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Prepares and submits case narratives for Suspicious Activity Reports (SAR) to the AML/BSA department for review and FinCEN filing, ensuring narrative and SAR form are completed accurately and within procedural and regulatory deadlines while maintaining detailed records of narratives to provide supporting documentation for audits and regulatory reviews. Required Knowledge, Skills, & Abilities: Knowledge of applicable federal and state laws related to financial crimes including the Uniform Commercial Code (UCC), Regulation E, Regulation CC, and the Law Enforcement Criminal Code.

Job Summary
Conducts investigations of potential/suspected financial crimes and/or fraud. Utilizes systems and a variety of investigative techniques and tools to collect, collate, and analyze financial and background information and makes informed decisions concerning customer account status/retention. Recognizes and evaluates high risk accounts, potential watch list matches and dispositions, and other suspicious and/or questionable account activity. Analyzes data and determines when cases are to be submitted to law enforcement and/or prosecutors for potential legal action. Takes appropriate action to stop or prevent data or monetary losses by assessing internal controls and procedures associated with financial crimes and fraud cases. Constructs case narratives, when appropriate, to support required BSA regulatory reporting. Evaluates the root cause of cases and, where appropriate, recommends specific incidents for review of potential control gaps. Assists and reviews the work of less experienced team members.Job Duties and Responsibilities<ul><li>Conducts investigations of suspected financial crimes and/or fraud.</li><li>Applies analytic techniques to information sets to make logical and supported recommendations on reporting activities to the Financial Crimes Enforcement Network (FinCEN) and/or the OFAC.</li><li>Performs enhanced due diligence on customers designated by regulators as high risk, such as international and large cash customers.</li><li>Stay informed of fraud trends, threats, and attack methods.</li><li>Leverage that knowledge of both the industry and internal fraud controls to provide training and guidance to front-line and other employees.</li><li>From time to time visit branches to evaluate fraud trends and/or conduct awareness training.</li><li>Where possible, cultivate relationships with law enforcement and other financial institutions.</li><li>Utilizes knowledge of bank systems, processes and contacts as resources for conducting investigations.</li><li>Develops a plan of action and gathers, analyzes and compiles evidence for multiple case assignments.</li><li>Prepares case documentation and writes a complete final summary report of investigation.</li><li>Inputs all investigation activities and detailed field notes into the case management database within five business days to provide a complete summary of the overall investigation.</li><li>Calculates total attempted fraud amounts as well as total loss amounts on all confirmed fraud cases.</li><li>Maintains and reports accurate data for the creation of the Executive Level Business Review to for senior management and operational risk committees.</li><li>Interviews customers, employees, and suspects.</li><li>Traces financial transactions and reviews the background and financial profile of suspected individuals.</li><li>Works with management to determine when a case should be closed, recovered or charged off when all investigative leads and the potential for recovery have been exhausted.</li><li>Closes cases in the case management database.</li><li>Communicates with branch staff to obtain additional customer information and/or information needed for supporting documentation, reports and risk mitigation.</li><li>Assists branch personnel, when necessary, to conduct customer interviews to address certain specific alerted transactional issues.</li><li>Escalates cases to applicable Synovus department or team based on details of case.</li><li>Compiles confidential case documents for referral to Corporate Security when law enforcement involvement may be required.</li><li>Prepares all case-related Suspicious Activity Reports (SARSs) that are forwarded to Synovus Compliance within 30 days.</li><li>Hands off investigations to Synovus Audit and/or Compliance when team members are involved.</li><li>Assesses internal controls and procedures associated with assigned cases, identifying control breakdowns and makes recommendations to prevent future losses.</li><li>Assists with determining new procedures to prevent, detect and investigate fraud.</li><li>Reviews fraud data to ensure accuracy for reporting and audit purposes.</li><li>Assists with computer crime investigations and investigates breaches for information security policies as requested.</li><li>Maintains updated information on various systems as well as required files and documentation.</li><li>Ensures records are complete and available for review and audit as needed.</li><li>Complies with regulatory requirements, security and applicable policies and identifies control and procedural issues.</li><li>Manages the security of highly sensitive information related to fraud investigations.</li><li>Participates in special projects as required.</li><li>Prepares and submits case narratives for Suspicious Activity Reports (SAR) to the AML/BSA department for review and FinCEN filing, ensuring narrative and SAR form are completed accurately and within procedural and regulatory deadlines while maintaining detailed records of narratives to provide supporting documentation for audits and regulatory reviews.</li><li>Works with the banks compliance and BSA/AML teams as required to enable fraud related activities ensuring compliance with regulatory requirements.</li><li>Stays updated on FinCEN and regulatory guidance related to SAR filing processes and narratives, fraud trends, and financial crime reporting.</li><li>Each team member is expected to be aware of risk within their functional area. This includes observing all policies, procedures, laws, regulations and risk limits specific to their role. Additionally, they should raise and report known or suspected violations to the appropriate Company authority in a timely fashion.</li><li>Performs other related duties as required.</li></ul>The information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Synovus is an equal opportunity employer committed to fostering an inclusive work environment.Minimum Education:<ul><li>Bachelors degree or an equivalent combination of education and experience.</li></ul>Minimum Experience:<ul><li>Five years of fraud/financial crimes experience including transaction monitoring, investigative research, and analysis of potentially suspicious activity.</li></ul>Certifications:<ul><li>Certified Fraud Examiner or similar designation.</li></ul>Required Knowledge, Skills, & Abilities:<ul><li>Knowledge of applicable federal and state laws related to financial crimes including the Uniform Commercial Code (UCC), Regulation E, Regulation CC, and the Law Enforcement Criminal Code.</li><li>Knowledge and understanding of all fraud categories/types.</li><li>Thorough knowledge of bank operations, policies, and procedures required to facilitate investigations.</li><li>Knowledge of the general fraud risk associated with financial institutions.</li><li>Proficiency using word processing and spreadsheet software programs.</li></ul>Preferred Knowledge, Skills, & Abilities:<ul><li>Experience working at a large bank or financial services firm is preferred.</li></ul>

Synovus Financial Corp

Fraud Investigator

Analysis Skills

Banking Operations

Case Management

Computer Security

Customer Retention/Renewal

Data Analysis

Data Quality

Documentation

Due Diligence

Federal Laws and Regulations

Financial Analysis

Financial Fraud

Financial Procedures

Financial Regulations

Financial Reporting

Financial Services

Financial Transactions

Financial Trend Analysis

Fraud Investigation

Information Technology & Information Systems

Information/Data Security (InfoSec)

Interviewing Skills

Investigative Reports

Law Enforcement

Legal

Maintain Compliance

Procedure Development

Record Keeping

Regulations

Regulatory Compliance

Regulatory Reports

Regulatory Requirements

Risk

Risk Analysis

Risk Management

Root Cause Analysis

Security Monitoring

Spreadsheets

State Laws and Regulations

Time Management

Training/Teaching

Transaction Processing/Management

Trend Analysis

Word Processing

Produces a variety of written documents utilizing varied and advanced word processing software functions, working from handwritten draft, edited copy, or electronic files created by another staff member. This includes understanding the local rules in order to know the procedures when to file pleadings conventionally, via Case Management/Electronic Case Files (CM/ECF) and/or when to file ex parte pleadings on sealed cases.

Responsibilities/Duties:Detail Review and Analysis of Case materials. This includes analyzing the case by identifying key facts, hot documents, witnesses and developing legal theories.Ability to review and analyze data and information from multiple sources and perform data entry duties. This includes using data bases like Criminal Justice Information services (CJIS), Comprehensive Case Information System, (CCIS), Pacer, etc. to search for defendant’s criminal history in other state and federal court systems.Gathering all necessary documents related to older cases and analyzing the facts of those case includes collecting evidence, reviewing, organizing and bate-stamping it. Drafting an index in MS Excel of all documents produced with the bates ranges.Performs legal and factual research using other legal research facilities. This includes the use of Lexis Nexis and Westlaw to conduct research in case-specific legal issues. Drafting of pleadings and incorporating caselaw.Working knowledge of court system, legal research procedures, and legal research resources. This includes understanding the local rules in order to know the procedures when to file pleadings conventionally, via Case Management/Electronic Case Files (CM/ECF) and/or when to file ex parte pleadings on sealed cases.Produces a variety of written documents utilizing varied and advanced word processing software functions, working from handwritten draft, edited copy, or electronic files created by another staff member. This includes gathering case information and creating PowerPoints for presentations and creating spreadsheets with the gathered data reviewed.Makes recurring and special messenger trips as necessary, answers telephone, refers callers to staff members or takes messages as appropriate. This includes adding court hearings and motion deadlines to MS Outlook calendars, contacting witnesses and scheduling their travel to the district where the trial will occur, following up on prisoner movement status and contacting expert witnesses and coordinating their trail testimony schedule.

The Gilchrist Law Firm PA

Senior Health Care Fraud Investigator Part-Time

Copy Editing

Data Collection

Data Entry

Healthcare

Legal Research

LexisNexis

Materials Analysis

Microsoft Excel

Microsoft Outlook

Research Skills

Telephone Skills

Willing to Travel

HiringThing

OTHER

HOUR

Overview:
Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.

Job Description:
Allied Universal® is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. <ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-aria-posinset="81" data-aria-level="1">Private Investigator’s license required prior to applying<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: WordVisiPilcrow_MSFontService, Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #2d2d2d;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335559685":700,"335559737":-20,"335559738":0,"335559739":0,"335559740":279}"> </li></ul><ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-aria-posinset="82" data-aria-level="1">Must possess a valid driver's license with at least one year of driving experience<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: WordVisiPilcrow_MSFontService, Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #333333;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335559685":700,"335559737":-20,"335559738":0,"335559739":0,"335559740":279}"> </li></ul><ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-aria-posinset="83" data-aria-level="1">Pay Rate: $22 - $25/hr<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #2d2d2d;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335559685":700,"335559737":-20,"335559738":0,"335559739":0,"335559740":279}"> </li></ul> RESPONSIBILITIES:<ul><li>Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability</li><li>Utilize various surveillance techniques and equipment to monitor subjects covertly</li><li>Document and report observations, activities, and any relevant information in a clear and concise manner</li><li>Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts</li><li>Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations</li></ul>QUALIFICATIONS (MUST HAVE):<ul><li>High school diploma or equivalent</li><li>Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course</li><li>Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field</li><li>Flexibility to work varied and irregular hours/days including weekends and holidays</li><li>Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors</li><li>Proficient in utilizing laptop computers, video cameras and cell phones</li><li>Capable of maintaining focus and multitasking effectively in a dynamic environment</li><li>Demonstrated ability to manage stressful situations with composure and professionalism</li><li>Ability to work in a very independent environment</li></ul>PREFERRED QUALIFICATIONS (NICE TO HAVE):<ul><li>Associate’s Degree or higher, preferably in Criminal Justice</li><li>Security/Loss Prevention experience</li><li>Military experience</li><li>Law enforcement experience</li><li>Prior insurance investigations experience</li><li>Prior educational or professional incident reporting and/or investigations experience</li></ul>BENEFITS:<ul><li>Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance</li><li>Seven paid holidays annually, sick days available where required by law</li><li>Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law</li></ul>

Closing:
Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID:
2026-1597352

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>

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Senior Health Care Fraud Investigator Part-Time The Gilchrist Law Firm PA

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