Analyst, Fraud Investigations

1 day ago


San Francisco, United States Upgrade, Inc. Full time

Upgrade is a fintech company that provides affordable and responsible credit, mobile banking, and payment products to everyday consumers. We were the fastest growing company in the Americas last year according to the Financial Times and Upgrade Card was the fastest growing credit card in America two years in a row. We have delivered over $33 billion in affordable and responsible credit to our 5.5M customers. The company is backed by some of the most prominent technology investors and was recently valued at $6.3B.

We have built an energizing, collaborative and inclusive culture where team members help each other, learn and innovate to move the company and its customers in the right direction, and own the outcome of their efforts.

Upgrade has been named a "Best Place to Work in the Bay Area" three years in a row, "Top Companies to work for in Arizona" and one of the "Best Engineering Department" awarded annually by Comparably. We've also received recognition for being a best company for Diversity, Women, Culture, and Veterans.

We are looking for new team members who get excited about designing and delivering new and better products to join a team of 1850 talented and dedicated professionals. Come work with us if you like to tackle big problems and make a meaningful difference in people's lives.

About the Role:
Upgrade is searching for a Fraud Investigations Analyst to assist in reviewing incoming Identity theft claims, account take over claims, and evaluating consumer relationships for potential risk. The is an onsite position from our San Francisco office, Monday - Friday from 7:00am-4:00pm or 8:00am - 5:00pm.

What You'll Do:

  • Conduct thorough investigations on customer's claims of fraud by utilizing internal data and open-source research tools to substantiate/un-substantiate claims
  • Comprehend the risks associated with AML and fraud typologies that are presented by Upgrade's product offerings and services, including lending and deposit products
  • Escalate potentially suspicious activity and high risk customers for further review
  • Maintain ownership of assigned claims and conduct consumer interviews to establish event timelines, gain additional information, and provide guidance to the consumer on protecting their information
  • Assist the Fraud Investigations Manager with additional tasks and/or service level agreements to support the Fraud Investigations and Operations Department and its business partners
What We Look For:
  • 2-3 years of BSA/AML, Investigations, or Fraud related experience
  • Bachelor's degree required
  • Experience working in a production-based environment and managing an assigned work queue
  • Strong interpersonal, analytical, and problem-solving skills
  • Outstanding verbal and written communication skills, attention to detail, and the ability to work independently
  • Experience managing large datasets
Nice to Have:
  • Advanced Excel knowledge
  • CAMS, CFE, Zendesk and/or CGSS preferred
  • Prior experience in FinTech or start-up environment
  • Proficiency in SQL
What We Offer You:
  • Competitive salary and stock option plan
  • 100% paid coverage of medical, dental and vision insurance
  • Flexible PTO
  • Opportunities for professional growth and development
  • Paid parental leave
  • Health & wellness initiatives

#LI-Onsite

For California residents: Upgrade's CaliforniaNotice at Collection and Privacy Policy describes our practices regarding the collection, use, and disclosure of the personal information of job applicants.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

  • San Diego, California, United States Command Investigations Full time

    Fraud Investigation SpecialistExperience Requirement: A minimum of 5 years in Special Investigations Unit (SIU) is essential.Industry Knowledge: Candidates must possess expertise in Commercial and Property & Casualty (P&C) investigations. Please note that applicants lacking experience in property (non-auto) investigations will not be considered. Experience...

  • Fraud Investigator

    1 month ago


    San Francisco, California, United States LanceSoft Full time

    Fraud Investigator-II Job DescriptionLanceSoft is seeking a skilled Fraud Investigator-II to join our team. As a key member of our fraud prevention team, you will play a critical role in protecting our clients from financial crimes.Key Responsibilities:Develop and implement strategic approaches to fraud prevention, working closely with operations,...


  • San Francisco, United States Centene Full time

    You could be the one shaping the future of healthcare for millions. Centene is revolutionizing the industry, and we need a dedicated professional to lead our Special Investigations Unit (SIU).Job SummaryAs a Director of Special Investigations, you will oversee a comprehensive range of fraud, waste, and abuse investigations, ensuring our operations meet...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Job Title: Medicaid Fraud InvestigatorWe are seeking a highly skilled and experienced Medicaid Fraud Investigator to join our team at CAPPS, Inc. The successful candidate will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Key Responsibilities:Conduct thorough investigations of...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Job Title: Medicaid Fraud InvestigatorJoin our team as a Medicaid Fraud Investigator and play a critical role in protecting the integrity of the Medicaid program. As a Sergeant Investigator, you will conduct complex criminal investigations of Medicaid provider fraud and nursing home related investigations, utilizing a wide range of techniques to bring...


  • San Antonio, Texas, United States USAA Full time

    Protect USAA and Our Members from Potential Fraudulent ClaimsAt USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. We're working as one to build a great experience and make a real impact for our members. Our core values of honesty, integrity, loyalty, and service guide everything...


  • San Antonio, Texas, United States TEKsystems co Allegis Group Full time

    Fraud Investigation Opportunities Join a dynamic team of professionals dedicated to preventing and detecting fraud. As a Junior Fraud Investigator, you will play a critical role in identifying and mitigating risks associated with business activities. Your expertise will be instrumental in ensuring the integrity of our systems and...

  • Junior Analyst

    1 month ago


    San Antonio, United States TEKsystems co Allegis Group Full time

    Description:The team is looking for someone who has experience running investigations on potential fraud incidents. Currently the team is doing enhancements on their fraud platform and need individuals to come in using the proprietary tools and systems to research and investigate the fraud incidents that come through from their members or potential...


  • San Diego, California, United States Department of Insurance Full time

    Job Description and DutiesJob Summary: We are seeking a highly skilled and experienced Investigator to join our team at the Department of Insurance. As an Investigator, you will be responsible for conducting complex investigations of insurance fraud and white-collar crime.Responsibilities:Conduct thorough investigations of insurance fraud and white-collar...


  • San Antonio, Texas, United States United Services Automobile Association - USAA Full time

    Protecting USAA and Our MembersAs a dedicated SIU field investigator, you will play a critical role in safeguarding USAA and our members from potential fraudulent claims. Within defined guidelines and framework, you will investigate complex fraud investigations with significant financial impact to USAA.Key ResponsibilitiesConduct thorough investigations into...


  • San Diego, California, United States Sharp HealthCare Full time

    Job SummarySharp HealthCare is seeking a highly skilled Senior Fraud, Waste, and Abuse Specialist to join our team. As a critical member of our compliance department, you will be responsible for overseeing the entire lifecycle of fraud, waste, and abuse investigations.Key ResponsibilitiesTriage and investigate allegations of fraud, waste, and abuse, ensuring...


  • San Diego, California, United States Sharp HealthCare Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Fraud, Waste, and Abuse Specialist to join our team at Sharp HealthCare. This critical role involves overseeing the entire lifecycle of fraud, waste, and abuse investigations, ensuring compliance with regulatory, accreditation, and contract standards.Key ResponsibilitiesTriage and investigate...


  • San Diego, California, United States Sharp HealthCare Full time

    Job SummarySharp HealthCare is seeking a highly skilled Senior Fraud, Waste, and Abuse Specialist to join our team. As a critical member of our compliance department, you will be responsible for overseeing the entire lifecycle of fraud, waste, and abuse investigations.Key ResponsibilitiesTriage and investigate allegations of fraud, waste, and abuse, ensuring...


  • San Diego, California, United States Department of Health Care Services Full time

    Job Title: Investigator - Fraud Detection SpecialistAbout the Role:The Department of Health Care Services is seeking a skilled Investigator to conduct thorough and complete investigations into allegations of fraud perpetrated against the California Medical Assistance Program (Medi-Cal) and other programs under the department's review.Key...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Job DescriptionRevised 7/12/2023General DescriptionThe Medicaid Fraud Control Unit (MFCU) is seeking a highly skilled and experienced investigator to join our team. As a Sergeant Investigator, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Work involves conducting...


  • San Diego, California, United States Department of Insurance Full time

    Job SummaryThis is a challenging and rewarding opportunity to join the Department of Insurance as an Investigator, specializing in fraud and white-collar crime. As a key member of our team, you will be responsible for conducting complex investigations, gathering evidence, and collaborating with law enforcement agencies to bring perpetrators to justice.Key...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Position Overview As a key member of the Medicaid Fraud Control Unit (MFCU) at CAPPS, Inc., you will engage in sophisticated criminal investigations related to Medicaid provider fraud and nursing home issues. Your role will involve collaborating with various law enforcement agencies to ensure compliance with state and federal regulations. CAPPS, Inc. is...


  • San Antonio, Texas, United States United Services Automobile Association - USAA Full time

    About the RoleAs a dedicated Senior Fraud Investigator, you will play a critical role in safeguarding USAA and its members from potential fraudulent claims. Within defined guidelines and framework, you will investigate complex fraud investigations with significant financial impact to USAA.Key ResponsibilitiesConduct thorough investigations into complex fraud...

  • Senior Investigator

    4 weeks ago


    San Antonio, Texas, United States CAPPS, Inc. Full time

    About the RoleWe are seeking a highly skilled and experienced Senior Investigator to join our Medicaid Fraud Control Unit (MFCU) team. As a key member of the team, you will be responsible for conducting advanced criminal investigations of Medicaid provider fraud and nursing home related investigations.Key ResponsibilitiesConduct complex criminal...

  • Investigator

    4 weeks ago


    San Antonio, Texas, United States Diverse Lynx Full time

    Job Title: Special Investigator Job Summary: We are seeking a highly skilled Special Investigator to join our team at Diverse Lynx LLC. As a Special Investigator, you will be responsible for executing fraud investigation cases, conducting regulatory reporting, and developing strategies to combat life company product fraud. Key Responsibilities: * Execute...