Fraud specialist work from home jobs - 301 jobs

Job DescriptionDescription: The CBS Difference Cooperative Business Services offers a comprehensive, end-to-end commercial lending solution that empowers financial institutions with cutting-edge software, expert services, and strategic business development resources. Additionally, we support borrowers by providing tailored business loans designed to fuel growth and success. With a focus on innovation and collaboration, CBS ensures seamless processes and enhanced opportunities for lenders and borrowers alike. At CBS, our goal is to set the standard for excellence in business lending. We strive to be the best - in our processes, in our service, and in the results, we help our clients achieve. We're deeply committed to serving our partner credit unions and borrowers with integrity, precision, and a shared vision for sustainable growth. Join us on this journey as we continue to transform the future of commercial lending. Your Role in Our Success The Commercial Loan Fraud Specialist conducts comprehensive credit and forensic reviews of commercial loans. The Officer ensures underwriting quality, regulatory compliance, and risk mitigation. This position performs deep-dive financial analysis to identify fraud, misrepresentation, or policy exceptions across the commercial loan portfolio. Here's how you will make an impact: Performs in-depth reviews of commercial loans to assess underwriting quality, loan structure, financial analysis, compliance with internal policies and regulatory requirements. Traces borrower and affiliate financial transactions from loan inception to identify inconsistencies, undisclosed relationships, or unusual fund movements. Investigates potential fraud, misrepresentation, or conflicts of interest involving borrowers, brokers, or originators to safeguard the organization's assets. Reviews insurance coverage, appraisals, environmental reports, and title documentation to verify accuracy and compliance. Identifies and documents exceptions in title searches, policies, and loan documentation to ensure proper risk mitigation and record-keeping. Prepares detailed investigative reports outlining findings, risk implications, and recommended corrective actions for management. Collaborates closely with credit, compliance, legal, and risk management teams to address identified issues and strengthen controls. Preforms other related duties as assigned by management. Requirements: What You Bring to the Table Bachelor's degree in finance, accounting, forensic accounting, or related field (Certified Public Accountant, Certified Fraud Examiner, or Certified Regulatory Compliance Manager designations preferred). 5+ years of experience in commercial lending, loan review, forensic accounting, or financial investigations. Strong knowledge of banking regulations, loan documentation, and fraud detection techniques. The Perks of Being with Us At Cooperative Business Services, we believe in creating an environment where you can thrive both personally and professionally. Here's what you can look forward to as a valued member of our team: Compensation: Base compensation for this role ranges from $78,000-$90,000 annually. Remote Work Environment Generous Holidays: Take advantage of 13 paid holidays each year Comprehensive Insurance Coverage: Choose from a selection of medical, dental, vision, and supplemental benefit plans to suit your needs. Additionally, the company provides company-paid Short-Term Disability (STD), Long-Term Disability (LTD), and life insurance equivalent to 1 time your salary. 401(k) Plan: The company provides a generous matching contribution of up to 6%. Tuition Assistance

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

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

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.

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.

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this early‑career opportunity is designed for you. This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization. As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings. What you'll do: Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies Support on-site inspections and patient/provider interviews as necessary Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate Prepare reports to expedite tracking and reporting of investigations What you need to do the job: A bachelor's degree in a Criminal Justice, or related field (Economic Crime) 1+ years professional work experience, preferably with health insurance investigations/audit Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word Excellent verbal and written communication skills, along with ability to effectively manage conflict Keen ability to deal with ambiguity and leverage reasoning skills Possession of a strong desire and demonstrated ability to lead If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 56,700 - 94,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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

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.

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!

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. We are looking to add a Fraud Investigator Admin Action Specialist to our SGS team of talented professionals. The Fraud Investigator Admin Action Specialist is responsible for being a Point of Contact for Investigations, MAC and CMS regarding all administrative actions related to investigations. Review and verify evidence supporting an administrative action as it relates to payment suspensions, revocations, overpayments as well as other administrative actions that can be pursued. Work with the Investigations, Medical Review and Data teams to ensure that the documentation gathered is sufficient to support an administrative action. Making administrative action recommendation to Investigations and CMS. Work with CMS, law enforcement and the Medicare Administrative Contractor throughout the life of the action. Monitor workload to ensure all actions are taken within the required timeframes set forth in the Program Integrity Manual. Prepare and submit administrative action packages to CMS and the MACs for approval and processing and speak to the action development. Ensure that all timelines are followed. Telework available from any location but must be available during eastern time zone hours. Qualifications Basic Qualifications: 4 years with AS/AA; 2 years with BS/BA; 0 years with MS/MA; 6 years with High School diploma/equivalent in lieu degree Knowledge of Medicare requirements, laws, rules and regulations related to payment for services billed to the Program Strong critical thinking, communication, writing and organizational skills Experience in developing fraud cases Strong PC knowledge and skills Knowledge of Medicare systems Ability to perform research and draw conclusions Ability to present issues of concern, citing and interpreting regulatory violations Ability to organize a case file, accurately and thoroughly document all steps taken Ability to compose correspondence, reports and letters clearly and concisely. Ability to communicate effectively, internally and externally Ability to interpret laws and regulations Ability to handle confidential material Ability to report work activity on a timely basis Ability to work independently and as a member of a team to deliver high quality work Ability to attend meetings, training, and conferences, overnight travel may be required US citizenship required Desirable Qualifications: The most competitive candidates will have: Medicare fraud investigation and/or Medicare billing background Investigation CFE or AHFI certification Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can't be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we're keeping people around the world safe and secure. Target Salary Range $51,000 - $82,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. EEO EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

The Investigator will be responsible for leading investigations relating to potential violations of law or other GE Vernova Policies. These investigations may be allegations of Conflict of Interest, Reporting and Recordkeeping violations, Respectful Workplace allegations (harassment/discrimination) or other Compliance areas. The Sr. Compliance Investigator will (1) lead investigations of policy concerns raised through the open reporting system; (2) provide regular updates on investigations to business stakeholders. (3) facilitate cross-training and report-outs with the broader compliance function at GE Vernova This role will report to the Sr. Compliance Investigations Manager - Americas. in the GE Vernova Compliance function.Job DescriptionThis is a fixed term position - 6 months only. Essential Responsibilities Lead complex Respectful Workplace investigations of policy concerns raised through the open reporting system Provide regular updates on the status of cases to business stakeholders. Conduct prompt, thorough and complex investigations, including conducting interviews with concern raisers, witnesses and subjects, assessing risk, reviewing documentation, and making recommendations/corrective actions in the context of an investigation; in partnership with Compliance, L&E and the HR Manager, as appropriate. Prepare high quality written reports of the investigation which provide a clear and logical account of the allegations, investigative work performed, key findings and conclusions, ensuring that the conclusion is evidence based. Provide briefings to senior leaders on investigative matters as required. Maintain client relationships in the face of conflicting demands or directions. Monitor open cases assigned to you to ensure timeline and compliant closure, using established guidelines Conduct investigations outside your immediate region as required Partner with Compliance, Ombuds and other functions to identify and understand investigations trends and corrective actions In partnership with Labor & Employment, understand and apply applicable legal and policy requirements pertaining to the conduct of investigations including in areas involving employee interviews and relevant labor and employment requirements. Qualifications/Requirements Minimum of 5 years' experience in human resources or compliance/legal investigations Language proficiency within region required, and MUST be fluent in English. Highest personal integrity with demonstrated ability to handle confidential matters in a discreet and respectful manner Desired Characteristics Strong preference for prior investigations experience in HR (harassment/discrimination). Strong preference for candidate with experience in HR related investigations as well as legal or other regulatory related investigations. Demonstrated ability to make independent decisions, manage conflicting priorities in a fast-paced environment and effectively interface with high-level business and operations leaders. Proven communication, coaching and interpersonal skills with the ability to work effectively with people at all levels of the organization. Ability to support clients in multiple locations Strong analytical and problem-solving skills Process and detail oriented, including strong organization skills Experience driving business solutions through influence and collaboration in a global, matrixed organization Strong written and presentation skills Additional Information GE Vernova offers a great work environment, professional development, challenging careers, and competitive compensation. GE Vernova is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE Vernova will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). Relocation Assistance Provided: No #LI-Remote - This is a remote position Application Deadline:For candidates applying to a U.S. based position, the pay range for this position is between $127,500.00 and $212,500.00. The Company pays a geographic differential of 110%, 120% or 130% of salary in certain areas. The specific pay offered may be influenced by a variety of factors, including the candidate's experience, education, and skill set.Bonus eligibility: ineligible.This posting is expected to remain open for at least seven days after it was posted on January 09, 2026.Available benefits include medical, dental, vision, and prescription drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Vernova Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and financial planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability benefits, life insurance, 12 paid holidays, and permissive time off.GE Vernova Inc. or its affiliates (collectively or individually, “GE Vernova”) sponsor certain employee benefit plans or programs GE Vernova reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a GE Vernova welfare benefit plan or program. This document does not create a contract of employment with any individual.

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

llumifin provides third party administration and technology services to individual and group insurers. The company blends insurance industry knowledge, technology leadership and operational execution to prepare insurers for the digital future. illumifin is a diverse, passionate and empowered team of insurance specialists committed to the growth and success of its customers. With illumifin, there's a brighter future A SIU/Fraud Investigator is responsible for working with multiple business units on coordination, identification, mitigation, and reporting of incidents and risks related to anti-fraud activities. Conducts and/or assists with investigative tasks Reviews referrals of potential fraud, waste, and abuse from both auto-detection programs and from claims organization, as assigned Coordinates and performs investigations with oversight of lead investigator Prepares responses for suspected or alleged fraud Works closely with cross-functional leaders to ensure appropriate resolution, accurate reporting and tracking to meet client specific service level agreements Participates as a subject matter expert during client implementations, audits and system or process development Complies with state and federal laws to meet client contractual requirements Conducts effective research, analysis, and accurate documentation for reporting to clients and illumifin's leadership Schedules surveillance once approved by the client Conducts continuing education to Claims staff May conduct phone calls or basic interviews with witnesses, as assigned Assists with administration tasks relating to Fraud Services Department, as assigned Assists with client and department reporting Interfaces with claimants, providers and clients Conducts telephonic interviews of members, providers, and/or additional witnesses to gather information to support investigation Other duties as assigned

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

Salary: $120k-$165k + Bonus For more information on benefits and what we offer please visit us at *************************************************** The EXL - Fraud Practice will be responsible for shaping, scaling, and executing integrated fraud management solutions for EXL. The role will focus on helping global banks and financial institutions to reduce their fraud losses and modernize their fraud ecosystems - embedding AI, GenAI, and automation across the lifecycle. This role demands a candidate who brings deep fraud domain expertise, consulting acumen, and the ability to translate technology and analytics into measurable business outcomes. Minimum 5 years of experience in Fraud analytics, Strategy, or Risk Management, preferably across Banking, Fintech, or Payments. Proven ability to lead multi-dimensional transformation integrating analytics, digital, operations, and advisory levers. Deep domain understanding across the fraud lifecycle - including application, transaction, merchant, and dispute/chargeback management. Experience with fraud platforms, rules strategy configuration, and decision orchestration tools. Strong client engagement and consulting skills with ability to influence senior stakeholders and CXO-level clients. Exposure to Operational Excellence and continuous improvement frameworks. Excellent communication, presentation, and storytelling skills with a data-driven orientation. Graduate or Postgraduate in Statistics, Economics, Finance, or an MBA with relevant domain experience. High energy, intellectual curiosity, and self-driven mindset, comfortable operating in fast-evolving, ambiguous environments. EEO/Minorities/Females/Vets/Disabilities Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits. Lead short-cycle diagnostic and transformation initiatives across the fraud value chain - identifying pain points, quantifying impact opportunities, and developing executable roadmaps. Support sales and client pursuits by leading solution design, RFP/RFI responses, and development of differentiated value propositions. Drive end-to-end transformation programs leveraging analytics, AI-first frameworks, and automation to optimize fraud prevention, detection, and claims management. Conduct research and benchmarking to generate actionable insights on emerging fraud typologies, regulatory shifts, and best-in-class practices. Develop and continuously evolve knowledge assets including capability decks, frameworks, case studies etc. to strengthen the fraud offering. Evangelize fraud and disputes solutions by collaborating with delivery, digital, and analytics teams to embed innovation and enhance solution maturity. Identify performance bottlenecks and enable data-driven interventions to drive measurable outcomes in fraud savings, false positive reduction, and recovery rates. Build domain and analytics capability through structured training programs, certification paths, and knowledge transfer across global delivery teams.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Fraud Analyst in the United States.This role offers the opportunity to take full ownership of fraud detection and prevention within a fast-growing, data-driven environment. You will analyze large datasets, identify fraud patterns, and design risk logic to protect users and optimize transactions. The position combines strategic thinking with hands-on execution, allowing you to shape verification strategies, optimize authentication flows, and improve approval rates while maintaining a seamless user experience. You will collaborate closely with product, payments, data, and engineering teams, gaining exposure to multiple markets and complex payment systems. The ideal candidate thrives on autonomy, accountability, and leveraging data to drive actionable outcomes. This role provides a chance to make a tangible impact on a global, high-volume marketplace.Accountabilities: Take ownership of fraud detection and prevention for assigned products Analyze large datasets using SQL to identify patterns, anomalies, and emerging attack vectors Design, implement, and optimize dynamic fraud risk rules to scale with business growth Monitor and improve False Positive Rates, balancing security and user experience Manage 3DS decisioning and authentication strategies across multiple regions Track and report fraud trends, providing data-driven insights and recommendations Collaborate with Product, Payments, Data, and Engineering teams to enhance fraud prevention systems Maintain fraud detection workflows, alerts, and decision logic used by the team Requirements: Proven experience in fraud analysis, payments risk, or risk management with clear ownership over results Strong SQL skills and hands-on experience with large datasets (mandatory) Experience creating and maintaining dynamic fraud risk rules Knowledge of 3DS and regional authentication strategies Ability to manage False Positive Rates and approval rates effectively Solid understanding of fraud patterns, user behavior, and payment-related risks Strong problem-solving, critical thinking, and data-backed decision-making skills Full professional proficiency in English Nice-to-Haves: Python experience, familiarity with fintech/payment tools (e.g., Adyen, Stripe Radar, Sift, Forter), experience in multi-market international environments, and knowledge of PSD2/SCA concepts Benefits: Competitive salary range (€37,200 - €42,780, depending on experience) Employee Stock Options program Performance-based bonuses, referral bonuses, and additional paid leave Personal learning and professional development budget Paid volunteering opportunities Flexible work location: office, remote, or hybrid, with opportunities to travel Clear growth and promotion processes with structured feedback Why Apply Through Jobgether?We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners' financial lives. We're looking to hire a Senior Account Fraud QC Investigator to support quality control for account fraud alert investigations across Mercury's consumer and business banking products. This will be the first QC hire for the Account Fraud team and a key contributor in shaping the quality framework for our newly launched BPO partnership. As a Senior Account Fraud QC Investigator, you will be responsible for designing, implementing, and executing fraud quality processes and procedures. This includes conducting quality assessments of fraud alert investigations, creating reports and dashboards, performing quality trend analysis, and translating quality insights into actionable improvements. You'll also leverage your fraud and QC expertise to contribute directly to projects that advance Mercury's account fraud program and help scale high-quality decision-making across internal teams and external partners. *Mercury is a fintech company, not an FDIC-insured bank. Banking services provided through Choice Financial Group and Column N.A., Members FDIC. Here are some things you'll do on the job: Complete manual quality assessments of account fraud alert investigations, ensuring adherence to internal policies, procedures, and applicable regulatory requirements. Partner closely with Account Fraud leadership to define and operationalize the QC program, including quality standards, scoring methodologies, and feedback loops - particularly for BPO-reviewed work. Create quality dashboards, metrics, and trend reports to surface investigation accuracy, consistency, and risks. Provide clear, actionable insights and recommendations based on quality findings to drive continuous improvement across the account fraud program. Lead and participate in quality calibration sessions with internal teams and external BPO partners to ensure consistent investigation outcomes. Assist in the development, refinement, and documentation of fraud investigation quality processes and procedures. Maintain up-to-date knowledge of fraud typologies, industry best practices, regulatory expectations, and internal policy changes to ensure quality standards remain current. Participate in special projects, internal audits, and process improvement initiatives in support of fraud quality control and program scalability. You should: Have 4+ years of experience in the finance or fintech industry with a focus on fraud investigations and quality control, ideally in an account fraud or transaction monitoring environment. Have prior experience building a QC program and/or performing QC for fraud investigations, including reviewing alerts and investigator decisioning. Have experience working with or supporting BPO or vendor-managed fraud operations. Be a highly motivated self-starter who is comfortable building structure in ambiguous, fast-moving, and high-risk environments. Have a strong understanding of banking products and fraud risk across areas such as ACH, wires, checks, debit cards, and account-level activity. Exercise empathy and sound judgment when delivering quality feedback to investigators and partners. Communicate complex findings and recommendations with efficiency and clarity to both operational and cross-functional stakeholders. The total rewards package at Mercury includes base salary, equity (stock options), and benefits. Our salary and equity ranges are highly competitive within the SaaS and fintech industry and are updated regularly using the most reliable compensation survey data for our industry. New hire offers are made based on a candidate's experience, expertise, geographic location, and internal pay equity relative to peers. Our target new hire base salary ranges for this role are the following: US employees in New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $121,700 - $152,100 US employees outside of New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $109,500 - $136,900 Mercury values diversity & belonging and is proud to be an Equal Employment Opportunity employer. All individuals seeking employment at Mercury are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected characteristic. We are committed to providing reasonable accommodations throughout the recruitment process for applicants with disabilities or special needs. If you need assistance, or an accommodation, please let your recruiter know once you are contacted about a role. We use Covey as part of our hiring and / or promotional process for jobs in NYC and certain features may qualify it as an AEDT. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. We began using Covey Scout for Inbound on January 22, 2024. [Please see the independent bias audit report covering our use of Covey for more information.] #LI-AR1

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

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