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:
• Bachelor’s 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.
...Job Description Job Description We are seeking an energetic and motivated Entry-Level Customer Service Sales Representative to join our team. In this role, you will interact directly with customers, answer questions, provide product knowledge, and guide them toward...
...Beverly Hills and West Los Angeles. Growth also planned for this westside with added locations in the future. About : The Regional Practice Manager is responsible for overseeing the financial, operational, clinical and administrative functions of the clinic to ensure...
...Senior Director of Regulatory Affairs Hybrid working - some travel to Bay Area Medical Devices Class III Competitive compensation + strong benefits A growing medical device company developing Class III Medical Devices are seeking a Senior Director of...
Compensation Details: Starting wage range of $17 + potential 2nd Shift differential! Why should you join our team? We live our values - W.E.L.I.G.H.T (Winning, Excellence, Love, Integrity, Gratitude, Humility, and Teamwork). Gratitude. Humility. Love. You don't ...
Position: Medical Lab Technologist/Technician (MT/MLT)Location: Chicago, ILJob Id: 1172# of Openings: 0WE ARE INSIGHT:At Insight Hospital and Medical Center- Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our...