Specialist, Claims & Fraud Operations

Santander USA; Boston (MA); On-site; USD 40,000 - 64,000; Full time

Job summary

An established industry player is seeking a Specialist in Claims & Fraud Operations to join their dynamic team. In this role, you will engage in analytical reviews of data to identify and mitigate fraud risks. You'll be responsible for analyzing current fraud trends, assisting in claims preparation, and conducting due diligence to ensure compliance with regulations. This position offers the opportunity to work collaboratively with various teams while managing competing priorities in a fast-paced environment. If you have a passion for problem-solving and a keen eye for detail, this role could be the perfect fit for you.

Qualifications

• 1-3 years of experience in loss prevention and fraud prevention.
• Ability to analyze information and develop strategy recommendations.

Responsibilities

• Analyze fraud trends and assist in preparing claims.
• Conduct daily account reviews and due diligence actions.
• Review fraud alerts and report suspicious activity.

Skills

Analytical Skills

Customer Service

Communication Skills

Organization Skills

Problem-Solving Skills

Root Cause Analysis

Multi-tasking

Education

H.S. Diploma or equivalent work experience

Tools

MS Office Applications

Lexus Nexus

Appian

PEP+

Job description

Specialist, Claims & Fraud Operations

Country: United States of America

The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or documentation which may include customer data and/or review for fraud/risk activities. Will be tasked with making decisions on disputed transactions and/or suspect activity flagged for investigative review. S/he performs other such duties as assigned including troubleshooting operational issues. The incumbent participates in projects requiring coordination with other teams. The Specialist, Claims & Fraud Operations manages competing priorities in an accurate and timely manner.

Time of shift - Monday-Friday: (12:00pm EST-9:00pm EST)

Responsibilities:

• Analyzes current fraud trends and provides input into rules and parameters.
• Assists in the preparation of filing bonded claims and un-bonded charge off recommendations.
• Conducts daily new business and member account and/or changed account review and due diligence actions in compliance with the USA Patriot Act Member Identification Program (MIP).
• Develops and maintains Policy and Procedure Manuals.
• Develops registration & licensing documents, policy and procedure manuals, and other documentation as needed.
• Enters fraud cases in the case management system.
• Reviews fraud alerts involving Cards, ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third-party transfers, elder fraud, identity theft or other operations fraud issues.
• Reports suspicious activity as required by the Bank Secrecy Act.
• Research discrepancies, accumulate all necessary information and take appropriate action to stop, and where possible, prevent fraud and identity theft losses.
• Reviews daily reports for unauthorized share activity.

Education:

H.S. Diploma or equivalent work experience.

Experience:

1-3 years; Loss prevention, fraud, regulatory compliance and fraud prevention or security area experience, preferably in financial services.

Skills and Abilities:

• Ability to analyze diverse information and develop strategy recommendations.
• Excellent customer service and communication skills, both verbal and written.
• Excellent organization skills, Knowledge, and experience with root cause analysis.
• Proficient in MS Office Applications, solid ability to multi-task, solid analytical, interpretive, and problem-solving skills.
• Solid knowledge of department computer applications and systems.
• Working knowledge of fraud systems such as Lexus Nexus, Appian, PEP+ (desired-not mandatory).
• Working knowledge of loss and fraud detection/prevention principles, multiple fraud areas, compliance and regulatory issues related to the department and/or company.
• Minimal physical effort such as sitting, standing, and walking.
• Accurately identifies resource requirements to solve basic problems.
• Communicates clearly and precisely, listens carefully and asks questions to clarify understanding.
• Understanding of financial services industry and how organizations operate.
• Learns about and diligently follows established risk management policies, processes, and procedures.
• Always maintains professional behavior in representing the company, does all routine work accurately and on-time; is aware of own impact on others.
• Responds promptly to customer inquiries.
• Takes responsibility for issues and, with assistance, works to find a solution.
• Works effectively in team settings.

EEO Statement: At Santander, we value and respect differences in our workforce. We actively encourage everyone to apply.

Santander is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status or any other characteristic protected by law.

Working Conditions: Frequent minimal physical effort such as sitting, standing and walking. Occasional moving and lifting equipment and furniture is required to support onsite and offsite meeting setup and teardown. Physically capable of lifting to fifty pounds, able to bend, kneel, climb ladders.

Employer Rights: This job description does not list all the job duties of the job. You may be asked by your supervisors or managers to perform other duties. You may be evaluated in part based upon your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time. This job description is not a contract for employment and either you or the employer may terminate at any time for any reason.

Base Pay Range:

Minimum: $40,500.00 USD

Maximum: $64,000.00 USD