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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting audits and investigations of customer claims, ensuring compliance with legal and regulatory requirements while effectively communicating findings to stakeholders. Proficient in identifying and preventing fraudulent activities through strategic planning and collaboration.
Highest-signal resume keywords
Audit ConductingFraud Prevention StrategiesCustomer CommunicationRegulatory ComplianceCertified Fraud Examiner
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AssessmentInvestigation TechniquesRecord CompilationData AnalysisInterviewing Skills
Soft Skills
Customer ServiceCollaborationProblem SolvingTime Management
Certifications & Qualifications
Certified Fraud Examiner
Industry Keywords
AuditInvestigationFraud DetectionRegulatory RequirementsClaims Management
About the role
Key responsibilities & impact- Conduct routine and impartial audits/investigations of customer claims from start to closure
- Ensure accurate and fair assessments of claims validity
- Address customer inquiries and concerns and escalate audits/investigations as needed
- Compile detailed records of audit/investigation findings in compliance with legal and regulatory requirements
- Create and implement strategies to identify and prevent fraudulent activities
- Interview witnesses, claimants, and other stakeholders
- Communicate with internal teams to ensure proper processing of audits/investigations
- Communicate findings to customers, claimants, and stakeholders, managing expectations and providing updates
- Assist with training and supporting other auditors/investigators
- Plan and arrange own work while collaborating with the manager to prioritize projects
Requirements
What you’ll need- Minimum Bachelor's Degree required; education can be substituted for experience
- 2–4 years of experience required; 5–7 years preferred; experience can be substituted for education
- Certified Fraud Examiner preferred
- Must successfully complete pre-employment background and drug screens
Benefits
Comp & perks- Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities
- Drug-free workplace
- Employment offers contingent upon successful completion of pre-employment background and drug screens
