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Fraud Representative Jobs (NOW HIRING)

Stripe

Fraud Patterns Analyst

At Stripe, we believe that this represents a future with almost limitless potential for innovation ... We are looking for someone passionate about fighting fraud, identifying new trends and typologies ...

State of Georgia

$50/hr

Investigator - Medicaid Fraud Job Requisition ID: JR0000000386 Number of Openings: 1 Shift: Day ... legal representation of the highest quality to the agencies, officers and employees of state ...

USALLIANCE Financial

Fraud Disputes Analyst

Rye, NY · On-site

$26.78 - $33.47/hr

Represent USALLIANCE in the community and form lasting relationships with our members and partners. About This Role: The Fraud Disputes Analyst is responsible for analyzing card transactions to ...

UMB Financial

Fraud Prevention Analyst

Kansas City, MO · Hybrid

$59K - $86K/yr

As the Fraud Prevention Analyst , you will support UMB Fraud Operations to protect UMB and clients ... Compensation Range: $59,085 - $86,922 The posted compensation range on this listing represents UMB ...

State of Georgia

$70/hr

Criminal Investigator - Medicaid Fraud Division Job Requisition ID: JR0000001107 Number of Openings ... legal representation of the highest quality to the agencies, officers and employees of state ...

TTEC

Fraud Detections Representative

Charlotte, NC · On-site

$21/hr

As a Fraud Detections Representative working onsite in Charlotte, NC youll be a part of bringing humanity to business. #experienceTTEC Youll provide white glove support to customers of an asset and ...

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How much do fraud representative jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for fraud representative in the United States is $18.05, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $19.23 per hour, depending on experience, location, and employer.

What is the difference between Fraud Representative vs Fraud Analyst?

AspectFraud RepresentativeFraud Analyst
Required CredentialsHigh school diploma or equivalent; some roles may prefer certifications like ACFEBachelor's degree often preferred; certifications like CFE beneficial
Work EnvironmentCustomer service settings, call centers, financial institutionsOffice-based, data analysis, investigation teams
Employer & Industry UsageFinancial services, insurance, retailBanking, credit card companies, financial institutions
Comparison Search IntentUnderstanding entry-level fraud roles, customer interactionAnalyzing fraud patterns, data investigation

While both Fraud Representatives and Fraud Analysts work to combat fraud, Fraud Representatives typically handle customer interactions and initial fraud reports, focusing on customer service. Fraud Analysts perform in-depth data analysis and investigations to identify fraud patterns. The roles often overlap in industry and required credentials, but differ mainly in daily responsibilities and focus areas.

Is it hard to become a fraud representative?

Becoming a fraud representative typically requires strong attention to detail, good communication skills, and knowledge of fraud detection tools and procedures. Many employers prefer candidates with customer service experience or a background in finance or law enforcement, and some roles may require specific certifications or training programs. Overall, the difficulty depends on the employer's requirements and the candidate's relevant skills and experience.

What qualifications do I need to work in a fraud representative role?

A fraud representative typically needs a high school diploma or equivalent, strong communication skills, and attention to detail. Some employers prefer experience in customer service, banking, or security, and knowledge of fraud detection tools or software may be beneficial. Certifications in fraud prevention or related fields can enhance job prospects.

Is working in a fraud representative role a good career?

A fraud representative role can be a stable career with opportunities for advancement in the financial and insurance industries. It requires strong attention to detail, analytical skills, and knowledge of fraud detection tools. The job often involves shift work and may require certifications or ongoing training to stay current with fraud trends.

What degree do I need to work in a fraud representative role?

A fraud representative typically does not require a specific degree but often benefits from a high school diploma or equivalent. Some employers prefer candidates with postsecondary education in fields like criminal justice, finance, or business, and strong skills in investigation, communication, and familiarity with fraud detection tools are important.

What does a fraud representative do?

A Fraud Representative is responsible for detecting, investigating, and preventing fraudulent activities within an organization, typically in the banking, finance, or retail sectors. They review suspicious transactions, communicate with customers to verify account activity, and work closely with law enforcement or other departments to resolve fraud cases. Their goal is to protect both the company and its clients from financial losses due to fraud, while ensuring a positive customer experience. Effective Fraud Representatives possess strong analytical skills, attention to detail, and the ability to handle sensitive information confidentially.

What are the key skills and qualifications needed to thrive as a fraud representative, and why are they important?

To thrive as a Fraud Representative, you need strong analytical skills, attention to detail, and a background in finance, business, or criminal justice. Familiarity with fraud detection software, case management systems, and data analysis tools is typically required, along with any relevant certifications such as Certified Fraud Examiner (CFE). Excellent communication, problem-solving abilities, and integrity are essential soft skills for investigating suspicious activity and interacting with clients. These skills ensure accurate identification and resolution of fraudulent transactions, protecting both customers and the organization.

What are the most common challenges faced by fraud representatives, and how can they be managed effectively?

Fraud Representatives often encounter challenges such as handling high volumes of suspicious activity alerts, working under time pressure to prevent losses, and communicating with customers who may be distressed or frustrated. Successfully managing these challenges involves strong analytical skills, excellent communication, and the ability to stay calm under pressure. Most organizations provide robust training and ongoing support, as well as team collaboration tools to help representatives share insights and best practices. Building experience in this role prepares you for advancement opportunities in fraud prevention, risk analysis, or supervisory positions.
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What states have the most Fraud Representative jobs?

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What job categories do people searching Fraud Representative jobs look for?

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Fraud Representative jobs near you
Infographic showing various Fraud Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $37,548 per year, or $18.1 per hour.

Fraud Auditor

Contact Government Services, LLC

Omaha, NE • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

Fraud Analyst
Employment Type: Full Time
Department: Litigation Support
CGS seeks a Fraud Analyst to provide financial, forensic, and investigative support to government attorneys in the investigation and litigation of complex civil and criminal fraud matters. The Fraud Analyst will analyze financial and medical claims data, conduct forensic audits, develop damages assessments, and prepare reports and evidence to support investigations, prosecutions, settlements, and recoveries. The ideal candidate is a Certified Public Accountant (CPA) with auditing experience, expertise in financial analysis and fraud investigations, excellent communication skills, and the ability to handle sensitive and confidential information in a government environment.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Skills and attributes for success:
  • Assists the client in the investigation and trial preparation phases by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
  • Investigations may well involve individually identifiable medical information, which the contractor will keep confidential, maintaining the privacy of the individuals who received the health care services or items.
  • Confidentiality will also be maintained for matters under seal, such as qui tam lawsuits, and matters occurring before the grand jury. Investigations may concern sensitive matters, involve prominent individuals, organizations, or corporations within a client's district, all of which the investigator will keep confidential.
  • The Auditor shall perform comprehensive analytical, investigative, and financial examination duties in support of the client.
  • Conduct audits in support of investigations and litigation involving the government's affirmative civil enforcement of federal laws, particularly the False Claims Act, 31 U.S.C. §§3729-3733, the Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b)(1)(A), and the Stark Law, 42 U.S.C. § 1395nn(a)
  • Conduct similar audits in support of criminal investigations involving 18 U.S. Code § 641, 18 U.S.C. 1343-Elements of Wire Fraud, 18 U.S.C. § 1341, 18 U.S.C. § 1347, 18 USC 1956: Laundering of monetary instruments, 18 U.S.C. § 1957.
  • Reviewing, analyzing, and interpreting complex data sets, including Centers for Medicare & Medicaid Services claims data, PPP loan data, and records associated with health care fraud, defense procurement fraud, and other government program fraud.
  • Identifying outlier billings and other anomalies within health care claim codes and normalizing claims data across multiple benefit plans to support time studies and other analytical assessments.
  • Detecting trends, patterns, and relevant information within investigative and discovery records and applying this analysis to test data under various conditions.
  • Reinterpreting and extrapolating results from Statistically Valid Random Samples when modifications to sample review outcomes occur.
  • Developing, documenting, and defending loss calculation methodologies and financial damage models for litigation.
  • Conducting financial investigations to assess the ability of individuals and organizations to satisfy settlements and judgments, including detailed analysis of assets, liabilities, debt covenants, borrowing capacity, earnings, financial ratios, aging schedules, tax considerations, and collectability.
  • Examining personal and business financial records to identify payments, kickbacks, money flows, sources and uses of cash, related-party transactions, and potential damages.
  • Performing asset valuations, records reconstruction, and creation of computerized financial models for use in presentations of financial evidence.
  • Preparing clear, accurate reports summarizing financial analyses, data findings, and evidentiary conclusions.
  • Communicating investigative findings to attorneys, investigators, and other team members, and providing recommendations to client regarding investigative plans, areas of focus, and potential courses of action.
  • Reviewing defense presentations, expert reports, and related materials, and collaborating with independent experts as needed.
  • Preparing expert reports for litigation and participating in negotiations upon request.
  • Professionally engaging with witnesses, persons of interest, and representatives of local, state, and federal agencies to obtain statements, clarify facts, and establish sequences of events in support of investigative objectives.
  • Participate in the Suspicious Activity Report (SAR) Review Team, reviewing FINCEN reports to generate investigative leads for law enforcement and assisting in de-conflicting pending investigations.

Qualifications:
  • Must be Certified Public Accountant.
  • MBA or equivalent in accounting or directly related field.
  • Thorough knowledge of generally accepted accounting principles and generally accepted auditing standards.
  • Minimum of three years' experience as an auditor.
  • Minimum two years specialized experience in the specific subject matter area involved - for example, Medicare billing and claims systems, or DoD inventory systems.
  • Working knowledge of appropriate accounting and financial analysis ADP systems and applications.
  • Thorough knowledge of generally accepted accounting principles and generally accepted auditing standards.
  • Working knowledge of appropriate accounting and financial analysis ADP systems and applications.
  • Excellent oral and written communication skills.
  • Experience in litigation environment, experience working with automated litigation support helpful.

Our Commitment:
Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems.
For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
We care about our employees. Therefore, we offer a comprehensive benefits package:
- Health, Dental, and Vision
- Life Insurance
- 401k
- Flexible Spending Account (Health, Dependent Care, and Commuter)
- Paid Time Off and Observance of State/Federal Holidays
Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Join our team and become part of government innovation!
Explore additional job opportunities with CGS on our Job Board:
https://cgsfederal.com/join-our-team/
For more information about CGS please visit: https://www.cgsfederal.com or contact:
Email: [email protected]
#CJ
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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