Claims examiner Jobs in Hampton, VA

Fraud Investigator

The primary purpose of this position is to conduct thorough investigations of suspected fraudulent activity and ensuring compliance with the Bank Secrecy Act (BSA). The Fraud Investigator plays a key role in the Credit Union's fraud prevention and compliance program by identifying, analyzing, and mitigating fraud risk. This position conducts detailed casework, prepares regulatory filings, and collaborates with internal teams, law enforcement, and external agencies to protect the Credit Union and its members from financial crime. This role directly supports the strategic objectives of the Fraud Department by providing timely, accurate, and actionable investigative insights.

Essential functions and supporting duties:

• Conduct comprehensive investigations into suspected fraudulent activity involving account activity, loans, digital platforms, and payment systems to include the utilization of fraud detection tools to assess risk levels and prioritize investigative efforts.
• Gather and analyze data from multiple channels including core host system, digital banking platforms, surveillance systems, and third-party vendors.
• Analyze transactional data across multiple channels, account activity, and digital footprints to identify patterns indicative of fraudulent activity.
• Review alerts from fraud detection software and core banking reports assessing severity and taking appropriate investigative actions.
• Work in partnership with the BSA Officer and BSA team to ensure alignment between fraud investigations and regulatory requirements.
• Collaborate with departments across the Credit Union to investigate and resolve fraud cases efficiently and effectively.
• Support and assist with fraud related training programs and awareness campaigns for staff and members, reinforcing a culture of fraud prevention.
• Provide feedback on procedural gaps and training needs identified during investigations.
• Stay current on industry best practices, regulatory updates, and fraud trends through webinars, periodicals, and self-study.

Qualifications and requirements:

Required education: A four-year high school degree or equivalent.

Preferred education: Associate's or Bachelor's degree in Criminal Justice, Finance, or related field.

Preferred certification: Certified Fraud Examiner (CFE) or Certified Financial Crime Specialist (CFCS).

Required experience: 3-5 years of similar or related experience.

Preferred experience: 3 or more years of experience in fraud investigation, BSA/AML compliance, or financial crimes analysis.

Preferred knowledge: Knowledge of financial institutions and products and services offered.

Skills and abilities:

• Ability to adhere to BayPort Credit Union's Core Values: Integrity, Be Bold, Compassion, Diversity, Innovation, It's On Me, and One Team.
• General knowledge of fraud investigation, risk management, and risk assessment is required. Strong understanding of BSA/AML and OFAC regulations and their application in fraud prevention.
• Experience with fraud detection systems and investigative tools.
• Analytical mindset with the ability to detect patterns, assess risk, and communicate findings effectively.
• Commitment to confidentiality, integrity, and regulatory excellence.
• Computer proficient, especially with Microsoft Word and Excel.
• Strong member service, writing, and organizational skills.
• Attention to detail and the ability to work independently.
• Strong investigative, analytical, and critical thinking skills.
• Strong work prioritization and time management skills.
• Ability to maintain current knowledge of the credit union's changes, processes, and procedures.

This job description is not an all-inclusive list of the responsibilities, skills, working conditions or essential functions of this job. Management reserves the right to modify, add or remove essential functions as business needs warrant.

We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and reserve the right to perform pre-employment substance abuse testing.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.