Specialist, Claims & Fraud Operations

Posted 4 Days Ago
Be an Early Applicant
2 Locations
41K-64K Annually
Junior
Financial Services
The Role
The Specialist in Claims & Fraud Operations conducts analytical reviews of data and documentation to evaluate potential fraud or risk activities. Responsibilities include analyzing fraud trends, preparing claims, conducting due diligence, maintaining policy manuals, and investigating suspicious activities. This role requires effective communication and customer service skills while managing competing priorities in a timely manner.
Summary Generated by Built In

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 trouble shooting 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.

Responsibilities

  • Analyzes current fraud trends and provide 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.
  • Review 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 principals, 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.


The base pay range for this position is posted below and represents the annualized salary range. For hourly positions (non-exempt), the annual range is based on a 40-hour work week. The exact compensation may vary based on skills, experience, training, licensure and certifications and location.

Base Pay Range

Minimum:

$40,500.00 USD

Maximum:

$64,000.00 USD

The Company
HQ: Boadilla del Monte, Madrid
136,172 Employees
On-site Workplace

What We Do

Banco Santander (SAN SM, STD US, BNC LN) is a leading commercial bank, founded in 1857 and headquartered in Spain and one of the largest banks in the world by market capitalization. The group’s activities are consolidated into five global businesses: Retail & Commercial Banking, Digital Consumer Bank, Corporate & Investment Banking (CIB), Wealth Management & Insurance and Payments (PagoNxt and Cards). This operating model allows the bank to better leverage its unique combination of global scale and local leadership. Santander aims to be the best open financial services platform providing services to individuals, SMEs, corporates, financial institutions and governments. The bank’s purpose is to help people and businesses prosper in a simple, personal and fair way. Santander is building a more responsible bank and has made a number of commitments to support this objective, including raising €220 billion in green financing between 2019 and 2030. In the first quarter of 2024, Banco Santander had €1.3 trillion in total funds, 166 million customers, 8,400 branches and 211,000 employees.

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