Insurance Fraud Investigator Jobs in Decatur, GA

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Regular or Temporary:
Regular
Language Fluency: English (Required)
Work Shift:
1st shift (United States of America)
Please review the following job description:
Perform research and loss mitigation efforts across multiple intake channels to decision Fraud Solution Service Delivery related cases and alerts. Researches and analyzes account activity to assess the level of risk and make decision in accordance with applicable corporate and departmental policies and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Analyze and decision Fraud Solution Service Delivery related cases or alerts.
2. Utilize banking systems to investigate and research all transactional information to ensure that Fraud Solution Service Delivery requirements are met.
3. Conduct client research.
4. Use critical thinking skills to make well supported decisions relative to the alert type.
5. Utilize internal and external applications to assist in the investigation and research of all applicable alerts.
6. Efficiently and effectively resolve cases or alerts with awareness of all timelines as directed by Fraud Solution Service Delivery functions.
7. Support effective communication with internal and external partners or clients.
8. Participate Fraud related training that may include webinars, periodicals and self -study in order to stay abreast of any related changing laws and regulations.
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. High school diploma or equivalent education and related training
2. One year of banking, financial industry or related experience; preferably in a branch, audit, compliance, legal, risk or lending related capacity
3. Ability to learn and perform complex processes in order to meet the spirit and letter of the procedures, policies and regulations that govern the department
4. Strong investigative, analytical, and critical thinking skills
5. Strong work prioritization and time management skills
6. Strong interpersonal, communication and client service skills
7. Demonstrated proficiency in basic computer applications such as Microsoft Office software products
8. Ability to work in a high-stress, fast-paced, rapidly changing environment.
9. Ability and willingness to work flexible hours as required by the function
Preferred Qualifications:
10. Associate Degree
11. Experience in investigation, law enforcement, or lending role
12. Knowledge of Fraud regulations and/or related compliance requirements, including reporting and record retention requirements
13. Experience in Fraud and/or compliance-related role, whether in a client facing or backroom/operational role
General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site. Depending on the position and division, this job may also be eligible for Truist's defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace.
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