Entry Level Claims Resolution Specialist Jobs

INTRODUCTION

The Fraud Resolution Specialist is a dynamic, engaging, and specialized role designed to process and investigate fraudulent transactions in order to provide a resolution to those impacted.

• This job may be eligible for work from home - hybrid schedule (please refer to the Remote Work Capability and Work From Home section of the Employee Handbook).

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Process and/or research standard and specialized inquiries and transactions as directed by properly identified members utilizing basic fraud detection techniques while simultaneously navigating multiple specialized web based programs and software to properly investigate cases.
• Display ownership, accountability, and analytical real time decision-making that directly impacts member interactions and accounts while being able to communicate sensitive information clearly and effectively; educating and assuring callers on a complete process and resolution.
• High level comprehension of phone etiquette standards and member interview techniques as applied to an investigational standard.
• Apply critical thinking to identify fraud trends, research, and correct account discrepancies or errors.
• Create fraud cases and complete proper affidavits upon receipt of fraud documentation and determine validity of refunds.
• Research accounts for suspicious activity, review alerts, identify derogatory information, and place restrictions when appropriate.
• Access reporting tools to review, complete, and update account records; ensuring and maintaining data integrity.
• Manage individual department specific metrics and function independently within a designated team with minimal supervision while investigating in depth or thorough account review for suspicious activity including investigating complex situations.
• Dedication to developing strong relationships with co-workers, management and other departments.
• Maintain basic working knowledge of RBFCU member handbook, applicable regulatory laws, policy and procedures and topical knowledge for all credit union areas.

REQUIREMENTS

• High School Diploma or GED
• Less than one year of previous job related work experience
• Must be able to work a Monday - Saturday schedule
• Type and 10-key by touch. Proficient in utilizing PC, software, and other office equipment
• Must have good communication and interpersonal skills
• Good attendance and promptness is pertinent

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.