• Support development and maintenance of fraud risk policies, strategies, rules, thresholds, decision logic, treatment paths, and control documentation across onboarding and monitoring workflows. • Help build and optimize controls for payment fraud, onboarding risk, account takeover, business email compromise, counterparty fraud, tenant payment fraud, synthetic identity, first-party misuse, bust-out behavior, stolen payment instruments, and emerging typologies. • Document strategy rationale, rule logic, expected impact, monitoring plans, policy considerations, change history, and recommended follow-up actions. • Use SQL to independently query data, validate hypotheses, identify fraud patterns, assess false positives, and evaluate loss exposure, operational impact, and customer friction. • Partner with Risk Data Science & Analytics to translate dashboards, models, features, risk scores, and analytical insights into practical fraud decision strategies and operational controls. • Partner with Onboarding Risk Operations and Risk Monitoring Operations to incorporate case outcomes, queue trends, investigator feedback, alert quality, and operational pain points into strategy improvements. • Review themes from Trust and Safety escalations to identify control gaps, recurring fraud signals, product or process vulnerabilities, or policy needs requiring durable remediation. • Collaborate with Product, Engineering, Payment Operations, Compliance/AML, Legal, and Operational Excellence on tooling, workflow, data availability, rule implementation, and control monitoring. • Provide concise updates on fraud trends, strategy performance, emerging risks, rule effectiveness, false positive impact, and recommended actions to fraud leadership and cross-functional stakeholders.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description - Analyze client data to identify discrepancies and generate recovery claims. - Review contracts, agreements, and supporting documents (both physical and electronic). - Ensure accurate documentation and entry of claims into the claims management system. - Prepare and send claims to clients and vendors. - Provide backup and supporting evidence for claims when required. - Communicate directly with vendors to resolve inquiries and clarify claim details. - Assist with collecting relevant documentation from buyers and internal departments. - Perform financial evaluations and data validations to support audit processes. - Write professional correspondence to vendors independently. - Meet or exceed productivity and claim value targets as defined by the team lead. - Ensure timely delivery and accuracy in each phase of the audit cycle. - Support the broader audit team in special projects and operational tasks. Qualifications - Bachelor’s degree in finance, Accounting, Business Administration, or related fields. - English level C1– capable of writing and speaking professionally with international teams. - Advanced Excel skills– including formulas, data analysis tools, pivot tables, and large datasets. - Strong attention to detail, organizational and analytical skills. - Ability to work independently, manage time effectively, and meet deadlines. - Previous experience in auditing, financial analysis, or a similar role is a plus. Requirements - Authorized to work in US without sponsorship. - Ability to sit or stand for extended periods of time. - Manual dexterity for typing, writing, or using office equipment. - Visual acuity for reading screens and documents. - Ability to lift or carry light items such as laptops. - Speech and hearing ability for calls, virtual meetings, and in-person communication. Our Commitment to Equal Opportunity PRGX is an equal opportunity employer. We comply with all applicable local, national, and international laws regarding non-discrimination and equal employment. We do not discriminate based on any legally protected characteristic and are committed to fostering an inclusive, respectful, and equitable workplace. Reasonable accommodations are available for qualified individuals in accordance with local laws and best practices. Data Privacy Your personal data will be handled in accordance with applicable data protection laws. We only collect information necessary for recruitment and will not share your data without your consent.

• Analyze calls and call recordings using platforms such as Five9, AI tools, and other relevant software • Report findings and communicate insights to support performance improvement • Provide coaching to NSC and PCC staff • Assist in patient support activities when needed • Document errors discovered and provide real-time feedback • Proactively review trends in errors and mentor coordinators

• Participate in alignment meetings with the team and leadership; • Create creative assets using tools such as Figma, After Effects, and Photoshop; • Contribute to brainstorms and the planning of campaigns and projects; • Collaborate with multidisciplinary teams, ensuring cohesion across areas; • Support the preparation of analyses and reports on performance and results.