution of escalated cases. This includes preparing comprehensive reports, tracking key trends, and recommending targeted process enhancements.
Collaboration is essential, as the FraudInvestigator partners closely with internal operations teams, external client contacts, and third-party fraud detection platforms to resolve cases efficiently and in compliance with regulatory standards. The role also involves drafting and maintaining investigative procedures, mentoring Fraud Analysts, and contributing to the development of enterprise-wide fraud prevention strategies.
The ideal candidate will have proven expertise in fraudinvestigation, strong pattern-recognition skills, deep knowledge of financial regulations, and the ability to work effectively under pressure in a high-volume, deadline-driven environment.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES:
Include, but are not limited to:
Lead end-to-end investigations into complex and high-impact fraud cases, ensuring timely and thorough resolution.
Analyze transactional data across multiple sources to identify patterns, trends, and emerging fraud typologies.
Develop and maintain detailed fraud reports for clients, highlighting findings, trends, and recommended actions.
Collaborate with internal operational and support teams to ensure accurate documentation, escalation, and resolution of fraud incidents.
Work with clients to provide investigative updates, final case reports, and recommended preventive measures.
Conduct in-depth reviews of customer claims involving Debit card, Credit card, ACH, P2P, Bill Payments, and other payment channels, with a focus on complex and recurring cases.
Identify gaps and recommend procedural enhancements to strengthen fraud prevention measures.
Draft, update, and maintain fraudinvestigation procedures and best practices documentation.
Serve as a subject matter expert for escalated fraud inquiries from Fraud Analysts and other team members.
Track and report investigation metrics for client review.
Stay current on industry fraud trends, regulatory changes, and compliance requirements to ensure investigative processes remain effective.
Provide training and mentorship to Fraud Analysts on investigative techniques and case handling.
QUALIFICATIONS:
Associates degree in Business, Criminal Justice, Finance, or a related field preferred.
Minimum 5 years of experience in fraudinvestigation or advanced fraud analysis, preferably in a financial institution or fintech environment.
Proven track record managing complex investigations from initiation to resolution.
Strong understanding of fraud detection tools and platforms (e.g., Verafin, DataVisor) and the ability to leverage multiple systems for analysis.
Fraud certification (CFE, CFCI, or equivalent) strongly preferred.
Expertise in identifying patterns, connecting data points, and recognizing emerging fraud trends.
Strong understanding of banking operations, payment systems, and relevant regulations.
Exceptional written and verbal communication skills, including the ability to prepare and deliver investigation reports to diverse audiences.
Proven analytical, research, and problem-solving skills, with a detail-oriented mindset.
Ability to work independently on complex assignments while collaborating effectively with cross-functional teams.
Proficient in Microsoft Office and Google applications, with strong Excel and data analysis skills.
Comfortable navigating multiple systems and applications in a fast-paced, deadline-driven environment.
HOURS:
Monday - Friday, 8:00 AM - 5:00 PM EST
Rotating weekend coverage as scheduled
Occasional flexibility may be required for urgent investigations or client needs.
SALARY & BENEFITS:
$65,000 - $75,000 Annual Salary
Annual Cash Bonus and Equity Options commensurate with the role level and experience
100% Fully Remote
Robust 401(k) plan with company match
Insurance - Health, Dental and Vision (Nymbus covers 100% of the Healthcare and Basic Dental premiums)
Flexible Paid Time Off
Ready to join? We invite you to watch this video and learn who we are and how we build and innovates together!
Let's Go!
$65k-75k yearly 26d ago
SIU/Fraud Investigator- Long Term Care
Illumifin
Remote 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/FraudInvestigator 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. 3d ago
Healthcare Fraud Investigator
Contact Government Services, LLC
Remote job
Healthcare FraudInvestigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare FraudInvestigator 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
Senior Account Fraud QC Investigator
Mercury 3.5
Remote 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 fraudinvestigation 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 fraudinvestigations and quality control, ideally in an account fraud or transaction monitoring environment.
Have prior experience building a QC program and/or performing QC for fraudinvestigations, 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
Senior Fraud Investigator
Galileo Financial Technologies 4.3
Remote job
Employee Applicant Privacy Notice
Who we are:
Welcoming, collaborative and having the opportunity to make an impact - is how our employees describe working here. Galileo is a financial technology company that provides innovative and revolutionary software products and services that power some of the world's largest Fintechs. We are the only payments innovator that applies tech and engineering capabilities to empower Fintechs and financial institutions to unleash their full creativity to achieve their most inspired goals. Galileo leads its industry with superior fraud detection, security, decision-making analytics and regulatory compliance functionality combined with customized, responsive and flexible programs to accelerate the success of all payments companies and solve tomorrow's payments challenges today. We hire energetic and creative employees while providing them the opportunity to excel in their careers and make a difference for our clients. Learn more about us and why we work here at **********************************************
The Role
We are seeking a talented and self-motivated Senior FraudInvestigator to support our FraudInvestigations team. This role will be responsible for the training of a team of FraudInvestigators who are responsible for conducting independent reviews and analysis of possible suspicious activity to ensure compliance with regulatory institutions and Galileo policies and procedures. The Senior FraudInvestigator is responsible for conducting holistic reviews of FraudInvestigators' research, documented analysis/findings, and conclusions as it relates to financial crime activity to ensure the utmost quality investigations. This person will assist in the development and guidance of our FraudInvestigative team and report directly to the Senior Manager of FraudInvestigations.
What you'll do:
Evaluate Fraud or abusive behavior is identified and may warrant a SAR filing. The Senior FraudInvestigator will ensure determinations are appropriate, fully supported, and clearly documented, for fraud claim cases
Collaborates with other internal SoFi departments, vendors, law enforcement, etc. to resolve issues and works to proactively minimize losses
Train, coach, develop, and monitor fraudinvestigations staff to ensure an excellent member experience
Establishes positive employer-employee relationships, and promotes a high level of employee morale, trust, and integrity
Develop, maintain, and implement policies/procedures to mitigate and proactively address fraudulent activity
Conduct team meetings to enhance teamwork ensuring good staff morale
Knowledge of risk strategies and creation of an open communication forum to iterate policies
Communicate significant issues to Management; make recommendations when weaknesses are identified
Respond promptly and exercise exceptional communication skills in an effort to optimize each contact with customers, partners, and external vendors/banks
Establish and ensure compliance with departmental standards and processes to increase production and accommodate work volumes toward enhanced customer satisfaction
Foster a culture of accountability, collaboration, speed, innovation, excellence, and a fun work environment while continuously elevating the quality and caliber of our fiscal controls.
Partner with member-facing teams to ensure there is clear communication and understanding of fraud referrals and policies
Handle any special projects as assigned by management
Promote SoFi values in the daily work and management of the team
What you'll need:
3+ years of relevant fraudinvestigation experience in financial services or other related industry
Minimum of 1 year of managing a team of fraudinvestigators (Team lead or supervisor)
Fraud SAR filing experience required
Proven background in customer service
Demonstrated ability to communicate effectively with all levels of the organization and across different business lines
Ability to successfully lead and manage direct reports, including training, mentoring, and counseling
Strong attention to detail with a focus on quality reviews
Excellent organizational, verbal, written, and interpersonal skills are required
Must be able to multitask, adapt well to changing priorities, and effectively prioritize responsibilities to meet critical deadlines
Ability to work in a fast-paced, demanding, and changing environment; must work well under pressure
Excellent analytical skills required
Nice to Have:
Applicable certifications, for example, CFE, CAMS, etc
Currently participating in peer groups to stay abreast of industry happenings
Galileo Financial Technologies provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion (including religious dress and grooming practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to breastfeeding), gender, gender identity, gender expression, national origin, ancestry, age (40 or over), physical or medical disability, medical condition, marital status, registered domestic partner status, sexual orientation, genetic information, military and/or veteran status, or any other basis prohibited by applicable state or federal law. The Company hires the best qualified candidate for the job, without regard to protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. New York applicants: Notice of Employee Rights Galileo is committed to an inclusive culture. As part of this commitment, Galileo offers reasonable accommodations to candidates with physical or mental disabilities. If you need accommodations to participate in the job application or interview process, please let your recruiter know or email accommodations@sofi.com. Due to insurance coverage issues, we are unable to accommodate remote work from Hawaii or Alaska at this time. Internal Employees If you are a current employee, do not apply here - please navigate to our Internal Job Board in Greenhouse to apply to our open roles.
$34k-53k yearly est. Auto-Apply 11d ago
Part Time Bilingual (Spanish) Private Investigator - Special Investigations Unit (SIU)
The Robison Group 4.2
Remote job
Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks. For this position, you will also need to be fluent in writing, reading and speaking Spanish.
This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of investigators and industry leaders.
PRINCIPAL RESPONSIBILITIES:
Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified.
Complete scene investigations, including photographing.
Conduct in-person visit of medical clinics.
Complete neighborhood canvasses.
Make sound judgments during the course of the investigation.
Provide timely progress updates.
Complete detailed investigative reports.
WHO SHOULD APPLY:
Candidates with at least five (5) years of investigations experience are strongly encouraged to apply.
We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity, and respect.
POSITION QUALIFICATIONS:
MUST have current and active Private Investigation License to be eligible for hire.
Self-motivated, determined, and intuitive with a strong initiative and work-ethic.
Ability to identify critical issues quickly and accurately.
Demonstrate observational, organizational, and listening skills.
Excellent oral and written communication.
Fluent in Spanish language (writing, reading, speaking).
Ability to work independently, as well as in a team.
Flexible schedule working weekends, holidays, and possible evenings.
Candidate must own a reliable computer, preferably a laptop, with access to high-speed internet and a scanner or fax machine.
Must have strong computer and internet skills.
Proficient with a digital camera.
Must possess a valid driving license and own your reliable vehicle.
Applicants must pass an extensive background check.
Must be able to pass a drug test with negative results (except when undergoing documented medical treatment).
College Degree preferred.
COMPENSATION & REIMBURSEMENTS:
Hourly Rate is commensurate with education and experience.
Paid travel time and reimbursement for mileage, tolls, and other per diem items.
READY TO APPLY?
Please submit your FULL resume, including salary requirements.
$52k-81k yearly est. 60d+ ago
FCO Fraud Investigative Unit Manager - Vice President
Deutsche Bank 4.9
Remote job
Job Title FCO FraudInvestigative Unit Manager
Corporate Title Vice President
Location Remote work opportunity for candidates living in AZ, CT, DC, FL, GA, IL, MD ,MA, MI, MO, NJ, NY, NC, OH, OR, PA, TN, TX, VA
The anti-financial crime (AFC) team is accountable for protecting Deutsche Bank from financial and reputational losses incurred by financial crimes by assessing, controlling and mitigating risks. The anti-money laundering (AML) Transaction Monitoring Investigations Manager will be responsible for assisting in the development and management of a team of investigators within the Financial Crime Operations (FCO) program, including the associated policies, procedures and controls. The Vice President will also propose procedural enhancements.
What We Offer You
A diverse and inclusive environment that embraces change, innovation, and collaboration
A hybrid working model, allowing for in-office / work from home flexibility, generous vacation, personal and volunteer days
Employee Resource Groups support an inclusive workplace for everyone and promote community engagement
Competitive compensation packages including health and wellbeing benefits, retirement savings plans, parental leave, and family building benefits
Educational resources, matching gift and volunteer programs
What You'll Do
You will lead and manage a team of investigators (Analyst to AVP), overseeing day-to-day case prioritization, staffing capacity, performance development, succession planning, and training guidance
You will oversee, analyze, and investigate high-profile fraud incidents involving wires, checks, ACH transactions, and fraudulent documents, ensuring investigatory best practices and end-to-end transaction monitoring processes are properly executed
You will ensure adherence to regulatory, audit, and compliance requirements by setting deliverables, maintaining Key Operating Procedures (KOPs), monitoring management information (MI) and aging cases/alerts, and addressing internal and external audit inquiries
You will promote continuous analysis by interpreting relevant industry regulations and Compliance policies, ensuring proper control implementation and monitoring; stay current on new rules, regulations, and reputational risks to adjust policies and procedures
You will perform oversight functions in collaboration with monitoring team leads, providing feedback on review focus areas, resolving investigative issues, and serving as a point of contact for escalation of concerns or risks
You will partner with Financial Crimes Operations (FCO) management to identify, escalate, and address open issues representing risk, and support special projects as needed
How You'll Lead
You will manage and develop team performance through ongoing coaching, regular one-on-ones, and clear expectation setting
You will oversee the effective operation of the FraudInvestigations group, ensuring SLAs and regulatory requirements are consistently met
You will collaborate with stakeholders across teams and departments to support the success and integration of the broader function
Skills You'll Need
Bachelor's degree or equivalent work experience, with proven AML investigative experience in a transaction monitoring environment and proven management experience in a comparable environment
Strong knowledge of AML laws and regulations (e.g., USA PATRIOT Act, Fed, SEC, FINRA) and their application to relevant business lines, with experience in Correspondent Banking, Global Markets, and Asset Management preferred
Proficiency with fraud case-management systems (e.g., Actimize, Verafin, Prime) and effective internet research techniques
Advanced Microsoft Word, PowerPoint, and Excel skills, including pivot tables, macros, filtering, and sorting
CFE certification is preferred
Skills That Will Help You Excel
Strong interpersonal, communication (written and verbal), and team-leadership skills, with the ability to guide professionals, manage workloads, and drive task completion
Excellent analytical, judgment, research, and problem-solving skills, with meticulous attention to detail and strong multitasking ability
Effective decision-making and ability to identify, escalate, and communicate issues succinctly to management
Ability to work collaboratively with Infrastructure and other cross-functional groups in a fast-paced environment
Self-motivated team player who can adapt quickly and maintain high effectiveness under changing priorities
Expectations
Deutsche Bank provides reasonable accommodations to candidates and employees with a substantiated need based on disability and/or religion.
The salary range for this position in Jacksonville is $96,000 to $140,850. Actual salaries may be based on a number of factors including, but not limited to, a candidate's skill set, experience, education, work location and other qualifications. Posted salary ranges do not include incentive compensation or any other type of remuneration.
Deutsche Bank Benefits
At Deutsche Bank, we recognize that our benefit programs have a profound impact on our colleagues. That's why we are focused on providing benefits and perks that enable our colleagues to live authenti cally and be their whole selves, at every stage of life. We provide access to physical, emotional, and financial wellness benefits that allow our colleagues to stay financially secure and strike balance between work and home. Click here to learn more!
Learn more about your life at Deutsche Bank through the eyes of our current employees ***************************
The California Consumer Privacy Act outlines how companies can use personal information. If you are interested in receiving a copy of Deutsche Bank's California Privacy Notice please email ****************.
#LI-REMOTE
We strive for a culture in which we are empowered to excel together every day. This includes acting responsibly, thinking commercially, taking initiative and working collaboratively.
Together we share and celebrate the successes of our people. Together we are Deutsche Bank Group.
We welcome applications from all people and promote a positive, fair and inclusive work environment.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status or other characteristics protected by law. Click these links to view Deutsche Bank's Equal Opportunity Policy Statement and the following notices: EEOC Know Your Rights; Employee Rights and Responsibilities under the Family and Medical Leave Act; and Employee Polygraph Protection Act.
$96k-140.9k yearly Auto-Apply 30d ago
Fraud Analytics Analyst
Live Oak Banking 3.8
Remote 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, fraudinvestigators, 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 7d ago
Fraud Analyst
Slope 4.0
Remote 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
Fraud Analytics Analyst
Liveoakbancshares
Remote 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, fraudinvestigators, 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 7d ago
SME - Fraud Analytics
EXL Talent Acquisition Team
Remote 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 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 4d ago
Fraud & Verification Analytics, Lead
Braviant Holdings 4.2
Remote 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 55d ago
Commercial Loan Fraud Specialist
Cooperative Business Services 3.7
Remote 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
Investigations Analyst
Gavin de Becker & Associates 4.4
Remote job
Gavin de Becker & Associates
is a dynamic security firm innovating threat assessment and public figure protection. Our mission aims to protect and enhance the lives of those we serve. From media figures and transnational corporations to universities and women's shelters, GDBA stands on the front line of the assessment, prediction, and management of violence.
This is an entry-level Analyst position in our Investigations Division for candidates interested in pursuing a career in investigations and intelligence. This position is based in San Antonio, TX and will be a mixture of in-person work and remote work. Suitable candidates should be able to commute to North San Antonio, TX.
Required Qualifications
You're a college graduate who is inquisitive and eager to learn. You're a self-starter.
You like solving puzzles. You can sort through a lot of information and decipher connections.
You're able to handle multiple deadlines and competing priorities. You can shift gears quickly.
You are a strong writer who is able to persuade others and get your viewpoint across.
You carry yourself with confidence, are poised in meetings, and are able to think on your feet.
You are able to exercise discretion and confidentiality.
You're able to pass our background check and drug and nicotine screenings.
Desired Qualifications
You've worked in an office, and you're comfortable in a fast-paced work environment.
You've been exposed to general legal principles and procedures; maybe you're thinking about law school or have worked in a law firm or an investigative firm.
You're familiar with Open Source Intelligence (OSINT) and computerized legal research. For example, for a paper, you used LexisNexis, or perhaps you have used TLO or another data broking website in an entry level position you're working now.
You have an interest in sociology, psychology, investigations, journalistic research, and/or risk assessment. Testing a hypothesis or discovering hard-to-find information is exciting to you.
Responsibilities & Expectations
You'll be joining an ambitious team whose mission is to assess risk, pursue leads, mitigate concerns through conducting pre-employment background investigations. Successful candidates who have previously pursued this position have typically demonstrated an interest in law, psychology, and criminal justice.
Research
Evaluate court records, public documents, open sources, database records and other investigative sources.
Conduct internet research, using OSINT to acquire more information on relevant person(s) and/or events.
Analysis & Assessment
Review, identify, and analyze trends and inconsistencies in reporting and research findings.
Draw actionable and impactful conclusions to mitigate risk and acquire hard-to-find information.
Clearly express methodology and recommendations to management and peers in writing and presentations.
Compensation and Benefits:
Compensation ranges from $50k-$60k depending on experience
Long-Term Opportunities. We encourage our associates to develop and deploy their strengths. At GDBA, ideas matter
Benefits. Medical, Dental, Vision, Life Insurance, Long-Term Disability Insurance, and Paid Time Off
Company Perks. GDBA offers its associates gym and wellness allowances, as well as corporate discount memberships, sponsored vacations, and passion grants
Best in Class 401k Retirement Plan:
$15,000 employer contribution for First-Year Associates
$3,000 employer contribution each year thereafter
10% no-limit matching for all Associates who choose to contribute to their retirement plan
Visit our Earnings and Benefits Page to learn more about additional benefits and stipends: ***********************************
Learn more about our organization by visiting our website, following GDBA on social media, or connecting with us on LinkedIn.
$50k-60k yearly Auto-Apply 30d ago
Investigations Analyst - San Antonio TX
Msccn
Remote job
ATTENTION MILITARY AFFILIATED JOB SEEKERS
- Our organization works with partner companies to source qualified talent for their open roles. The following position is available to
Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers
. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
Gavin de Becker & Associates is a dynamic security firm innovating threat assessment and public figure protection. Our mission aims to protect and enhance the lives of those we serve. From media figures and transnational corporations to universities and women's shelters, GDBA stands on the front line of the assessment, prediction, and management of violence.
This is an entry-level Analyst position in our Investigations Division for candidates interested in pursuing a career in investigations and intelligence. This position is based in San Antonio, TX and will be a mixture of in-person work and remote work. Suitable candidates should be able to commute to North San Antonio, TX.
Responsibilities & Expectations
You'll be joining an ambitious team whose mission is to assess risk, pursue leads, mitigate concerns through conducting pre-employment background investigations. Successful candidates who have previously pursued this position have typically demonstrated an interest in law, psychology, and criminal justice.
Research
Evaluate court records, public documents, open sources, database records and other investigative sources.
Conduct internet research, using OSINT to acquire more information on relevant person(s) and/or events.
Analysis & Assessment
Review, identify, and analyze trends and inconsistencies in reporting and research findings.
Draw actionable and impactful conclusions to mitigate risk and acquire hard-to-find information.
Clearly express methodology and recommendations to management and peers in writing and presentations.
Compensation and Benefits:
Compensation ranges from $50k-$60k depending on experience
Long-Term Opportunities. We encourage our associates to develop and deploy their strengths. At GDBA, ideas matter
Benefits. Medical, Dental, Vision, Life Insurance, Long-Term Disability Insurance, and Paid Time Off
Company Perks. GDBA offers its associates gym and wellness allowances, as well as corporate discount memberships, sponsored vacations, and passion grants
Required Qualifications
You're a college graduate who is inquisitive and eager to learn. You're a self-starter.
You like solving puzzles. You can sort through a lot of information and decipher connections.
You're able to handle multiple deadlines and competing priorities. You can shift gears quickly.
You are a strong writer who is able to persuade others and get your viewpoint across.
You carry yourself with confidence, are poised in meetings, and are able to think on your feet.
You are able to exercise discretion and confidentiality.
You're able to pass our background check and drug and nicotine screenings.
Desired Qualifications
You've worked in an office, and you're comfortable in a fast-paced work environment.
You've been exposed to general legal principles and procedures; maybe you're thinking about law school or have worked in a law firm or an investigative firm.
You're familiar with Open Source Intelligence (OSINT) and computerized legal research. For example, for a paper, you used LexisNexis, or perhaps you have used TLO or another data broking website in an entry level position you're working now.
You have an interest in sociology, psychology, investigations, journalistic research, and/or risk assessment. Testing a hypothesis or discovering hard-to-find information is exciting to you.
$50k-60k yearly 28d ago
Fraud Prevention Specialist
Boats Group 4.2
Remote job
Cyber Risk and Fraud Prevention Specialist - Miami/Hybrid About the Role Boats Group is seeking a Fraud Prevention Specialist to join our Security team and take ownership of our digital identity and fraud prevention infrastructure. Boats Group operates the world's leading marine marketplaces-connecting millions of buyers with boat dealers, manufacturers, and private sellers globally. In this role, you will be critical to maintaining trust and safety across our platforms by detecting and preventing fraud, protecting our customers, and enabling legitimate transactions to flow seamlessly. You will work collaboratively across Data Science, Fraud Operations, Customer Support, Engineering, and Security teams, combining technical expertise with analytical thinking to stay ahead of evolving fraud threats. What You'll Do
Own and manage fraud prevention and digital identity platforms, including configuration, optimization, and operational health monitoring.
Develop, implement, and continuously refine fraud detection rules, policies, and risk scoring models tailored to marketplace and e-commerce fraud patterns.
Analyze fraud trends, transaction patterns, and behavioral signals to identify emerging threats across account creation, listings, and payment flows.
Investigate high-risk accounts, suspicious listings, and fraudulent transactions, conducting thorough root cause analysis and documenting findings.
Partner with Data Science teams to enhance machine learning models and risk scoring algorithms using fraud platform data and digital identity signals.
Collaborate with Fraud Operations on case management workflows, decisioning strategies, and fraud review processes.
Work closely with Customer Support to balance fraud prevention with positive user experience, minimizing false positives and customer friction.
Engage with Engineering teams to manage API integrations, implement device fingerprinting, and ensure seamless technical implementation of fraud controls.
Create and maintain dashboards, reporting, and KPIs to track fraud metrics, platform performance, and operational effectiveness.
Research and monitor emerging fraud tactics in marketplace, e-commerce, and classified ads environments, proactively adapting detection strategies.
Write SQL queries to analyze fraud data, identify patterns, and support investigations.
Develop scripts and automation to streamline fraud detection workflows and data analysis.
Document fraud prevention procedures, playbooks, and best practices for cross-functional teams.
Support incident response efforts related to fraud attacks, account compromise, and platform abuse.
What You Should Have
3-5 years of experience in fraud prevention, risk operations, trust & safety, or related security roles within e-commerce or marketplace environments.
Hands-on experience with enterprise fraud detection platforms (e.g., LexisNexis ThreatMetrix, Sift, Forter, Kount, or similar).
Strong analytical and investigative skills with proven ability to identify fraud patterns and behavioral anomalies.
Proficiency with SQL for data analysis, fraudinvestigations, and custom reporting.
Scripting experience (Python, JavaScript, or similar) for automation and data manipulation.
Understanding of digital identity signals including device fingerprinting, IP intelligence, behavioral biometrics, and velocity checks.
Experience investigating diverse fraud types: payment fraud, account takeover (ATO), listing fraud, seller/buyer fraud, and automated bot attacks.
Technical aptitude for working with APIs, integrations, and data pipelines.
Strong communication and collaboration skills with ability to work effectively across technical and non-technical teams.
Self-starter mentality with ability to work independently and drive initiatives to completion.
Excellent problem-solving skills and ability to balance fraud prevention with user experience.
What You May Have
Certifications such as CFE (Certified Fraud Examiner), CAMS (Certified Anti-Money Laundering Specialist), or related credentials.
Background in fraud prevention specific to classified ads, marketplace, or high-value transaction environments.
Experience with payment fraud schemes, chargeback management, and financial crime patterns.
Knowledge of AI and machine learning approaches to fraud detection and experience collaborating with data scientists.
Familiarity with fraud orchestration platforms, case management systems, or SIEM tools.
Understanding of fraud patterns in the marine, automotive, or similar vertical markets.
Experience with A/B testing and experimentation frameworks for fraud rule optimization.
Experience with data visualization tools (Tableau, Looker, Power BI) for fraud reporting and analytics.
What You'll Receive
Hybrid Work Flexibility: Embrace a balanced work model with remote work on Mondays and Fridays and in-office collaboration from Tuesday to Thursday.
Generous Time Off: With a strong focus on work/life balance, we offer all employees paid time off starting on day one, multiple paid holidays throughout the year, your birthday off, and a winter break at the end of the year
Volunteering Time: Participate in our volunteer program with 4 paid days annually to contribute to your community.
Modern Office Perks: Our vibrant Miami office features cutting-edge amenities, such as an electric sit/stand desk, dual monitors, a gym, and a variety of snacks and beverages.
Comprehensive Benefits Package: Enjoy top-tier Medical, Dental, Vision, and Life insurance, along with a 401(k) plan featuring a 4% match.
Commuter Benefits: Park conveniently in our building's garage at no charge to you. For train commuters, we subsidize most, if not all, of your monthly pass expenses.
Professional Development: Take advantage of online training, live courses, and additional funds for courses, seminars, and certifications to enhance your skills.
Team-Centric Atmosphere: Be part of a close-knit team that prioritizes relationship-building and personal connections
Nowadays, it seems that many people would prefer to work from home over going into the office every day. With remote work becoming a more viable option, especially for fraud investigators, we decided to look into what the best options are based on salary and industry. In addition, we scoured over millions of job listings to find all the best remote jobs for a fraud investigator so that you can skip the commute and stay home with Fido.
We also looked into what type of skills might be useful for you to have in order to get that job offer. We found that fraud investigator remote jobs require these skills:
Law enforcement agencies
Investigative reports
Fraud investigations
Criminal justice
Financial institutions
We didn't just stop at finding the best skills. We also found the best remote employers that you're going to want to apply to. The best remote employers for a fraud investigator include:
USAA
Cigna
Alight Solutions
Since you're already searching for a remote job, you might as well find jobs that pay well because you should never have to settle. We found the industries that will pay you the most as a fraud investigator:
Finance
Government
Insurance
Top companies hiring fraud investigators for remote work