Real-Time Claim Review: Review claims in real time for potential cases of fraud/abuse, leveraging your information gathering and communication skills to ensure you have sufficient evidence to make a decision, and providing valuable feedback for Extend’s risk models.
Risk Score Judgments: Review customer behavior and incidents using internal and external data and independently make decisions on customer risk. During the ramp-up period, you will only make judgments on risk scores; however, afterwards, you will also have the power to recommend denials and approvals for claims.
Fraud Investigations and Subject Matter Expertise: Bring your own experience to perform fraud investigations and deliver insights on emerging trends for fraud/abuse.
Follow Procedure: Take ownership of each investigation and diligently follow all regulatory and departmental practices and procedures, making independent decisions based on facts and evidence, and reporting any non-standard escalations to your manager. Attend regular meetings and training for Fraud Operations best practices.
Cross-functional Work: Collaborate with Claims, Product, and Engineering, completing ad hoc tasks to evaluate and improve in-house models to detect fraud.
Be Proactive and Adaptable: Drive team success and achieve both independent and collaborative goals, proactively completing additional tasks for the role as needed.

2+ years of direct Fraud/Abuse Operations experience, preferably in an eCommerce environment
Time management and efficiency: must be able to meet specified SLAs for claim reviews
Bachelors' degree or equivalent experience, preferably in a related field
Subject Matter Expertise in fraud concepts and prevention best practices
Ability to perform due diligence Fraud Investigations and make determinations with evidence, efficiency, and sound reasoning
Ability to make independent decisions to update customer risk scores and determine fraud/not fraud
Excellent written and verbal communication, information gathering, and decision-making skills
Positive attitude and willingness to thrive in a rapidly changing, results-driven environment
Digital proficiency and professionalism: Able to use spreadsheets and office software like Excel, Microsoft/Google Suite
Attention to detail and willingness to deep dive into internal and external data
Empathetic, humble, and collaborative team player
Candidates must be located within the continental United States.

Competitive salary based on experience, with full medical and dental & vision benefits.
Stock in an early-stage startup growing quickly.
Generous, flexible paid time off policy.
401(k) with Financial Guidance from Morgan Stanley.

Fraud Operations Specialist I

Key skills