Fraud Ops Analyst

NationsBenefits; Plantation (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading Healthcare Fintech provider is seeking a Fraud Analyst to join their fraud management team. The role involves detecting and investigating fraudulent activity across customer accounts, and requires strong analytical skills and practical experience in fraud detection. Ideal candidates should possess a Bachelor's degree in Criminal Justice or related fields, with at least 2 years of relevant experience. This full-time position offers opportunities in a dynamic work environment focusing on innovative healthcare solutions.

Qualifications

• 2+ years of experience in fraud detection, investigation, or risk analysis.
• Familiarity with fraud detection tools and case management systems.

Responsibilities

• Monitor real-time transactions and account activity for suspicious behavior.
• Investigate potential fraud cases including account takeover and transaction anomalies.
• Collaborate with other teams to resolve fraud incidents.

Skills

Analytical skills

Problem-solving skills

Communication skills

Education

Bachelor's degree in Criminal Justice, Finance, Data Analytics, or related field

Tools

SQL

Excel

Data visualization tools

Job description

Bridging Tech & Strategy | Product Hiring | Technology Hiring | Leadership Hiring | Healthcare | Fintech @NationsBenefits

Company Overview: NationsBenefits is recognized as one of the fastest growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members. Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members. We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

Position Summary: We are seeking a detail-oriented and analytical Fraud Analyst to join our fraud management team. This role is responsible for detecting, investigating, and preventing fraudulent activity across customer accounts, transactions, and access points. The ideal candidate will have a strong understanding of fraud patterns, data analysis, and risk mitigation strategies.

Key Responsibilities

• Monitor real-time transactions and account activity for suspicious behavior.
• Analyze fraud alerts and escape cases based on severity and risk.
• Investigate potential fraud cases including account takeover, synthetic identities, and transaction anomalies.
• Collaborate with customer service, compliance, and technology teams to resolve fraud incidents.
• Maintain and enhance fraud detection rules, scoring models, and dashboards.
• Document findings and contribute to fraud reporting and trend analysis.
• Support onboarding of new clients by assessing fraud risk and recommending controls.
• Participate in the development of fraud playbooks and escalation protocols.

Qualifications

• Bachelor’s degree in Criminal Justice, Finance, Data Analytics, or related field.
• 2+ years of experience in fraud detection, investigation, or risk analysis.
• Familiarity with fraud detection tools, machine learning models, and case management systems.
• Strong analytical and problem‑solving skills.
• Excellent communication and documentation abilities.
• Experience with SQL, Excel, or data visualization tools is a plus.

Preferred Skills

• Knowledge of e‑commerce, financial services, or digital identity verification.
• Experience with synthetic identity detection and account takeover prevention.
• Understanding of velocity limits, IP monitoring, and behavioral analytics.

Seniority Level

Mid‑Senior level

Employment Type

Full‑time

Job Function

Health Care Provider