Fraud Investigator

Company: ALTA IT Services
Location: Vienna
Posted on: May 15, 2025

Job Description:

Job Title: Fraud Investigator

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Location: Onsite in Pensacola, FL or Vienna, VA with option to work remote 1x/week.
Pay Rate: Open to Both C2C and W2 options
Position Type: Multiyear Contract

Description
To identify, review, investigate fraud activity, claims/cases and risk exposures from various delivery channels.
Review transactional activities, internal/external inquiries, and perform investigations to protect client and its members' financials and assets, and control and mitigate potential fraud loss.
Ensure adherence to applicable federal and state laws, rules and regulations. Work is performed under close supervision.
Perform basic/routine tasks requiring moderate analysis and solving problems of moderate complexity.

Responsibilities Investigate various types of transactions/activities/cases (Check Fraud) including reported or alleged loss of assets from various business channels
Respond to inquiries using various communication venues (including inbound telephone calls) to provide explanation for action taken in response to a specific alert or case
Communicate with internal and external customers on fraud and security issues, problem resolution, account information and investigations
Collect evidence and related documentation via available systems and methods; ensure chain of evidence/documentation is maintained in accordance with federal and state laws, rules, regulations, policies and procedures
Review data gathered to substantiate/disqualify a loss claim or charge off, and escalate as needed
Research public record databases to identify, analyze and verify information related to primary investigations, validation reviews, discrepancies associated with information provided, and assess potential fraud risk
Create detailed reports of investigations to include actions taken and results
Prepare and maintain data for analysis and reference
Detect fraud trends, red flags and recommend preventive measures to business units and management
Monitor timeline from identification/notification of fraudulent activity to closure ensuring service level agreements and regulatory requirements are met
Collaborate with other business units to gain an understanding of transactions, processes and procedures, their impact on other business units' processes and procedures, and identify risk potential for fraudulent activity
Identify risk exposure/fraud activity, and recommend restorative/control action (e.g. ,freezing accounts, contacting/alerting members or appropriate internal/external security/financial personnel, adding restrictions or fraud alerts or holds to members' accounts)
Determine if suspicious activities are caused by processing errors requiring corrections and/or recommending to management changes to business policies and/or processes to prevent reoccurrence
Support projects related to fraud detection, prevention or root analysis
Involved in driving continuous process improvement to increase member experience quality; reduce losses; minimize financial risk and maintain high operational efficiency
Maintain knowledge of applicable federal and state laws, rules, regulations, and policies and procedures
Perform other duties as assigned


Qualifications Familiarity with applicable federal and state laws, rules and regulations (e.g., Bank Secrecy Act, USA Patriot Act, and OFAC regulations)
Familiarity with fraud trends and threats
Exposure to member/customer service, preferably in a financial institution or contact center
Exposure to applying various analytical techniques used in determining and resolving fraud and identity theft in transactions and membership applications
Exposure to working with all levels of staff, management, stakeholders, vendors

Desired Familiarity with products, services, programs, policies, and procedures
Basic skill managing multiple priorities independently and/or in a team environment to achieve goals
Basic skill determining "Intent" and "No Intent" scenarios
Basic skill in identifying and responding to Red Flags (e.g., Known Fraud Patterns, Check Image Details, Membership Specific Info, etc.)
Basic skill assimilating information, analyzing facts, and developing logical conclusions
Basic skill interpreting and synthesizing large amounts of information
Basic skill exercising initiative and using good judgement to make sound decisions
Basic skill identifying and analyzing business requirements and recommending solutions
Basic organizational, planning and time management skills
Basic investigative, research, analytical, and problem solving skills
Basic skill following, interpreting, and applying relevant data/instructions to guidelines, procedures, practices, and regulations
Effective active listening skills to accurately respond to inquiries and account requests
Basic skill building relationships through rapport, trust, diplomacy and tact
Basic skill to influence, negotiate, and persuade to reach agreeable exchange and positive outcomes
Basic verbal and written communications skills
Basic word processing, spreadsheet, and presentation software skills

Education Associate's degree in Business Administration, Criminal Justice, Finance, or related field, or the equivalent combination of education, training, and experience
Desired - Bachelor's degree in Business Administration, Criminal Justice, Finance, or related field



Ref: #850-Rockville (ALTA IT)

Keywords: ALTA IT Services, Bel Air North , Fraud Investigator, Other , Vienna, Maryland