Financial Claims Investigator

5 days ago

Taguig, National Capital Region, Philippines beBeeFraudPrevention Full time

The Fraud Prevention Specialist role is a crucial position within our organization.

  • This individual will be responsible for analyzing and evaluating the validity of rebate claims, maintaining effective gaming fraud prevention measures, and providing exceptional analytics and resolution.

  • They will achieve fraud goals and standards through outstanding personal performance and ensure that we exceed our members' expectations.

Key Responsibilities

  • Analyze customer or client accounts for possible cases of fraud to prevent future occurrences.

  • Identify valid or fraudulent transactions and areas that require increased security procedures or software to protect customer accounts.

  • Research and report on advanced security options to enhance our system's effectiveness.

  • Serve as a customer service contact for escalated issues, ensuring prompt correspondence and follow-up with members via telephone and email.

  • Handle escalated issues via telephone, email, and other channels, researching and resolving them within stated guidelines.

  • Maintain high customer satisfaction while working with members to validate their claims.

  • Accurately document all actions taken to ensure only genuine claims are processed within SLA.

  • Participate in team meetings, sharing information and suggesting improvements to fraud operations.

  • Enter member data and request details accurately, track solutions, update records appropriately, and in a timely manner.

  • Share suggestions for improvement with management and maintain a comprehensive working knowledge of all programs, tools, and systems supporting operations and fraud analytics.

  • Ensure confidentiality of all information collected during your review of the claims.

Qualifications

  • 2-4 years of prior fraud prevention experience preferred.

  • Minimum 2 years' experience in applied behavior analysis and data analysis preferred.

  • Minimum 3 years' experience in a customer-focused role.

  • Strong attention to detail and accuracy to factor every piece of information in the investigation of cases.

  • Demonstrated effective communication and interpersonal skills, both verbal & written with customers and personnel at all levels.

  • Ability to work in a team-oriented environment as well as collaborate with other professionals relevant in performing the job successfully.

  • Intermediate to Advanced knowledge/proficiency in Microsoft Excel, Microsoft Power Point, and Microsoft Word required.

  • Excellent listening, interpersonal, analytical, and problem-solving skills.

  • Must be goal-oriented individuals with a strong focus on completing tasks and producing high-quality results within a fast-paced environment.

  • Ability to handle multiple and shifting priorities.

  • Flexibility to work days/evenings/weekends as needed.

  • Fluency in English and French both oral and writing required.

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