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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing fraud claims investigations, ensuring compliance with regulatory guidelines, and delivering high-quality customer service. Proficient in data interpretation and document review within operations services.
Highest-signal resume keywords
Fraud Claims InvestigationRegulatory ComplianceCustomer ServiceData InterpretationDocument Review
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Operations ServicesClaims ManagementCase File PreparationData AnalysisDocument Compilation
Soft Skills
Time ManagementVerbal CommunicationWritten CommunicationCustomer Interaction
Tools & Technologies
Tracking SpreadsheetSystem of Record
Industry Keywords
Fraud InvestigationRegulatory GuidelinesInternal PoliciesOperational Procedures
About the role
Key responsibilities & impact- Supports check fraud investigations within operations by managing incoming claims from intake through resolution.
- Onboarding fraud claims into the system of record.
- Reviewing and compiling supporting documentation.
- Ensuring customer-submitted materials are accurate and complete.
- Investigating claims using provided details and intake notes.
- Applying policies and regulatory guidelines to prepare thorough and accurate case files for decisioning.
- Daily work is assigned via a tracking spreadsheet and may include a mix of onboarding, document review, and investigative tasks, with new hires starting on foundational work and progressing to more complex investigations over time.
Requirements
What you’ll need- High school diploma or equivalent
- Four years or more of operations services related work experience
- Knowledge of products, services, terminology, procedures and systems related to assigned area, as well as applicable laws and regulatory requirements
- Proven commitment to high quality customer service
- Ability to work well with external and internal customers
- Good time management skills to maximize production and execution of tasks in a fast-paced environment
- Good understanding and knowledge of internal policies and procedures within Operations Services and enterprise wide
- Physical requirements could include lifting trays of work, pushing carts of work, standing or sitting for extended periods of time, and repetitive motions
- Ability to identify, analyze and resolve exceptions through data interpretation
- Strong PC skills
- Good verbal and written communication skills
Benefits
Comp & perks- Healthcare (medical, dental, vision)
- Basic term and optional term life insurance
- Short-term and long-term disability
- Pregnancy disability and parental leave
- 401(k) and employer-funded retirement plan
- Paid vacation (from two to five weeks depending on salary grade and tenure)
- Up to 11 paid holiday opportunities
- Adoption assistance
- Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law
