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Fraud Specialist remote jobs - 401 jobs

  • Remote Risk Investigations Specialist - Organized Crime

    Control Risks 4.8company rating

    Remote job

    A global risk management firm is seeking a Risk Investigations Specialist to support a major tech client. This remote role focuses on mitigating offline risks such as organized crime and human trafficking. Candidates should have at least 5 years of investigative experience, proficiency in SQL, and skills in data analysis. The position offers a competitive salary range of $100,000-$110,000 annually and emphasizes a hybrid work environment, ensuring flexible yet effective collaboration across teams. #J-18808-Ljbffr
    $100k-110k yearly 3d ago
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  • Fraud Analytics Analyst

    Live Oak Banking 3.8company rating

    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, fraud investigators, and the investigations manager to enhance data and reporting. What You'll Do at Live Oak Design and build new data set processes for modeling, data mining, and data analysis. Provides alert support to address emerging threats. Analyze data to determine fraud system rules for fraud mitigation. Ability to communicate with management to present analysis in a concise and actionable way. How You'll Do It Implement and maintain systems/processes for data analysis and data management. Identify trends and develop assumptions to model various strategic initiatives. Responsible for gathering data from a variety of data sources and performing meaningful analysis. Regularly performs analysis and reporting as needed. Maintain proper documentation as required for record retention purposes. Required and Preferred Experience 2 years related fraud analytics experience, required Strong analytical skills, required Experience in Microsoft Office Proficiency in Data Visualization Tools such as Tableau and Python Proficiency with Database Tools (SQL Server, MySQL, etc.) Our Values Dedication: Possess a deep commitment to Live Oak Bank's mission and core values, exemplified through a strong work ethic, adaptability and pride in your work. Ownership: Take initiative to deliver positive results by proactively and creatively solving problems, while maintaining a high degree of quality. Respect: Treat everyone with courtesy, politeness, and kindness. Innovation: Embrace fresh ideas and fearlessly contribute new solutions to emerging or existing problems. Teamwork: Foster collaboration, accountability, and trust with others and understand that together, we do more For a detailed overview of our employee benefits please visit: *********************************** Live Oak Bank is an Affirmative Action and Equal Opportunity Employer, Minorities/Women/Veterans/Disabled. We consider applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, veteran status or disability. Equal access to programs, service and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources at ***************************. EEO is the Law The base pay range for this position is $56,540.00 - $92,520.00 per year. Compensation may also include annual bonuses and long-term incentives, subject to various metrics and company policy. A candidate's salary is determined by several factors including travel, relevant work experience or skills and expertise. Please note that we provide at least the minimum requirement of paid sick leave to our employees who reside in states that require employer-paid sick leave, including but not limited to Arizona, California, Colorado, District of Columbia, Maine, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, and Washington.
    $56.5k-92.5k yearly Auto-Apply 6d ago
  • Fraud Investigator

    Nymbus, Inc. 4.4company rating

    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 Fraud Investigator 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 Fraud Investigator 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 fraud investigation, 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 fraud investigation 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 fraud investigation 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 24d 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/Fraud Investigator is responsible for working with multiple business units on coordination, identification, mitigation, and reporting of incidents and risks related to anti-fraud activities. Conducts and/or assists with investigative tasks Reviews referrals of potential fraud, waste, and abuse from both auto-detection programs and from claims organization, as assigned Coordinates and performs investigations with oversight of lead investigator Prepares responses for suspected or alleged fraud Works closely with cross-functional leaders to ensure appropriate resolution, accurate reporting and tracking to meet client specific service level agreements Participates as a subject matter expert during client implementations, audits and system or process development Complies with state and federal laws to meet client contractual requirements Conducts effective research, analysis, and accurate documentation for reporting to clients and illumifin's leadership Schedules surveillance once approved by the client Conducts continuing education to Claims staff May conduct phone calls or basic interviews with witnesses, as assigned Assists with administration tasks relating to Fraud Services Department, as assigned Assists with client and department reporting Interfaces with claimants, providers and clients Conducts telephonic interviews of members, providers, and/or additional witnesses to gather information to support investigation Other duties as assigned
    $39k-61k yearly est. 1d ago
  • Healthcare Fraud Investigator

    Contact Government Services, LLC

    Remote job

    Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ
    $39k-61k yearly est. Auto-Apply 60d+ ago
  • AML Fraud Analyst

    Manpowergroup 4.7company rating

    Remote job

    Our client, a leader in financial services and risk management, is seeking an AML Fraud Analyst to join their team. As an AML Fraud Analyst, you will be part of the compliance and fraud investigation team supporting fraud detection and suspicious activity reporting related to government relief programs. The ideal candidate will have analytical mindset, attention to detail, and strong communication skills which will align successfully in the organization. **Job Title:** AML Fraud Analyst **Location: New York, New York** **Pay Range: $45/HR W2** **What's the Job?** + Investigate alerts generated by Verafin related to PPP loan activity and other high-risk transactions. + Conduct in-depth analysis of customer behavior, transaction patterns, and supporting documentation. + Draft and file Suspicious Activity Reports (SARs) with clear, concise, regulator-ready narratives. + Identify fraud typologies including identity theft, synthetic identities, and misuse of government relief programs. + Collaborate with internal teams such as compliance, lending, and operations to gather relevant data and escalate findings. **What's Needed?** + Associate Degree or higher in a relevant field. + Hands-on experience using Verafin for transaction monitoring and case management. + Strong understanding of BSA/AML regulations and SAR writing standards. + Ability to analyze complex data and identify fraud patterns. + Excellent documentation and communication skills. **What's in it for me?** + Opportunity to work in a dynamic and impactful role within the financial industry. + Engage in meaningful work supporting government relief program integrity. + Collaborate with a dedicated team of professionals committed to compliance and fraud prevention. + Gain valuable experience in AML and fraud investigation processes. + Work remotely with flexible arrangements to support work-life balance. **Upon completion of waiting period consultants are eligible for:** + Medical and Prescription Drug Plans + Dental Plan + Vision Plan + Health Savings Account + Health Flexible Spending Account + Dependent Care Flexible Spending Account + Supplemental Life Insurance + Short Term and Long Term Disability Insurance + Business Travel Insurance + 401(k), Plus Match + Weekly Pay If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you! **About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells** _ManpowerGroup (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands -_ **_Manpower, Experis, Talent Solutions, and Jefferson Wells_** _-_ creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent. ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.
    $45 hourly 60d+ ago
  • Senior Fraud Investigator

    Galileo Financial Technologies 4.3company rating

    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 Fraud Investigator to support our Fraud Investigations team. This role will be responsible for the training of a team of Fraud Investigators 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 Fraud Investigator is responsible for conducting holistic reviews of Fraud Investigators' 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 Fraud Investigative team and report directly to the Senior Manager of Fraud Investigations. What you'll do: * Evaluate Fraud or abusive behavior is identified and may warrant a SAR filing. The Senior Fraud Investigator 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 fraud investigations 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 fraud investigation experience in financial services or other related industry * Minimum of 1 year of managing a team of fraud investigators (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 9d ago
  • Fraud Analyst

    Slope 4.0company rating

    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 6d 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, fraud investigators, and the investigations manager to enhance data and reporting. What You'll Do at Live Oak Design and build new data set processes for modeling, data mining, and data analysis. Provides alert support to address emerging threats. Analyze data to determine fraud system rules for fraud mitigation. Ability to communicate with management to present analysis in a concise and actionable way. How You'll Do It Implement and maintain systems/processes for data analysis and data management. Identify trends and develop assumptions to model various strategic initiatives. Responsible for gathering data from a variety of data sources and performing meaningful analysis. Regularly performs analysis and reporting as needed. Maintain proper documentation as required for record retention purposes. Required and Preferred Experience 2 years related fraud analytics experience, required Strong analytical skills, required Experience in Microsoft Office Proficiency in Data Visualization Tools such as Tableau and Python Proficiency with Database Tools (SQL Server, MySQL, etc.) Our Values Dedication: Possess a deep commitment to Live Oak Bank's mission and core values, exemplified through a strong work ethic, adaptability and pride in your work. Ownership: Take initiative to deliver positive results by proactively and creatively solving problems, while maintaining a high degree of quality. Respect: Treat everyone with courtesy, politeness, and kindness. Innovation: Embrace fresh ideas and fearlessly contribute new solutions to emerging or existing problems. Teamwork: Foster collaboration, accountability, and trust with others and understand that together, we do more For a detailed overview of our employee benefits please visit: *********************************** Live Oak Bank is an Affirmative Action and Equal Opportunity Employer, Minorities/Women/Veterans/Disabled. We consider applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, veteran status or disability. Equal access to programs, service and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources at ***************************. EEO is the Law The base pay range for this position is $56,540.00 - $92,520.00 per year. Compensation may also include annual bonuses and long-term incentives, subject to various metrics and company policy. A candidate's salary is determined by several factors including travel, relevant work experience or skills and expertise. Please note that we provide at least the minimum requirement of paid sick leave to our employees who reside in states that require employer-paid sick leave, including but not limited to Arizona, California, Colorado, District of Columbia, Maine, Maryland, Massachusetts, Michigan, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, and Washington.
    $56.5k-92.5k yearly Auto-Apply 6d ago
  • Fraud Specialist

    Customer Support Specialist

    Remote job

    What we're looking for, ranked: You have obsessive attention to detail. You are analytical and love finding patterns in data. You are scrappy, have a bias for action, and work harder than anyone you know. You have experience working in risk or fraud, especially in e-commerce or payments. About Whop Whop is the ultimate virtual market that lets people earn money by starting shops and creating content. We deliver $2.5B per year in income to people across the globe and have more than 5M monthly users. About the role As a Fraud Specialist, you will make sure that merchants are only selling high-quality, trusted products on Whop and all activity on the platform falls within our Terms of Service. You will leverage Whop's fraud tools to investigate payment anomalies, review high-risk merchant flags, and escalate situations as needed. This role reports to the Head of Trust. ✅ Salary: $60,000 📍Remote : This position offers the flexibility to work from anywhere in the world. Available shifts are: 12:00 am EST to 8 am EST 8:00 am EST to 4:00 pm EST 4:00 pm to 12:00 am EST Weekend shifts are rotational - you must be available to work on some weekends. Scope: Responsible for Whop merchant account audits, reviewing risk flags from our internal fraud tooling and setting reserves or suspending accounts accordingly Review merchant applications to access financing options, including review of payment processor statements Escalate fraudulent trends to product and engineering teams so we can build solutions into our product What we're looking for You have previous experience in risk, compliance, or a similar role. You have a deep understanding of risk and fraud at an ecommerce or payments company. You are familiar with Whop, either as a buyer or as a seller. You have obsessive attention to detail; you care deeply about correctness You are low-ego, non-performative, and process-driven You love getting creative and doing anything it takes to solve a hard problem You are scrappy and have a bias for action: no task too small, no idea too big You want to take over the world and are not satisfied with anything other than being the best Your first 90 days will look like the following: Within 30 days, you will deeply understand Whop's product and internal fraud tools and processes. Within 60 days, you will have mastered account audits, financing application reviews, Resolution Center cases, and escalations. Within 90 days, you are detecting fraud patterns and escalating trends to our engineering teams to update fraud solutions within our product.
    $60k yearly Auto-Apply 11d ago
  • Fraud Specialist

    Vercel 4.1company rating

    Remote job

    Vercel gives developers the tools and cloud infrastructure to build, scale, and secure a faster, more personalized web. As the team behind v0, Next.js, and AI SDK, Vercel helps customers like Ramp, Supreme, PayPal, and Under Armour build for the AI-native web. Our mission is to enable the world to ship the best products. That starts with creating a place where everyone can do their best work. Whether you're building on our platform, supporting our customers, or shaping our story: You can just ship things. About the Role: We're seeking a Fraud Specialist to join our Trust & Safety team, which protects the integrity of our platform across key abuse areas such as fraud, phishing, malware, CSAM, platform abuse, and IP/DMCA infringement. In this role, you will collaborate across Operations, Product, Finance, and Engineering teams to strengthen and scale Vercel's fraud prevention capabilities. You'll analyze fraudulent activity, refine detection systems, develop operational processes, and help mitigate risk to both our users and the business. If you're based within a pre-determined commuting distance of one of our offices (SF, NY, London, or Berlin), the role includes in-office anchor days on Monday, Tuesday, and Friday. If you're located beyond that distance, the role is fully remote. For location-specific details, please connect with our recruiting team. What You Will Do: Investigate abuse vectors causing financial loss or reputational risk to the business. Monitor, maintain, and improve fraud detection and anomaly alerting systems. Develop and refine operational workflows to scale fraud prevention efforts. Manage and monitor the performance of internal tooling and fraud rules. Work cross-functionally across, Operations, Engineering, Product, and Finance to mitigate areas of risk. Represent Trust & Safety during incident response and create mitigation processes. About You: 3+ years of experience in fraud or chargeback operations, investigations, or a related Trust & Safety vertical. Experience with user restriction systems and setting, tracking, and using KPIs to understand and optimize operations workflows and outcomes. Proven track record working cross-functionally to deliver impactful results. Strong attention to detail, and the ability to translate investigations into scaled systems. Worked with abuse detection systems that leveraged Machine Learning and/or LLMs for large-scale anti-fraud enforcement. Ability to take large data sets and distill key insights into actionable trends and strategies. Bonus If You: Experience across multiple Trust & Safety domains, especially when it comes to web hosting or user generated content. Ability to create and interpret SQL queries. Experience using abuse-related ticketing and case management systems. Understanding of chargebacks and the overall payments landscape. Benefits: Competitive compensation package, including equity. Inclusive Healthcare Package. Learn and Grow - we provide mentorship and send you to events that help you build your network and skills. Flexible Time Off. We will provide you the gear you need to do your role, and a WFH budget for you to outfit your space as needed. The San Francisco, CA base pay range for this role is $128,000 - $192,000. Actual salary will be based on job-related skills, experience, and location. Compensation outside of San Francisco may be adjusted based on employee location. The total compensation package may include benefits, equity-based compensation, and eligibility for a company bonus or variable pay program depending on the role. Your recruiter can share more details during the hiring process. Vercel is committed to fostering and empowering an inclusive community within our organization. We do not discriminate on the basis of race, religion, color, gender expression or identity, sexual orientation, national origin, citizenship, age, marital status, veteran status, disability status, or any other characteristic protected by law. Vercel encourages everyone to apply for our available positions, even if they don't necessarily check every box on the job description. #LI-LC1
    $35k-55k yearly est. Auto-Apply 5d 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 2d ago
  • Fraud Prevention Analyst (Daytime/Weekends)

    Open 3.9company rating

    Remote job

    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
    $26-32.7 hourly Auto-Apply 10d ago
  • Fraud & Verification Analytics, Lead

    Braviant Holdings 4.2company rating

    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 53d ago
  • Fraud Detection Specialist I

    City National Bank 4.9company rating

    Remote job

    WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as potentially fraudulent, or out of pattern, based on the client's normal activity. Alerts and/or transactions may consist of various payment types and colleagues in this department are tasked with reviewing and verifying these alerted transactions via outbound and/or inbound call, in addition to initiating dispute claims. This position will play a key role in the prevention of losses to City National Bank and its clients. The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center knowledge, and a general knowledge of fraud identification and prevention. WHAT WILL YOU DO? * Demonstrate resiliency and adaptability in a fast-paced contact center environment * The Fraud Specialist is responsible for reviewing fraud alerts and internal notifications to identify fraudulent or suspicious activity * Approach problems logically and with good judgment to ensure the appropriate customer outcome * Demonstrate personal excellence including punctuality, integrity, and accountability * Comfortable in a metrics driven environment that requires the ability to prioritize and multitask * Think critically and exercise independent judgement * Following established policies and procedures, initiates appropriate actions steps to mitigate risk and protect the Bank from financial loss * Opens cases/claims on all suspicious activity and appropriately investigate, and escalate when needed * Works to detect various fraud schemes (email compromise, elder abuse, counterfeit checks, ATO, etc.) and characteristics of red flags, performs additional duties as assigned. * Performs defined mitigation steps to reduce financial loss to our customers and the bank * Ability to complete assigned duties within daily deadlines, both efficiently, timely, and with minimal supervision to meet KPIs and SLAs WHAT DO YOU NEED TO SUCCEED? *Required Qualifications** * Bachelor's Degree or equivalent * Minimum 2 year of general office, back office banking or accounting experience required * Advanced computer experience required (e.g. MS Word, Outlook and Excel) * Minimum 3 years in banking operations. * Minimum 2 years of experience in fraud investigations, disputes, and /or fraud exposure. *Additional Qualifications* * Must work well in a team environment, as well as independently * Must have a strong and positive work ethic and follow CNB core values * Must be flexible and adapt quickly to change * Ability to multi-tasks and meet specific performance goals * Advanced Knowledge of PC functions in a Windows based environment * Effective written and oral communication skills to interact effectively with all levels of bank personnel and clients. *WHAT'S IN IT FOR YOU?* *Compensation*Starting base salary: $22.27 - $33.43 per hour. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. *Benefits and Perks* At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date * Generous 401(k) company matching contribution * Career Development through Tuition Reimbursement and other internal upskilling and training resources * Valued Time Away benefits including vacation, sick and volunteer time * Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs * Career Mobility support from a dedicated recruitment team * Colleague Resource Groups to support networking and community engagement Get a more detailed look at our ********************************* ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at ********************************** *INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT* City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. *Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled. Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.
    $22.3-33.4 hourly 24d ago
  • Refund Dispute Specialist

    Brightspring Health Services

    Remote job

    Our Company Amerita Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the refund is appropriate or a payer dispute is warranted in accordance with applicable state/federal regulations and company policies. The Refund/Dispute Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. This is a Remote opportunity. Applicants can reside anywhere within the Continental USA. Schedule: Monday-Friday, 7:00AM to 3:30PM Mountain Time We Offer: • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts • Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance • 401(k) Retirement Plan • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability • Employee Discounts • Tuition Reimbursement • Paid Time Off & Holidays Responsibilities Reverses or completes necessary adjustments within approved range. Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goals Understands and adheres to all applicable state/federal regulations and company policies Understands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds Verifies dispensed medication, supplies, and professional services are billed in accordance to the payer contract. Validates accuracy of reimbursement and the appropriate deductible and cost share amounts billed to the patient per the payer remittance advice. Reviews remittance advices, payments, adjustments, insurance contracts/fee schedules, insurance eligibility and verification, assignment of benefits, payer medical policies and FDA dosing guidelines to determine if a refund or dispute is needed. Completes payer/patient refunds as needed and validates receipt of previously submitted refunds/disputes. Creates payer dispute letters utilizing Amerita's standard dispute templates and gathers all supporting documentation to substantiate the dispute. Submits disputes to payers utilizing the most efficient resources, giving priority to electronic solutions such as payer portals. Scans and attaches disputes to patient's electronic medical record in CPR+. Works closely with intake, patients, and payers to settle coordination of benefit issues. Communicates new insurance information to intake for insurance verification and authorization needs. Submits credit rebill requests as needed to the billing department or coordinates patient-initiated billing efforts to insurance companies. Initiates and coordinates move and cash research requests with the cash applications department. Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR+ Works within established departmental goals and performance/productivity metrics Identifies and communicates issues and trends to management Qualifications High School diploma/GED or equivalent required; some college a plus A minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement Working knowledge of automated billing systems; experience with CPR+ and Waystar a plus Working knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology Solid Microsoft Office skills with the ability to type 40+ WPM Strong verbal and written communication skills with the ability to independently obtain and interpret information Strong attention to detail and ability to be flexible and adapt to workflow volumes Knowledge of federal and state regulations as it pertains to revenue cycle management a plus Flexible schedule with the ability to work evenings, weekends, and holidays as needed About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $18.00 - $20.00 / Hour
    $18-20 hourly Auto-Apply 3d ago
  • Senior Fraud Compliance Analyst

    Apex Fintech Solutions

    Remote job

    WHO WE ARE Apex Fintech Solutions (AFS) powers innovation and the future of digital wealth management by processing millions of transactions daily, to simplify, automate, and facilitate access to financial markets for all. Our robust suite of fintech solutions enables us to support clients such as Stash, Betterment, SoFi, and Webull, and more than 20 million of our clients' customers. Collectively, AFS creates an environment in which companies with the biggest ideas in fintech are empowered to change the world. As a global organization, we have offices in Austin, Dallas, Chicago, New York, Portland, Belfast, and Manila. If you are seeking a fast-paced and entrepreneurial environment where you'll have the opportunity to make an immediate impact, and you have the guts to change everything, this is the place for you. AFS has received a number of prestigious industry awards, including: * 2021, 2020, 2019, and 2018 Best Wealth Management Company - presented by Fintech Breakthrough Awards * 2021 Most Innovative Companies - presented by Fast Company * 2021 Best API & Best Trading Technology - presented by Global Fintech Awards ABOUT THIS ROLE Apex Fintech Solutions is currently seeking a Senior Fraud Compliance Analyst to support our Compliance department with investigations, fraud detection, and prevention experience within the fintech industry. The role focuses on the development and maintenance of a robust fraud detection and prevention program, which includes investigating, and processing, system-generated suspicious transaction alerts as well as responding to a variety of internal and external inquiries. Duties/Responsibilities * Lead detailed investigations into suspected fraudulent activities. * Analyze findings from internal and external reporting sources to assess the legitimacy of transactions. * Apply deductive reasoning to identify potential fraud events. * Scrutinize incoming funds, money movements, and account changes for indicators of fraud or unauthorized activities from an analytic, forensic, and investigative standpoint. * Act as a key point of contact for managing internal escalations related to suspected fraud. * Review and assess escalations from various business departments and associations. * Provide exceptional support to Apex clients by addressing concerns and resolving potential issues. * Collaborate with account holders and law enforcement agencies during investigations. * Stay updated on industry trends, emerging fraud tactics, and methods shared by national organizations dedicated to fraud and Anti-Money Laundering (AML). * Apply new knowledge to enhance investigative processes and strategies. Education and/or Experience * Bachelor's degree in Finance, Criminal Justice, or a related field (or equivalent work experience) required * 5+ years of prior experience in a fraud investigations role; experience in administering all aspects of an investigation, including the recovery of assets, assisting victims, preparing case summaries, and writing SARs are required * Brokerage and/or banking industry experience preferred * Association of Certified Fraud Examiners (ACFE) and/or Certified Anti-Money Laundering Specialist (CAMS) preferred * SQL experience preferred Required Skills/Abilities * Ability to handle confidential information in a mature and professional manner * Strong written and verbal communications with an attention to detail and ability to deal with sensitive communication appropriately * Proficiency in MS 365 * Intermediate skill in Microsoft Excel * Knowledge of options and securities trading preferred Work Environment * This job operates in a hybrid, office environment 3 days per week. #compliance #mid-senior #full-time #LI-MJ1 #APEX Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Our Rewards We offer a robust package of employee perks and benefits, including healthcare benefits (medical, dental and vision, EAP), competitive PTO, 401k match, parental leave, and HSA contribution match. We also provide our employees with a paid subscription to the Calm app and offer generous external learning and tuition reimbursement benefits. At AFS, we offer a hybrid work schedule for most roles that allows employees to have the flexibility of working from home and one of our primary offices. EEO Statement Apex Fintech Solutions is an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, veteran status, marital status, or any other protected characteristic. Our hiring practices ensure that all qualified applicants receive fair consideration without regard to these characteristics. Disability Statement Apex Fintech Solutions is committed to creating an inclusive and accessible workplace for all candidates, including those with disabilities. We are dedicated to ensuring equal employment opportunities and providing reasonable accommodations to qualified individuals with disabilities. If you require reasonable accommodations to participate in the application or interview process, please submit your request via the Candidate Accommodation Requests Form. We will work with you to provide the necessary accommodations to ensure your full participation in our hiring process.
    $65k-90k yearly est. 10d ago
  • Senior Fraud Compliance Analyst

    Apex Fintech Services

    Remote job

    WHO WE ARE Apex Fintech Solutions (AFS) powers innovation and the future of digital wealth management by processing millions of transactions daily, to simplify, automate, and facilitate access to financial markets for all. Our robust suite of fintech solutions enables us to support clients such as Stash, Betterment, SoFi, and Webull, and more than 20 million of our clients' customers. Collectively, AFS creates an environment in which companies with the biggest ideas in fintech are empowered to change the world. As a global organization, we have offices in Austin, Dallas, Chicago, New York, Portland, Belfast, and Manila. If you are seeking a fast-paced and entrepreneurial environment where you'll have the opportunity to make an immediate impact, and you have the guts to change everything, this is the place for you. AFS has received a number of prestigious industry awards, including: 2021, 2020, 2019, and 2018 Best Wealth Management Company - presented by Fintech Breakthrough Awards 2021 Most Innovative Companies - presented by Fast Company 2021 Best API & Best Trading Technology - presented by Global Fintech Awards ABOUT THIS ROLE Apex Fintech Solutions is currently seeking a Senior Fraud Compliance Analyst to support our Compliance department with investigations, fraud detection, and prevention experience within the fintech industry. The role focuses on the development and maintenance of a robust fraud detection and prevention program, which includes investigating, and processing, system-generated suspicious transaction alerts as well as responding to a variety of internal and external inquiries. Duties/Responsibilities Lead detailed investigations into suspected fraudulent activities. Analyze findings from internal and external reporting sources to assess the legitimacy of transactions. Apply deductive reasoning to identify potential fraud events. Scrutinize incoming funds, money movements, and account changes for indicators of fraud or unauthorized activities from an analytic, forensic, and investigative standpoint. Act as a key point of contact for managing internal escalations related to suspected fraud. Review and assess escalations from various business departments and associations. Provide exceptional support to Apex clients by addressing concerns and resolving potential issues. Collaborate with account holders and law enforcement agencies during investigations. Stay updated on industry trends, emerging fraud tactics, and methods shared by national organizations dedicated to fraud and Anti-Money Laundering (AML). Apply new knowledge to enhance investigative processes and strategies. Education and/or Experience Bachelor's degree in Finance, Criminal Justice, or a related field (or equivalent work experience) required 5+ years of prior experience in a fraud investigations role; experience in administering all aspects of an investigation, including the recovery of assets, assisting victims, preparing case summaries, and writing SARs are required Brokerage and/or banking industry experience preferred Association of Certified Fraud Examiners (ACFE) and/or Certified Anti-Money Laundering Specialist (CAMS) preferred SQL experience preferred Required Skills/Abilities Ability to handle confidential information in a mature and professional manner Strong written and verbal communications with an attention to detail and ability to deal with sensitive communication appropriately Proficiency in MS 365 Intermediate skill in Microsoft Excel Knowledge of options and securities trading preferred Work Environment This job operates in a hybrid, office environment 3 days per week. #compliance #mid-senior #full-time #LI-MJ1 #APEX Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Our Rewards We offer a robust package of employee perks and benefits, including healthcare benefits (medical, dental and vision, EAP), competitive PTO, 401k match, parental leave, and HSA contribution match. We also provide our employees with a paid subscription to the Calm app and offer generous external learning and tuition reimbursement benefits. At AFS, we offer a hybrid work schedule for most roles that allows employees to have the flexibility of working from home and one of our primary offices. EEO Statement Apex Fintech Solutions is an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, veteran status, marital status, or any other protected characteristic. Our hiring practices ensure that all qualified applicants receive fair consideration without regard to these characteristics. Disability Statement Apex Fintech Solutions is committed to creating an inclusive and accessible workplace for all candidates, including those with disabilities. We are dedicated to ensuring equal employment opportunities and providing reasonable accommodations to qualified individuals with disabilities. If you require reasonable accommodations to participate in the application or interview process, please submit your request via the Candidate Accommodation Requests Form. We will work with you to provide the necessary accommodations to ensure your full participation in our hiring process.
    $65k-90k yearly est. Auto-Apply 10d ago
  • Fraud Prevention Specialist

    Boats Group 4.2company rating

    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, fraud investigations, 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
    $19k-25k yearly est. 31d ago

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Top companies hiring fraud specialists for remote work

Most common employers for fraud specialist

RankCompanyAverage salaryHourly rateJob openings
1Green Dot$45,976$22.101
2Feedzai$44,557$21.420
3Netspend$41,099$19.760
4ICONMA$40,586$19.510
5H&R Block$40,323$19.390
6TSYS$35,809$17.220
7First American Bank$33,319$16.020

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