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.
...Brand (Sales) Ambassador, Houston, TX (Galleria Mall)~5085 Westheimer Road Suite 2641, Houston (Galleria Mall)~ Full-time Company Description De Beers London is the ultimate diamond jewellery Maison, globally recognised for its leadership and expertise in...
[Customer Service / Fully Remote] - Anywhere in U.S. / Up to $23 per hour / Medical, dental & vision / 401K - As a Call Center Rep you'll: Handle inbound calls, conducting initial screenings and assessments to gather vital information; Provide compassionate support to...
...patient identity and exam verification prior to initiating the scan; strictly adhering to department policy and procedure for patient... ....\n\nMaintains accurate patient record keeping by properly documenting all necessary components within EPIC to include identifying images...
...Space & Security (BDS) - Phantom Works organization is seeking a highly skilled and experienced Low Observables Mission Systems Integration Engineer to support an integrated product team in the design and integration of an advanced sensor for a next generation...
A leading healthcare services company is seeking a remote support professional in Oklahoma. The role involves providing nonclinical support and working collaboratively with teams to ensure quality care for Enrollees. Candidates should have at least one year of healthcare...