Fraud Claims Sr Specialist

Citizens

Posted about 2 months ago

Full Time

East Providence, Rhode Island

Hybrid

Smart Summary

Responsibilities

The specialist is responsible for reviewing fraud and risk claims by analyzing documentation across multiple digital platforms. They provide customer assistance by gathering evidence and determining the appropriate next steps in accordance with banking regulations.

Qualifications

You have a high school degree or equivalent and at least 1 year of experience in banking or claims investigations. You are adaptable, detail-oriented, and possess strong customer service skills to effectively handle fraud claims and assist customers.

Must Have Skills for ATS

SharePoint

Outlook

Microsoft Tools

Job Description

As a Fraud Claims Sr. Specialist, you’ll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of financial transactions.

You’ll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank. This role requires the application of various methods, procedures, and knowledge of the business unit’s product(s) and system application(s). Specialists manage competing priorities in an accurate and timely manner and may participate in process enhancements requiring coordination with other teams. 

Come join our best-in-class team making a difference for our customers every day.  Growth opportunities await you inside our department and within other business areas. 

Primary Responsibilities

  • Review Claims – Responsible for reviewing claims filed by customers for fraud and risk activity and analyzing information across multiple applications and documentation. Determine the proper next steps based on the scenario and within the guidelines of the regulations.
  • Customer Assistance – Handle all elements related to existing claims. Gather evidence through records with accurate and complete documentation to establish the legitimacy of a claim.
  • Digital Literacy – Utilize multiple digital platforms, technologies, and software to investigate and appropriately process the initial steps of a fraud claim. Work independently to apply digital literacy skills to resolve cases effectively.

Qualifications, Education, Certifications and/or Other Professional Credentials

  • Required Qualifications
    • High school degree or equivalent, required
    • Experience – 1 year or more of banking and/or claims investigations experience.
    • Adaptability – Ability to thrive in a fast-paced environment and quickly shift priorities as needed.
    • Precision – Strong attention to detail in all tasks and deliverables.
    • Customer-Centric Mindset – Passion for delivering exceptional customer experiences.
  • Preferred Qualifications
    • Associate degree, preferred
    • Proficiency in Microsoft Tools – Knowledge of Outlook for effective communication and SharePoint for collaborative work and document management.
    • Banking Knowledge – Previous experience in the banking industry, including an understanding of banking operations, compliance, and customer service best practices.
    • Workflow Application Navigation – Experience in effectively navigating workflow tool applications to streamline processes and enhance productivity.

Hours & Work Schedule

  • Hours per Week: 40
  • Work Schedule: 8:30am-5:00pm; 4 days in office, 1 day from home

Equal Employment Opportunity

Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague’s or a dependent’s reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability.

Equal Employment and Opportunity Employer

Job Applicant Data Privacy Policy

Background Check

Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.


Citizens

Citizens Private Bank provides an extraordinary caliber of service that goes beyond and above — a commitment to redefining excellence and continuously striving for more. Backed by the strength and stability of Citizens, one of the country’s oldest and largest financial institutions, Citizens Private Bank delivers holistic banking and wealth management¹ solutions tailored to our clients’ unique financial ambitions. Our Private Bankers serve as a single point of contact and relentlessly go the extra mile to help clients preserve and grow wealth with bespoke financial solutions and advice. Supported by a team of banking and wealth management experts, our Private Bankers stand ready to anticipate our clients’ needs and to help build their wealth, now and for generations to come. ¹Citizens Wealth Management (in certain instances DBA Citizens Private Wealth) is a division of Citizens Bank, N.A. (“Citizens”). Securities, insurance, brokerage services, and investment advisory services offered by Citizens Securities, Inc. (“CSI”), a registered broker-dealer and SEC registered investment adviser, Member FINRA/SIPC. Investment advisory services may also be offered by Clarfeld Financial Advisors, LLC (“CFA”), an SEC registered investment adviser, or by unaffiliated members of FINRA and SIPC providing brokerage and custody services to CFA clients (see Form ADV for details). Insurance products may also be offered by Estate Preservation Services, LLC (“EPS”), or an unaffiliated party. CSI, CFA and EPS are affiliates of Citizens. Banking products and trust services offered by Citizens. For deposit products, Member FDIC.
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