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Fraud Rules Analyst - Remote

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Optum

2mo ago

  • Job
    Full-time
    Mid Level
  • Eden Prairie
    Remote

AI generated summary

  • You need 4+ years in banking/financial services and fraud investigations, 2+ years in payment card operations, Excel skills, and experience in fraud rule development.
  • You will investigate fraudulent activity, analyze data for trends, collaborate with teams, train others, communicate with victims, and recommend strategies to enhance fraud detection and prevention.

Requirements

  • 4+ years of experience in banking or financial services industry
  • 4+ years of experience in payment fraud investigations, and online fraud investigation, or financial crime risk management
  • 2+ years of experience with payment card operations, disputes, chargeback or fraud analysis
  • 2+ years Excel experience (e.g., filter, sort, V-lookup, etc.)
  • 2+ years in fraud rule and strategy development

Responsibilities

  • Perform in-depth research within banking systems to investigate customer and transactional activity for fraudulent and high-risk activity
  • Analyze data for trends and recommend strategies to reduce risk and fraud
  • Represent the Fraud Team on new products, projects and programs to help ensure fraud risks and controls are considered throughout implementation
  • Take necessary action, when fraud is identified, to prevent additional fraud and work fraud case, per procedure
  • Assist in and proactively contribute to the development of fraud detection tactical and strategic planning
  • Partner and collaborate with Operations, Compliance, and IT teams to resolve issues and investigate fraud cases
  • Serve as a liaison with Information Technology in the development, enhancement, and ongoing maintenance of risk management systems
  • Provide training, guidance and education to other team members and other teams on risk and fraud best practices
  • Communicate with customers who are victims of fraud, answering their questions and helping them to secure their account
  • Communicate significant issues to management; make recommendations when weaknesses are identified
  • Balance priorities to meet multiple deadlines

FAQs

Do we support remote work?

Yes, this position is fully remote and can be performed from anywhere within the U.S.

What is the primary focus of the Fraud Rules Analyst role?

The primary focus is to investigate potential cases of financial fraud, analyze data for trends, and develop strategies to reduce risk and fraud.

What are the required qualifications for this position?

The required qualifications include 4+ years of experience in the banking or financial services industry, experience in payment fraud investigations, and expertise in Excel, among other skills.

Is there an opportunity for career development in this role?

Yes, the position offers career development opportunities and a clear direction for success within the company.

What specific software is preferred for this position?

Experience with database software query, such as SQL, VBA, or Access, is preferred.

Will training be provided for this role?

Yes, the Fraud Rules Analyst is expected to provide training and guidance to team members and other teams on risk and fraud best practices.

What is the salary range for this position?

The salary range for this role is $70,200 to $137,800 annually, depending on various factors such as location and experience.

Are there any specific experience requirements related to healthcare?

Yes, experience in healthcare payments, particularly healthcare payments fraud, is preferred.

What should candidates know about the company’s commitment to diversity?

UnitedHealth Group is committed to diversity and inclusion, ensuring equal opportunity for all applicants regardless of race, gender, or other protected characteristics.

What can you tell me about the company culture?

The company fosters a culture guided by diversity and inclusion, collaborative teamwork, and a commitment to improving health outcomes for all.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.