Medical Insurance Fraud Investigator Jobs (NOW HIRING)

Veros Credit is committed to making vehicle ownership possible for everyone. Through our vast network of independent and franchise dealers, we have helped countless customers with their financing needs, allowing them to drive off in the vehicle they deserve.

We realize that our greatest assets are our employees, which is why we strive to make work welcoming and fun but offer limitless opportunities for growth and advancement. At Veros Credit, you can look forward to company events, free meals quarterly, holiday activities, and more. You will be greeted by friendly, positive, and ambitious team members, and work alongside leaders who encourage and value your new ideas. We are proud to say that it is this sense of community that makes us excited to walk through the door every day.

Some of our benefit offerings include:

• Medical, Dental, and Vision Insurance
• Life Insurance
• Flexible Spending Accounts (FSA)
• Accident, Hospital, Indemnity Insurance
• Short Term Disability (STD) and Long-Term Disability (LTD) Insurance
• Employee Assistance Program (EAP)
• 401(k) Plan
• Tuition Reimbursement
• Paid Holidays
• Paid Time Off (PTO)
• Transportation Reimbursement Benefit (Mass Transit, Carpool, and Plug-In Electric Vehicle)
• Referral Bonus
• Quarterly lunches
• Daily fresh fruit
• Office Starbucks Coffee/Latte/Espresso Machine
• And a lot more!

The Fraud Investigator / Loss Mitigation Analyst is responsible for identifying, investigating, and resolving fraudulent activities and losses related to auto loan originations and servicing across a nationwide portfolio. This role plays a critical part in mitigating risk by conducting in-depth investigations of suspected fraud, collaborating with internal departments and external agencies, and developing strategies to prevent future occurrences. The ideal candidate will have a strong understanding of auto lending, credit risk, dealer relations, and asset recovery.

Key Responsibilities:

Fraud Investigation

• Serve as the primary point of contact for dealer fraud or misconduct allegations routed from various departments, review leads and determine the appropriate course of action.
• Investigate dealer misconduct or collusion, including power booking, payment packing, fake down payments, and document tampering.
• Analyze auto loan applications, funding packages, and account activity for indicators of fraud, including identity theft, straw purchases, income/occupancy misrepresentation, synthetic identities, and forged documents.
• Conduct full reviews of dealer fraud claims, including high-volume or active dealers, to substantiate or verify allegations, and manage any resulting referrals, actions or communication.
• Maintain primary responsibility for analyzing and reviewing, and improving reports, to communicate findings/patterns/trends to the appropriate stakeholders.
• Conduct post-funding reviews and contract audits using internal and third-party data sources (e.g., LexisNexis, TLO, Clear, MVR).
• Interview applicants, dealers, and internal staff to gather statements and verify facts.
• Prepare detailed fraud case reports, summaries, and recommendations for internal stakeholders and legal counsel.

Loss Mitigation & Recovery

• Analyze early payment defaults, charge-offs, and skip accounts to determine root causes and possible fraud involvement.
• Collaborate with Repossession and Skip Tracing teams to locate and recover collateral.
• Recommend and support litigation efforts against fraudulent dealers or borrowers.
• Track and report financial impact of fraud and loss mitigation efforts on recoveries.
• Monitor and follow up on restitution payments, police reports, and insurance claims when applicable.

Prevention & Compliance

• Assist in developing and enhancing fraud detection rules, models, and early warning indicators in collaboration with Credit Risk and Decision Science.
• Support the development and delivery of fraud prevention training to internal teams (Sales, Funding, Credit, Servicing).
• Maintain accurate records and documentation in accordance with internal policies and regulatory requirements.
• Stay current on fraud trends, schemes, and technologies in auto lending.

Qualifications:

Education & Experience

• Bachelor's degree in Criminal Justice, Finance, Business Administration, or related field preferred.
• 3+ years of experience in auto finance, consumer lending, fraud investigations, or loss prevention.
• Experience in working with indirect auto lending and dealer fraud is highly preferred.

Knowledge & Skills

• Strong knowledge of fraud typologies in subprime and prime auto lending environments.
• Familiarity with credit bureaus, vehicle valuation tools (e.g., NADA, KBB, BLACKBOOK, MMR), DMV documentation, and funding practices.
• Proficient in investigative tools such as LexisNexis, Accurint, CLEAR, TLOxp, CARFAX, and skip tracing databases.
• Understanding of relevant laws and regulations, including FCRA, UDAAP, GLBA, and ID theft laws.
• Ability to analyze large sets of data to identify anomalies or patterns indicative of fraud.
• Excellent written and verbal communication skills for case reporting and cross-functional collaboration.
• High level of integrity, confidentiality, and sound judgment in high-stakes situations.

Preferred Certifications (a plus, but not required):

• Certified Fraud Examiner (CFE)
• Certified Anti-Money Laundering Specialist (CAMS)
• Skip Tracer Certification
• Law Enforcement or Regulatory Agency experience (a plus)

Work Environment & Travel:

• Primarily office-based; occasional travel required for dealer audits, court testimony, or field investigations (up to 10%).

Compensation & Benefits:

• Competitive salary based on experience.
• Annual bonus eligibility.
• Health, dental, and vision insurance.
• 401(k) with company match.
• Paid time off and holidays.
• Professional development reimbursement.

Salary: $24.00 - $29.00 per hour + Bonus

Veros Credit, LLC is an equal opportunity employer.

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