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 escalate 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:
Bachelors 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.
...MCO Medicaid FWA Unit - Experience with Interpreting Contracts - Billing and Coding certifications such as CPC (AAPC) - Knowledge of Aetna's policies and procedures**Education**Bachelors or equivalent experience**Anticipated Weekly Hours**40**Time Type**Full time*...
...Job Description Amentum is seeking a Facility Maintenance Electrician II to join our operations & maintenance team in Fort Wayne, Indiana. This position is responsible for providing an intermediate level of expertise in responding to work orders, troubleshooting...
Job Description Job Description CompassX is a boutique business and technology consulting firm. We help Fortune 500 and high-growth clients deliver their most strategic initiatives, from enterprise transformations to digital and data-driven projects. With over 15 years...
Job Description Job Description Who We Are: Oppenheimer & Co. Inc. (Oppenheimer) is a leading middle-market investment bank and full service broker-dealer, With roots tracing back to 1881, the Company is engaged in a broad range of activities in the financial ...
...Job Description Job Title: Marketing and Communications Lead \n FLSA Status: Exempt... ...receive 75\nworkdays annually to work remote! The initial amount of days is prorated... ...and special communications projects to management. \n Seeks new methods to boost internal...