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Conduct investigations into fraud claims related to online transactions, pre-authorized drafts, altered checks, forged endorsements, unauthorized third-party transfers, financial exploitation, identity theft, and additional fraudulent activities. Handle high-priority and high-risk cases, such as outgoing wires, recovering funds, consumer complaints, large transactions, and potential Bank Secrecy Act or SDN list violations.

YEAR

Overview:
Reports to: Fraud Operations Officer Functions Supervised: None Primary Functions: Carry out detailed investigations concerning potential losses and/or suspected criminal activity. Interview potential victims, suspects, and witnesses involved in financial crimes, often addressing sensitive matters. Accurately prepare and document findings based on rules of judicial evidence, ensuring reports are both factual and impartial. Refer cases to law enforcement for prosecution and restitution. Review cases for accuracy and decide next steps, such as reimbursement, member contact, or government agency follow-up. Demonstrate prudent judgment in decision-making and maintain the highest standards of confidentiality. Duties and Responsibilities:<ol><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Monitor alert queues to help prevent fraudulent activity and reduce losses.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Conduct investigations into fraud claims related to online transactions, pre-authorized drafts, altered checks, forged endorsements, unauthorized third-party transfers, financial exploitation, identity theft, and additional fraudulent activities.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Investigate discrepancies, gather all relevant information, and implement effective measures to mitigate and, when feasible, prevent losses related to fraud and identity theft.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Interview potential victims, suspects, and witnesses involved in financial crimes, often addressing sensitive matters.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Locate video surveillance and review recorded calls to support investigations.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Accurately prepare and document findings based on rules of judicial evidence, ensuring reports are both factual and impartial. Reports may be used in criminal proceedings or civil litigation.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Create and maintain complete and accurate case files, including investigative notes and documentation in the case management system. </li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Detect, monitor, and analyze fraud patterns and trends.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Participate in root cause analysis reviews of large loss incidents to help identity process gaps and recommend policy changes.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Adhere to all regulations and internal policies and procedures in the timely management of complaints, referrals, and reimbursements.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Report suspicious activity as required by the Bank Secrecy Act.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Handle high-priority and high-risk cases, such as outgoing wires, recovering funds, consumer complaints, large transactions, and potential Bank Secrecy Act or SDN list violations.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Work with all law enforcement, protective agencies, and financial institution contacts for fraud related investigations.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Work in partnership with BSA, Legal, Compliance, Operations, the credit union’s insurer, and other relevant credit union departments.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Handle incoming and outgoing calls to deliver information about fraud, identity theft, or the Member Identification Program to branches, the Member Service Center, lending departments, and members.</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Ensure compliance with laws, rules, regulations, policies and procedures applicable to assigned departments and related credit union activities</li><li style="margin-bottom:0in;margin-top:0in;margin-left:51pt">Perform other duties as assigned.</li></ol>

Qualifications:
Education: Bachelor's degree in Business Administration, Criminal Justice or related field  Creditable Experience in Lieu of Education: 3-4 years' experience in the area of financial crimes investigations, law enforcement, or related field. Experience/Skills: Excellent interpersonal skills with the ability to build collaborative relationships with various business units. Strategic and tactical analysis skills. Demonstrates sound discretionary judgment and upholds strict confidentiality. Demonstrates strong proficiency in both oral and written communication. Capacity to work in a fast-paced and dynamic environment with a drive to deliver outstanding results. Thorough familiarity with banking and financial regulations. Experienced in conducting complex investigations related to potential losses and/or suspected criminal activity. Experience with courtroom testimony and legal protocols. Skilled in interview techniques. Experienced in leveraging fraud prevention and detection technologies and tools. Well-versed in strategies for mitigating and investigating Identity Theft, check, card, ACH, and payment fraud. Certified Fraud Examiner (CFE) or equivalent credentials are preferred. Tenure: Assignment to the Fraud Investigator I (Category 10), or Fraud Investigator II (Category 09) position will be determined by the candidate's education or experience. Advancement requires management recommendation and will be based on the candidate's certifications and/or performance.

Compensation:
Starting base salary will be determined based on candidate experience, qualifications, education, and applicable local or state wage requirements, and will fall within the range provided below. In accordance with our Salary Administration policy, new hire base salaries generally fall between the minimum and midpoint of the listed range.Salary Pay Range: 09:
$69,557 - $112,677 annually

Salary Pay Range: 10:
$63,233 - $99,908 annually

Benefits:
<ul><li>Short-term and long-term incentives</li><li>Comprehensive medical, dental and vision insurance plan that has HSA and FSA options</li><li>401(k) plan with a 5% match</li><li>Employee Assistance Program (EAP)</li><li>Life and disability coverage</li><li>Voluntary cash benefits for accident, hospitalization and critical illness</li><li>Tuition Reimbursement</li><li>Generous leave programs to include Paid Time Off accrual, Paid Sick Leave, Paid Holidays</li><li><a href="https://globalcu.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=35191&hashed=1579394462" rel="noopener nofollow noreferrer" target="_blank">Click here to view Global’s comprehensive Benefits Programs</a></li></ul>Equal Opportunity Employer

Global Credit Union

Fraud Investigator I

Administrative Policies

Analysis Skills

Bank Secrecy Act

Banking Regulations

Business Administration

Business Strategy

Case Management

Certified Financial Examiner (CFE)

Compensation Management

Credit Union

Criminal Justice

Dental Insurance

Documentation

Financial Regulations

Financial Transactions

Flexible Spending Accounts

Fraud Investigation

Government

Interpersonal Skills

Interviewing Skills

Law Enforcement

Legal

Litigation

Loans

Maintain Compliance

Pattern Analysis

Presentation/Verbal Skills

Regulations

Regulatory Compliance

Reimbursement

Risk

Root Cause Analysis

Strategic Analysis

Surveillance

Team Player

Time Management

Trend Analysis

Vision Plan

[AW]-iCims

By providing frequent feedback and consistently measuring progress, we’ve discovered the recipe for success that’s delivered year over year growth since our first year of business. Hybrid work model based in Phoenix, AZ — enjoy a flexible blend of remote and on-site work.

Job SummaryHealthcare Medical InvestigatorTEEMAContractHybrid | Phoenix, AZ, United States The OpportunityYou’re the kind of person who is always looking to learn. You want to grow into something greater and you’re looking for an employer encourages and supports your professional development. TEEMA promotes advancement and rewards our employees based on individual performance and merit. Sure you’ll have exposure to the team, but all of our people are accountable for their success. Competitive and focused, our team is on a mission to deliver excellence. We also know that this can only be accomplished by supporting our employee growth and development. By providing frequent feedback and consistently measuring progress, we’ve discovered the recipe for success that’s delivered year over year growth since our first year of business. This a culture of winning. At TEEMA we breed winners. Responsibilities<ul class="list-disc pl-8"><li>Investigate medical cases and collect necessary data for case reviews.</li><li>Manage and prioritize a caseload using established pipelines and SLAs.</li><li>Ensure compliance with applicable healthcare regulations and privacy requirements.</li><li>Document findings clearly for internal quality audits and regulatory needs.</li><li>Collaborate with clinical teams to verify medical information and timelines.</li><li>Maintain accurate records of investigations, outcomes, and case status updates.</li><li>Maintain high visibility of work activity through transparent status updates and dashboards.</li><li>Prepare concise investigation summaries for stakeholders and leadership.</li><li>Identify process improvements to increase efficiency and data quality.</li><li>Utilize data to forecast potential case volumes and plan resource allocation.</li><li>Participate in regular performance reviews to track targets and outcomes.</li><li>Support onboarding and mentoring of new team members to foster growth.</li></ul> Experience/Qualifications<ul class="list-disc pl-8"><li>Healthcare data privacy and HIPAA compliance knowledge.</li><li>Experience conducting medical investigations and case reviews.</li><li>Ability to manage caseload with SLAs and priority queues.</li><li>Strong documentation and medical record-keeping skills.</li><li>Collaboration with clinical teams to verify information and timelines.</li><li>Proficiency with dashboards, status updates, and data visibility.</li><li>Experience with data analysis to forecast case volumes and resource needs.</li><li>Process improvement mindset with track record of driving efficiency.</li><li>Ability to mentor and onboard new hires in a scalable manner.</li><li>Hybrid work adaptability and self-management in a growth-focused environment.</li></ul> What's in it for you? (Salary, Commissions & Benefits)<ul class="list-disc pl-8"><li>Hybrid work model based in Phoenix, AZ — enjoy a flexible blend of remote and on-site work</li><li>Competitive base salary as the core of your compensation package</li></ul>

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Fraud Investigator I Global Credit Union

Healthcare Medical Investigator TEEMA

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