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Claims & Fraud Specialist III
Softworld, a Kelly CompanyQuincy, MA, United States5 days ago
Job type
- Full-time
Job descriptionThe Claims & Fraud Specialist plays a critical role in supporting operational excellence and risk mitigation across business units. This position focuses on data integrity, fraud detection, and process optimization to ensure the organization meets its performance, compliance, and customer experience goals. The analyst will leverage data analysis, root cause evaluation, and cross-functional collaboration to identify trends, streamline workflows, and enhance operational resilience. Conducts data quality assessments and coordinates resolution of reconciliation discrepancies Performs root cause analysis on operational losses and evaluates corrective action plans Assigns and tracks loss events for further investigation and resolution Monitors fraud risk indicators and analyzes exceptions from fraud detection systems Develops and maintains reporting tools to identify early warning signs of risk or fraud Collaborates with internal teams to improve fraud prevention strategies and operational efficiency Communicates findings and recommendations to leadership when risk vulnerabilities are identified Supports continuous improvement initiatives and contributes to strategic risk reduction efforts Provides training and guidance on security protocols and fraud prevention procedures Ensures compliance with regulatory requirements including Bank Secrecy Act reporting Associate's degree or equivalent professional experience required 5-10 years of overall industry experience Minimum of 5+ years' experience in banking / financial services or fraud prevention Strong analytical and problem-solving skills with experience in root cause analysis Proficiency in fraud detection tools (e.g., LexisNexis, Fiserv Compass, Biocatch, TransUnion TLO, General Ledger Trans) Strong understanding of Debits, Credits, and General Ledgers Excellent communication skills, both verbal and written Ability to manage multiple tasks and prioritize effectively Proficient in Microsoft Office Suite and internal data systems Working knowledge of compliance and regulatory frameworks related to fraud and risk Experience developing operational dashboards or reporting suites Familiarity with risk management methodologies and performance metrics Demonstrated ability to work independently and collaboratively in a fast-paced environment 3rd party and subcontract staffing agencies are not eligible for partnership on this position. 3rd party subcontractors need not apply. This position requires candidates to be eligible to work in the United States, directly for an employer, without sponsorship now or anytime in the future
Job Title : Claims & Fraud Specialist III
Job Location : Remote
Onsite Requirements :
- Over 5 years of claim and fraud experience in banking industry
- strong written and verbal communication
- proficiency in fraud detection tools
Job Description :
Key Responsibilities :
Skills and Qualification :
Nice-to-Haves :
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Fraud Specialist • Quincy, MA, United States
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