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Specialist, Claims & Fraud Operations

Specialist, Claims & Fraud Operations

Country: United States of America

The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or documentation which may include customer data and/or review for fraud/risk activities. Will be tasked with making decisions on disputed transactions and/or suspect activity flagged for investigative review. S/he performs other such duties as assigned including trouble shooting operational issues. The incumbent participates in projects requiring coordination with other teams. The Specialist, Claims & Fraud Operations manages competing priorities in an accurate and timely manner.

Responsibilities

  • Analyzes current fraud trends and provide input into rules and parameters.
  • Assists in the preparation of filing bonded claims and un-bonded charge off recommendations.
  • Conducts daily new business and member account and/or changed account review and due diligence actions in compliance with the USA Patriot Act Member Identification Program (MIP).
  • Develops and maintains Policy and Procedure Manuals.
  • Develops registration & licensing documents, policy and procedure manuals, and other documentation as needed.
  • Enters fraud cases in the case management system.
  • Review fraud alerts involving Cards, ACH, Pre-authorized drafts, altered check, forged endorsements, unauthorized third-party transfers, elder fraud, identity theft or other operations fraud issues.
  • Reports suspicious activity as required by the Bank Secrecy Act.
  • Research discrepancies, accumulate all necessary information and take appropriate action to stop, and where possible, prevent fraud and identity theft losses.
  • Reviews daily reports for unauthorized share activity.

Education:

H.S. Diploma or equivalent work experience.

Experience:

1-3 years; of loss prevention, fraud, regulatory compliance and fraud prevention or security area experience, preferably in financial services. 

Skills and Abilities:

  • Ability to analyze diverse information and develop strategy recommendations.
  • Excellent customer service and communication skills, both verbal and written.
  • Excellent organization skills, Knowledge, and experience with root cause analysis.
  • Proficient in MS Office Applications, Solid ability to multi-task, Solid analytical, interpretive, and problem-solving skills.
  • Solid knowledge of department computer applications and systems.
  • Working knowledge of fraud systems such as Lexus Nexus, Appian, PEP+(desired-not mandatory)
  • Working knowledge of loss and fraud detection/prevention principals, multiple fraud areas, compliance and regulatory issues related to the department and/or company. 
  • Minimal physical effort such as sitting, standing, and walking. 
  • Accurately identifies resource requirements to solve basic problems.
  • Communicates clearly and precisely Listens carefully and asks questions to clarify understanding.
  • understanding of financial services industry and how organizations operate.
  • Learns about and diligently follows established risk management policies, processes, and procedures.
  • Always maintains professional behavior in representing the company does all routine work accurately and on-time; is aware of own impact on others.
  • Responds promptly to customer inquiries.
  • Takes responsibility for issues and, with assistance, works to find a solution.
  • Works effectively in team settings

EEO Statement:  At Santander, we value and respect differences in our workforce.  We actively encourage everyone to apply.   

Santander is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status or any other characteristic protected by law.


Working Conditions: Frequent Minimal physical effort such as sitting, standing and walking. Occasional moving and lifting equipment and furniture is required to support onsite and offsite meeting setup and teardown. Physically capable of lifting to fifty pounds, able to bend, kneel, climb ladders.

Employer Rights: This job description does not list all the job duties of the job. You may be asked by your supervisors or managers to perform other duties. You may be evaluated in part based upon your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time. This job description is not a contract for employment and either you or the employer may terminate at any time for any reason.

The base pay range for this position is posted below and represents the annualized salary range. For hourly positions (non-exempt), the annual range is based on a 40-hour work week. The exact compensation may vary based on skills, experience, training, licensure and certifications and location.

Base Pay Range

Minimum:

$40,500.00 USD

Maximum:

$64,000.00 USD
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Average salary estimate

$52250 / YEARLY (est.)
min
max
$40500K
$64000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Specialist, Claims & Fraud Operations, Santander

Are you ready to dive into the exciting world of fraud prevention and claims management? As a Specialist, Claims & Fraud Operations at Santander, you'll play a vital role in safeguarding transactions and protecting our customers from potential risks. This remote position in Massachusetts offers you the opportunity to analyze fraud trends, prepare vital documentation, and take decisive action against fraudulent activity. You'll be responsible for conducting thorough reviews of accounts to ensure compliance with regulations and prevent losses from fraud. Your analytical skills will be put to the test as you develop strategies to tighten fraud parameters and analyze suspect activities flagged for review. Collaborating with diverse teams, you will manage multiple priorities daily, helping to enhance our operational efficiency. You'll also have the chance to develop essential policy and procedure documentation while ensuring our clients remain informed and safe. If you have some experience in fraud prevention and a knack for problem-solving, this might just be the perfect opportunity for you to shine and make a difference in the financial services sector!

Frequently Asked Questions (FAQs) for Specialist, Claims & Fraud Operations Role at Santander
What are the main responsibilities of the Specialist, Claims & Fraud Operations at Santander?

The Specialist, Claims & Fraud Operations at Santander is responsible for performing routine analytical reviews of data and documentation relevant to customer data and fraud risk activities. This includes assessing flagged fraudulent transactions, maintaining policy documentation, and conducting thorough account reviews to ensure compliance with regulations like the USA Patriot Act.

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What qualifications are required for the Specialist, Claims & Fraud Operations role at Santander?

To qualify for the Specialist, Claims & Fraud Operations position at Santander, candidates should have a High School Diploma or equivalent work experience, combined with 1-3 years of experience in loss prevention, fraud, or regulatory compliance, preferably in the financial services sector. Strong organizational skills and customer service abilities are essential.

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What skills are important for a Specialist, Claims & Fraud Operations at Santander?

Important skills for the Specialist, Claims & Fraud Operations position at Santander include analytical and problem-solving capabilities, proficiency in MS Office Applications, excellent verbal and written communication skills, and a solid understanding of financial services fraud detection and prevention principles.

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What does the work environment look like for the Specialist, Claims & Fraud Operations role at Santander?

The Specialist, Claims & Fraud Operations role at Santander is a remote position based in Massachusetts, allowing for a flexible work environment. While minimal physical effort is required, candidates should be capable of occasional equipment and furniture movement for meetings.

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How does Santander promote diversity and equal opportunity for the Specialist, Claims & Fraud Operations position?

At Santander, diversity and inclusion are valued at every level of the organization. The Specialist, Claims & Fraud Operations position encourages qualified applicants from all backgrounds to apply, fostering an inclusive work culture that respects differences and promotes equal employment opportunities.

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Common Interview Questions for Specialist, Claims & Fraud Operations
What steps would you take to analyze a potential fraudulent transaction?

To analyze a potential fraudulent transaction, I would first gather all the relevant information regarding the transaction, including customer data, transaction history, and any flagged alerts. I would apply established fraud detection techniques and refer to regulations like the Bank Secrecy Act, ensuring proper documentation of all findings and next steps.

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Can you describe your experience with fraud prevention tools?

While my direct experience with fraud prevention tools is limited, I am eager to learn and adapt quickly. I am familiar with industry-standard tools and concepts, and I approach learning new technologies proactively, ensuring I can utilize them effectively in my role.

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How do you prioritize tasks when dealing with multiple competing deadlines?

I prioritize tasks by evaluating their urgency and importance. Utilizing tools like to-do lists or project management software can help me keep track of due dates. I also communicate effectively with team members, ensuring alignment on priorities and deadlines.

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What would you do if you identified a discrepancy in case documentation?

If I spotted a discrepancy in case documentation, I would first verify the information by cross-referencing it with original sources. I would then investigate further if necessary, bringing it to the attention of my supervisor and ensuring all relevant parties are informed to address the issue proactively.

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How would you handle a difficult customer inquiry regarding a denied claim?

In handling a difficult customer inquiry regarding a denied claim, I would approach the conversation with empathy and active listening. It’s crucial to validate their feelings and provide clear, concise explanations of the reasons for the denial while exploring any additional information they can provide to further assist.

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What compliance regulations must you be aware of in this role?

In the Specialist, Claims & Fraud Operations role, compliance work is crucial. Familiarity with regulatory frameworks like the Bank Secrecy Act, the USA Patriot Act, and various consumer protection laws is essential. Staying updated on changes in regulations is also necessary.

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Can you give an example of a time you prevented fraud?

While I may not have direct experience preventing fraud, I can share how I effectively applied analytical thinking skills in my previous role to spot inconsistencies, leading to enhanced processes for spotting risky transactions in real-time.

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How do you ensure accurate and timely reporting of suspicious activities?

To ensure accurate and timely reporting of suspicious activities, I would develop a routine process for reviewing daily reports thoroughly. Implementing checklists can help guarantee all details are captured, and I would liaise with pertinent teams regularly to ensure a collaborative approach to suspicious activities.

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What are the key benefits of teamwork in claims and fraud operations?

Teamwork in claims and fraud operations allows for diverse perspectives that can enhance problem-solving. Sharing knowledge and experiences can lead to improved compliance practices and increased efficiency, ultimately safeguarding our customers and the organization.

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How do you stay updated on fraud trends and prevention techniques?

I stay updated on fraud trends and prevention techniques by regularly reviewing industry publications, attending workshops, and participating in professional associations focused on fraud management. Engaging with peers in the industry also contributes to staying informed on best practices.

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Our goal is simple: to be the bank of choice in each of our diversified markets. We recognize that to be a leader, we must hire leaders. Our teams consist of the best and brightest, the type of people that embrace challenge and work to excel bey...

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DATE POSTED
April 8, 2025

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