Fraud Specialist

• Research and process claims with Risk Issues.
• Collaborate with SIU investigators and perform suspected fraud referrals and callbacks as needed.
• Research and respond to inquiries from internal clients.
• Document claim files to ensure accurate and timely communication with end customers.
• Meet or exceed productivity and quality standards for claim reviews.
• Identify risk, fraud, and compliance issues and participate in implementing tools and processes to minimize or eliminate them.
• Recognize consistent problem areas and report them to higher level for action.
• Perform specialized fraud detection and prevention functions.
• Follow standard reporting procedures and Risk Management policies to ensure compliance with reporting requirements.
• Participate in scheduled meetings and calls with the Operations Management Team.
• Provide fraud detection guidance to other team members as needed.
• Perform post-decision tasks, including documenting BOLOs and updating negative lists.
• Set examples for behavioral expectations including attendance, teamwork, and organizational contributions.
• Work Monday through Friday from 1:00pm to 10:00pm EST.

Fraud Triage Specialist processing insurance claims and detecting fraud for Assurant

Fraud Triage Specialist – Mobile

Fraud Triage Specialist researching risky insurance claims and fraud indicators for Assurant. Updating risk lists, supporting investigators, and improving claims compliance.

• Research and analyze complex alerts regarding possible fraudulent account activity and make decisions accordingly
• Handle complex and escalated customer situations involving possible fraudulent activity
• Make decisions based on judgment, research, experience, and established procedures using multiple systems and tools
• Place outbound calls and take action based on complex transaction characteristics or account changes
• Identify fraud-related trends and patterns and escalate concerns for appropriate action
• Monitor financial crime risk management software to detect and prevent fraud
• Maintain coding of fraudulent accounts with appropriate warnings
• Review consumer and business accounts, transaction history, online banking, Zelle, and bill pay activity to investigate and resolve issues
• Answer phone inquiries regarding fraud activity
• Work with supervisors and police agencies regarding criminal charges and court cases
• Investigate and process Affidavits of Forgery for check fraud cases
• Assist with monitoring and approval of Mobile Deposit Capture items
• Review ATM image software for fraud
• Respond to internal and external customer inquiries within 2 hours
• Perform duties in compliance with applicable laws, regulations, the Bank Secrecy Act, anti-money laundering laws, and the Bank’s Information Security Program
• Maintain security and confidentiality of information and records
• Serve as backup for ATM Manager duties, including deposit review and cash ordering
• Serve as backup for ATM/Debit card dispute processing under MasterCard Operating Regulations and REG E
• Perform other operational duties as assigned

Senior Fraud Specialist investigating complex fraud for TBK Bank, a community and transportation-focused financial institution

Senior Fraud Specialist

Senior Fraud Specialist investigating complex account and transaction fraud for TBK Bank. Monitoring financial-crime systems, resolving claims, and supporting card and ATM operations.

• The BSA & Fraud Specialist II conducts Anti-Money Laundering (AML) and fraud investigations, analyzes suspicious activity, and supports regulatory reporting requirements.
• This position independently manages routine and moderately complex investigations, identifies potential fraud and money laundering risks, prepares supporting documentation for regulatory filings, collaborates with internal and external partners, and ensures compliance with applicable Bank Secrecy Act (BSA)/AML regulations and credit union procedures.
• Monitor fraud and BSA related email boxes and be able to make sound decisions to determine next steps.
• Conduct ongoing review of transaction activity, alerts, reports, and cases to identify suspicious or fraudulent activity.
• Monitor and analyze transactions and alerts for signs of money laundering or fraudulent activity, determine if a case and further investigation are needed.
• Manage case investigations through completion, including analysis, documentation, disposition, and SAR referral when warranted.
• Review quarterly reports and analyze for suspicious activities.
• Conduct enhanced due diligence reviews for high-risk members.
• Investigate fraud-related activity including check fraud, ACH fraud, wire fraud, account takeover, elder exploitation, identity theft, and other financial crimes.
• Identify patterns, trends, and emerging fraud risks and escalate concerns to management.
• Conduct investigations that require strong time management, ability to multi-task, excellent judgement, and discretion.
• Utilize multiple tools and sources of information to make appropriate determinations regarding Credit Union responsibility and actions.
• Conduct 314(a) and 314(b) reviews. Analyze the data to determine next steps.
• Ensure compliance with applicable state and federal regulations, specifically regarding BSA and AML statutes.
• Assist with the development and creation of internal controls and procedures used to increase regulatory compliance and reduce financial risk.
• Draft Suspicious Activity Reports (SARs) and supporting documentation for management review and approval.
• Partner with front-line staff and leadership to ensure timely identification and escalation of suspicious or fraudulent activity.
• Act as a trusted advisor to business units on fraud trends, risks, and mitigation strategies.
• Communicate effectively across departments to balance member experience with fraud risk management.
• Participate in cross-functional meetings and initiatives related to fraud prevention, loss mitigation, and operational improvements.
• Conduct New Hire BSA training for all new employees of Horizon Credit Union. Prepare investigative reports, SAR documentation, regulatory filings, and case records. Support and assist branches and/departments in fraud situations by gathering information, writing reports, filing cases with law enforcement, assisting with bond claims, and maintaining files. File Currency Transaction Reports (CTR). Perform quality assurance on Currency Transaction Reports completed by Branch Operations and file with FinCEN. Assist with BSA/Fraud related procedure development and updates.

BSA & Fraud Specialist II conducting AML and fraud investigations for Horizon Credit Union

BSA & Fraud Specialist II

BSA & Fraud Specialist II conducting AML and fraud investigations and supporting regulatory reporting for Horizon Credit Union. Analyzing suspicious activity and ensuring compliance with BSA/AML regulations.

• Conduct comprehensive chargeback investigations for various payment platforms (e.g., Klarna, Afterpay, and others managed via Signifyd)
• Own the end-to-end relationship with Signifyd, including monthly strategy calls to review performance and optimize decision logic
• Maintain KPI ownership for chargeback win/loss ratios, ensuring the team hits target recovery goals
• Monitor and analyze fraud trends, including refund abuse, multiple-account fraud, gift card exploitation, and fulfillment/delivery claim irregularities
• Maintain and update allow/reject lists for fraud prevention based on ongoing trend analysis
• Review visual evidence (e.g., damages/defects photos) to identify AI-generated or re-used imagery used in fraudulent claims
• Partner with Retail Ops to address fulfillment and delivery-related fraud patterns
• Collaborate with the training lead (Cecily) to develop and deliver team refreshers, SOP updates, and training sessions regarding fraud detection and prevention
• Produce recurring reporting on fraud statistics, chargeback performance, and team accomplishments for leadership review
• Provide day to day support to CX Social team
• Provide customer insights to broader Comfrt team

Fraud Specialist managing chargeback investigations at Comfrt

CX Fraud Specialist

Fraud Specialist managing chargeback investigations and fraud risks for Comfrt. Collaborating with teams to optimize dispute resolution and protect revenue.

• Performs analysis of assigned accounts and activity.
• Triage risk and determine appropriate action using internal tools and information sources.
• Obtains and provides detailed documentary evidence to support confirmed fraud activity necessary to prepare cases or alerts for a criminal prosecution, referral to law enforcement, and collections, as appropriate.
• Documents daily review and analysis of suspicious transactions, communicates a summary to appropriate parties.
• Ensures compliance to appropriate Federal Regulations and SAR reporting requirements.
• Actions assigned accounts based on established department procedures to mitigate and minimize risk and risk-related exposure.
• Partners with internal/external customers, business partners, peer groups, management, law enforcement and other issuing parties to ensure effective communication on fraud related cases and concerns.
• Builds and maintains relationships with contacts throughout the industry.
• Contributes to the success of the department with willingness to share in all department responsibilities, as required or assigned.
• Gains working knowledge of, and ensures bank activities are performed in compliance with, all state and federal banking laws and regulations applicable to assigned area.
• Understands and complies with all policies, procedures, standards and guidance relevant to assigned job responsibilities.

Fraud/Investigations Specialist identifying and investigating fraud transactions

Fraud Investigation Specialist

Fraud/Investigations Specialist identifying suspected fraud transactions at Heritage Bank. Conducting investigations and ensuring compliance with federal regulations in an office environment.

• Receives and analyzes dispute, identity theft, credit bureau and fraud claims from members and employees and determines appropriate resolutions
• Works in a dynamic, highly collaborative, fast-paced environment, where member experience and fraud prevention are the goal
• Monitoring fraud software program (Verafin) for compliance with fraud reporting, which includes filing Suspicious Activity Reports (SAR)
• Supports the monitoring and tracking of fraud issues across all channels of credit union; prepares reports for management based on this tracking
• Investigate Identity Theft Red Flag reports and document findings
• Works with the Fraud Analyst to process and prepare case files to and from governmental agencies and any fraud cases we elect to pursue
• Communicate with members affected by fraud incidents, providing support, information, and guidance in the resolution process
• Collaborate with other Connexus departments, other financial institutions, law enforcement authorities or members when researching and resolving suspicious activity, under the direction of the Fraud Analyst, Director BSA & Fraud

Fraud Specialist assisting members with fraud recovery at Connexus Credit Union

Fraud Specialist at Connexus Credit Union assisting members with fraud recovery and reporting. Collaborating with teams to mitigate losses and protect member assets.

Fraud Specialist jobs in United States