Claims & Fraud Specialist III

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 :

The 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.

Key Responsibilities :

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

Skills and Qualification :

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

Nice-to-Haves :

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