Fraud Investigator
Job Locations: US-Remote
Our Mission
Our mission is to SAVE AND IMPROVE LIVES BY EMPOWERING HEALTHCARE CONSUMERS. Come be part of something remarkable.
Overview
How you can make a difference
The Fraud Investigator is responsible for conducting thorough investigations of suspicious activities, analyzing evidence, and determining whether fraud has occurred. This role requires strong analytical skills, attention to detail, and the ability to collaborate with internal teams and external agencies. Additionally, the role requires conducting in-depth research of complex situations, using subject matter disciplines to solve difficult problems, executing risk mitigation efforts, and providing clear documentation of all findings. The Fraud Investigator will work to minimize financial losses, uphold regulatory standards, and maintain the company's reputation for integrity.
What you'll be doing
- Lead investigations of suspected fraud cases, gather evidence, document findings, and report activity to the appropriate agency.
- Conduct interviews with relevant parties to gather information regarding fraud cases, document the interviews, and analyze the findings to support investigations.
- Maintain accurate records of fraud incidents, investigations, and outcomes for litigation preparation.
- Analyze transaction data, account information, and other relevant records to detect patterns indicative of fraud.
- Collaborate with legal, compliance, risk management, and law enforcement teams to ensure proper handling of cases.
- Prepare detailed investigation reports, including findings, conclusions, and recommendations for prevention.
- Prepare and present regular reports on fraud trends, incidents, and prevention efforts to management and stakeholders.
- Identify and implement opportunities for process improvement in fraud prevention systems and procedures.
- Stay updated on the latest fraud trends, schemes, and regulatory requirements.
- Maintain confidentiality and ensure all investigations are handled with discretion and professionalism.
- Conduct root cause analysis of cases, perform link analysis to identify and escalate control weaknesses.
- Provide testimony or present findings during legal proceedings if required.
What you will need to be successful
- Bachelor's degree in criminal justice, finance, accounting, or a related field.
- 5+ years of experience in fraud investigations, financial crime, or forensic accounting.
- Deep understanding of fraud dynamics across digital and payment card channels.
- Strong analytical and problem-solving skills, with the ability to interpret complex data sets.
- Knowledge of fraud detection and prevention methods, tools, and technologies.
- Ability to develop a detailed understanding of HealthEquity systems, processes, and controls to drive root cause analysis.
- Familiarity with regulatory requirements related to financial fraud investigations.
- Experience preparing detailed investigative reports and presenting findings.
- Ability to work independently and as part of a team.
- Strong communication and interpersonal skills, with the ability to interact professionally with customers and colleagues.
- High level of integrity and discretion in handling sensitive and confidential information.
- Experience in financial services or law enforcement.
- Proficiency in data analysis tools and fraud detection systems.
- Certification in fraud investigation (e.g., CFE - Certified Fraud Examiner) is a plus.
#LI-Remote
This is a remote position.