What are the responsibilities and job description for the Fraud Detection Analyst position at P & A Administrative Services, Inc?
Description
The Fraud Detection Analyst is responsible for monitoring and analyzing detailed reports to identify potential
fraud trends and patterns to minimize potential losses. They will conduct thorough investigations of suspicious
activity related to fraud, which may include, recommending appropriate course of action, resolving client and
participant questions, evaluating trends to enhance fraud mitigation, and preparing reports for fraud analysis
upon request.
Duties:
• Applying analytical skills to review large reports of data thoroughly to identify concerning behavior and/or
non-obvious correlations.
• Conducts detailed investigations into suspicious fraudulent activity ensuring lessons learned are
incorporated back into the process if necessary. Verify banking account information on multiple participant
accounts.
• Monitors participant social security numbers to ensure accuracy and reports discrepancies to a Client
Support Specialist.
• Place appropriate holds on accounts identified as having potential fraudulent issues, document action taken,
and track status through resolution
• Review and submit debit card dispute forms and follow-up with the vendor as needed.
• Monitors debit card activity, including refunds, and communicates with participants to take appropriate
action on their account.
• Proactively identify and communicate fraud patterns and emerging trends to management.
• Communicates with members by phone or email to verify transactions and resolve fraud-related account
issues.
• Assist with the fraud hotline as needed; may be responsible for taking escalation or overflow calls.
• May assist with delivering and developing training for the Reimbursement Account Services team on fraud
prevention and detection.
• Assist with adjudication requests to identify force posts and monitor for patterns.
• Performs quality assurance reviews
Requirements
EDUCATION / EXPERIENCE
• Associate degree required, bachelor's degree in business or related field preferred.
• Proficient in Microsoft Office products with a strong working knowledge of Excel, including but not limited
to formulas, pivot tables, and VLookups.
