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UC
United Community Bank
Fraud Investigator I
Career Insights for Claims Investigator
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Based on South Carolina data
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What they do
A Claims Investigator investigates and assesses insurance claims to verify the validity of insurance claims. Determines the level of liability and determines pay-out amounts. Prepares evaluation reports to document the evidence to be used in court.
$71,934 / year median in South Carolina
+10% projected growth
Job Description
Overview The Fraud Investigator I plays a key role in protecting the bank and its customers from financial loss by investigating fraud claims and suspicious activity across deposit, payment, card, and digital banking channels. This position conducts thorough investigations, evaluates evidence, determines claim validity, and ensures timely, accurate, and compliant case resolution. Working in a fast-paced environment, the Fraud Investigator I partners with customers and internal teams to resolve fraud cases, maintain regulatory compliance, and identify emerging fraud trends and recovery opportunities. Success in this role requires strong analytical and decision-making skills, attention to detail, and a commitment to delivering an exceptional customer experience.
This position is available in Greenville, SC and Blairsville, GA. What You'll Do Fraud Investigations Conduct investigations into suspected fraud involving debit cards, deposits, checks, ACH, wires, online banking, and other channels. Review account activity, transaction patterns, and supporting documentation to assess the validity of fraud claims. Gather and evaluate evidence from customers, internal systems, external institutions, and third-party sources. Contact customers as needed to obtain information, clarify transactions, and obtain supporting documents. Document all case activity, findings, and determinations accurately and within required timeframes using the fraud management system. Prepare and submit required reports (e.g., IC3) in accordance with internal guidelines. Prepare Letters of Indemnity (LOI), Hold Harmless Letters (HHL), and other fraud-related correspondence; follow up with external institutions as necessary. Ensure all investigative actions comply with bank policies, regulatory requirements, and applicable frameworks (e.g., Regulation E, NACHA, BSA/AML, card network rules). Customer Interaction Communicate with customers to gather facts, confirm activity, and support case resolution. Provide ongoing communication and support throughout the investigation process. Deliver professional and empathetic service, particularly when customers have experienced financial loss. Explain investigation outcomes, including approvals and denials, in a clear and supportive manner. Educate customers on fraud prevention and account security best practices. Collaboration Partner with internal teams (e.g., Fraud Agents, Online Banking, Card Services, Deposit Operations, Branch Leadership) to support investigations and resolutions. Coordinate with Legal, Corporate Security, and Compliance on cases involving law enforcement, subpoenas, or regulatory matters. Escalate high-risk, complex, or emerging fraud trends to leadership. Share insights to help improve fraud prevention strategies and customer experience. Compliance & Documentation Maintain accurate, complete, and compliant case records aligned with regulatory and internal requirements. Ensure adherence to all operational procedures and regulatory requirements. Performance Expectations Manage a high volume of cases while maintaining accuracy and attention to detail. Balance investigative work with customer communication (inbound and outbound). Complete investigations within required timelines. Produce well-supported, defensible decisions aligned with policy and evidence. Maintain clear, audit-ready documentation. Identify and pursue recovery opportunities when applicable.
This position is available in Greenville, SC and Blairsville, GA. What You'll Do Fraud Investigations Conduct investigations into suspected fraud involving debit cards, deposits, checks, ACH, wires, online banking, and other channels. Review account activity, transaction patterns, and supporting documentation to assess the validity of fraud claims. Gather and evaluate evidence from customers, internal systems, external institutions, and third-party sources. Contact customers as needed to obtain information, clarify transactions, and obtain supporting documents. Document all case activity, findings, and determinations accurately and within required timeframes using the fraud management system. Prepare and submit required reports (e.g., IC3) in accordance with internal guidelines. Prepare Letters of Indemnity (LOI), Hold Harmless Letters (HHL), and other fraud-related correspondence; follow up with external institutions as necessary. Ensure all investigative actions comply with bank policies, regulatory requirements, and applicable frameworks (e.g., Regulation E, NACHA, BSA/AML, card network rules). Customer Interaction Communicate with customers to gather facts, confirm activity, and support case resolution. Provide ongoing communication and support throughout the investigation process. Deliver professional and empathetic service, particularly when customers have experienced financial loss. Explain investigation outcomes, including approvals and denials, in a clear and supportive manner. Educate customers on fraud prevention and account security best practices. Collaboration Partner with internal teams (e.g., Fraud Agents, Online Banking, Card Services, Deposit Operations, Branch Leadership) to support investigations and resolutions. Coordinate with Legal, Corporate Security, and Compliance on cases involving law enforcement, subpoenas, or regulatory matters. Escalate high-risk, complex, or emerging fraud trends to leadership. Share insights to help improve fraud prevention strategies and customer experience. Compliance & Documentation Maintain accurate, complete, and compliant case records aligned with regulatory and internal requirements. Ensure adherence to all operational procedures and regulatory requirements. Performance Expectations Manage a high volume of cases while maintaining accuracy and attention to detail. Balance investigative work with customer communication (inbound and outbound). Complete investigations within required timelines. Produce well-supported, defensible decisions aligned with policy and evidence. Maintain clear, audit-ready documentation. Identify and pursue recovery opportunities when applicable.