Fraud Ops Analyst

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 :

Preferred Skills :