Fraud Specialist/Fraud Operations Specialist II

Job#: 3044853

Job Description:

Location: Overland Park, KS or Allentown, PA (Hybrid)

Description:

Work Arrangement

Hybrid – 4 days/week onsite to start. Resource must be based near and able to work from either the Overland Park, KS office or the Allentown, PA office. Depending on workload and business needs, the schedule may transition to 3 days/week onsite later in the engagement.

Technology Requirements

• Microsoft Office Suite
• Experience with ticket and case management systems
• Basic data analysis and reporting skills
  
  

What Does a Typical Day Look Like? (Daily Tasks)

• Conduct investigations involving policy violations, compliance matters, and customer privacy concerns under established procedures and guidance from senior investigators.
• Gather, review, and analyze information from internal systems, records, and business partners to support investigative findings.
• Document investigative activities, findings, and recommendations in case management systems.
• Prepare investigative summaries, reports, and supporting documentation for Corporate Investigations, Legal Affairs, Privacy, Compliance, Human Resources, and business stakeholders.
• Manage assigned caseload and ensure timely progression of investigations and related follow-up actions.
• Coordinate with investigators, attorneys, Privacy, Compliance, Human Resources, and business partners to obtain information and resolve investigative matters.
• Support customer privacy investigations and regulatory response activities as needed.
• Maintain confidentiality and handle sensitive information in accordance with company policies and investigative standards.
• Participate in case reviews, team discussions, and other investigative activities as assigned.
  
  

Preferred Background / Prior Work Experience

• 1–3 years of experience in Corporate Investigations, Compliance, Human Resources Investigations, Fraud Investigations, Risk Management, Customer Privacy, Legal Support, Law Enforcement, or a related investigative field.
• Experience conducting research, fact-finding, case documentation, and investigative analysis.
• Experience handling sensitive or confidential information.
• Familiarity with case management systems and investigative documentation practices.
• Some college preferred
  
  

Priority Soft Skills

• Strong attention to detail
• Dependable and organized
• Critical thinking and problem-solving
• Effective written and verbal communication
• Ability to manage multiple priorities and deadlines
• Team-oriented mindset
• Sound judgment and discretion when handling sensitive matters
  
  

Additional Qualifications

• Experience working with sensitive customer, employee, or business information preferred.
• Proficiency with reporting, documentation, and case tracking processes preferred.
• Ability to analyze information from multiple sources and clearly document findings.
• Experience supporting compliance, privacy, employment, or policy-related investigations preferred.
  
  

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy

Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6 months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.

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Everforth Apex Systems is part of the Commercial Segment of Everforth, Inc.

NYSE: EFOR

4400 Cox Road

Suite 200

Glen Allen, Virginia 23060

Everforth Apex is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. (Do not submit resumes or solicit consultants to this email address). UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex.