Fraud & Claims Call Monitoring Analyst
Citizens Financial Group
Fraud & Claims Call Monitoring Analyst
The Fraud & Claims Call Monitoring analyst independently executes call monitoring reviews across the fraud & claims call center colleagues, ensuring accuracy, compliance, and operational adherence during customer interactions. This role applies established procedures, identifies issues, and contributes to continuous improvement. You will work within established procedures with a moderate degree of supervision. Your goal is to prevent risk to the bank or our customers by handling these requests timely, diligently and completely to ensure that you identify any errors that occurred in the process and ensure a positive customer experience. You will monitor and record results from processes and procedures to ensure that feedback can be given on any errors that are identified.
Primary Responsibilities Include
- Perform Call Monitoring Reviews independently with minimal oversight, ensuring timeliness and accuracy
- Adhere strictly to established procedures and correctly apply control requirements
- Accurately document exceptions with clear articulation of findings, including "what" and "why"
- Ensure outputs are well-documented and understandable to business partners and leadership
- Leverage basic tools (e.g., Excel, templates, QC systems) to complete work effectively
- Locate, interpret, and apply procedures accurately in all reviews
- Understand how QC results impact the broader business and partner effectively across teams
- Promote process improvements by identifying issues and helping prevent recurrence
- Adapt to evolving tools, systems, and technologies (including AI-driven enhancements)
- Identify non-routine issues or discrepancies during reviews
- Escalate issues appropriately and in a timely manner
- Own and track findings through resolution, ensuring closure of assigned work
- Act as a go-to resource for newer team members and support onboarding/training efforts
- Provide guidance and knowledge sharing without simply handing off work
- Model professionalism, accountability, and collaboration
- Operate with urgency, reliability, and attention to detail
- Proactively seek feedback and continuously improve performance
- Contribute to team success through consistent, high-quality output
- Communicate findings clearly and professionally, both written and verbal
- Maintain strong working relationships across call monitoring, business lines, and leadership
- Demonstrate responsiveness and effective collaboration
Qualifications, Education, Certifications and/or Other Professional Credentials
- Required Qualifications
- 2+ years experience in Fraud Operations and/or servicing at a financial institution
- Highly organized and strong attention to detail
- Exceptional written and verbal communication skills
- Strong analytical skills
- Effective listening skills
- Ability to plan and prioritize workload
- Ability to multi-task and function efficiently in high volume and fast paced environment
- Proficient in MS Office Suite
- Positive and customer focused mindset
- Adaptable to change
- Preferred Qualifications
- 1+ year Call Quality Monitoring experience
Hours & Work Schedule
- Hours per Week: 40
- Work Schedule: Monday-Friday 8:00am-4:30pm, Hybrid (In office 4 days) In either Johnston RI, or Pittsburgh PA
Required Skills
- Agility
- Analytical Reasoning
- Business Savvy
- Cross-Functional Collaboration
- Customer Service
- Customer Support Trends
- Data Gathering and Reporting
- Detail Attentive
- Diversity, Equity, Inclusion, and Belonging (DEIB)
- Issue Resolution/Escalation
- Motivating Others
- Operational Excellence
- Operational Risk
- Personal Initiative
- Problem-Solving
- Process Optimization
- Project Support
- Risk Management Framework
- Service Excellence
- Time Management
About Us
Equal Employment Opportunity
Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability.
Equal Employment and Opportunity Employer
Job Applicant Data Privacy Policy
Background Check
Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.
Job Info
- Job Identification 49443
- Job Category Servicing & Operations
- Degree Level High School Graduate/GED
- Job Schedule Full time
- Job Shift 1st
- Locations One Citizens Bank Way, Johnston, RI, 02919, US 444 Liberty Ave, Pittsburgh, PA, 15222, US
- Working Hours 40
- Career Site Category Operations
$46.99k - $112.2k
...community at a time. Position Summary The Senior Analyst, Compliance COE will be a key member of the Compliance Monitoring team and will execute assigned compliance... ...validation, provider documentation standards, claims integrity, and coding compliance requirements....ClaimsHourly payFull timeTemporary workWork experience placementLocal area- Brightstar Lottery is seeking a skilled NOC Analyst to join our Network Operations Center. This role targets candidates with 1-3 years... ...environment and a solid grounding in networking concepts. You will monitor production environments, triage alerts, troubleshoot VPN/DNS/...SuggestedShift workNight shift
- ...and provides support in identifying, assessing, mitigating, and monitoring organizational risk while ensuring compliance with applicable... ...including HIPAA/HITECH, Stark Law, Anti-Kickback Statute, False Claims Act, Medicare, Medicaid, and FTCA requirements. Oversee compliance...Claims
$106k - $152k
...is seeking a Senior Information Security Analyst with deep expertise in Third-Party Risk... ...including due diligence, onboarding, ongoing monitoring, and reassessments. ~ Evaluate... ...skepticism and curiosity when evaluating vendor claims and evidence ~ Ability to manage...ClaimsWork experience placementWork at officeRelocationFlexible hours1 day per week$46.99k - $102k
...of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are... ...to prevent payment of fraudulent claims submitted to the Medicaid lines of business... ...fraud Provides input regarding controls for monitoring fraud related issues within the business...ClaimsFraudHourly payFull timeTemporary workWork at officeLocal area$72k - $90k
...advanced pacing, defibrillation, and remote monitoring solutions. CRM combines proven therapies... ...duration of employment. Recruitment Fraud Alert We are aware of phishing scams... ...If you receive a suspicious message claiming to be from Medtronic, do not respond, click...ClaimsFraudH1bWork at officeLocal areaImmediate startRemote workFlexible hoursWeekend work- ...are seeking a SEO / Generative AI Search Analyst to help shape how our brand is... ...engines.This role will be responsible for monitoring, analyzing, and reporting on SEO performance... ...protecting job seekers from recruitment fraud. We never request sensitive personal information...FraudTemporary workLocal areaImmediate startRelocation
$35.72 - $39.69 per hour
...opportunities with us! Job Title API IT Solutions Analyst II - Remote Requisition Number R8058 API... ...applications across sales, service, and claims-supporting both digital and agency... ...process, we will schedule a preliminary call with you to discuss the role and will disclose...ClaimsRemote jobHourly payH1bWork from homeFlexible hours$31 - $51.16 per hour
...and traditional analog TDM services), audio, video conferencing, call control, messaging (voicemail and fax) and customer contact... ...infrastructure and related technologies. Performs proactive management and monitoring of the infrastructure and systems. Schedules, plans, and...Work experience placementWork at officeShift work$65.6k - $98.4k
...reports of potential provider or member fraud and abuse cases. Conduct the investigation... ...corporate and regulatory statutes. Identify claims patterns and behavior illustrating... ...database to ensure documentation of all calls, referrals, and inquiries for records keeping...ClaimsFraudContract workWork at officeLocal areaRemote workWork from homeFlexible hours2 days per week1 day per week$90.8k - $136.2k
...for both technical and non-technical audiences. ~ Experience supporting large IT initiatives, including planning, execution, and monitoring. ~ Highly organized self-starter with strong work ethic and the ability to manage multiple initiatives at once. ~...Full timeFlexible hoursShift work- ...looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are...ClaimsFraudFlexible hours
$16 per hour
...About the Job Join Our Team as a Bus Monitor! Make a difference in the lives of students while enjoying a supportive work environment and valuable benefits. Start the application process today at Starting Pay: $16 per hour. Flexible, school-based schedule...Hourly payExtra incomePart timeStart working todayLocal areaFlexible hours$24.25 per hour
...Engineering, Maintenance, and Quality teams to monitor process effectiveness, identify... ...commitment to operational excellence. Job Offer Fraud Alert We take the security of our... ...offer scams involving individuals falsely claiming to represent our company. Our company will...ClaimsFraudLocal areaMonday to FridayShift workNight shiftAfternoon shift- ...6 months + extensions Rate: $40-$45/hr w2 The Associate Data Analyst will support the development, execution, and digital integration of Client’s Process Performance and Product Quality Monitoring (PPPQM) capabilities. This role sits at the intersection of bioprocessing...Remote work
- ...transparent, auditable insights in milliseconds across real-time claims workflows. Lyric augments human decision-making so health plans... ...available for this position. Lyric is seeking a Clinical Analyst to support the development of clinical policies and payment solutions...ClaimsFull timeRemote workVisa sponsorship
- CSAA Insurance Group (CSAA IG) is seeking an API IT Solutions Analyst II for a remote role within the United States. You will deliver... ...APIs powering critical applications across sales, service, and claims channels, onboarding partners to the API ecosystem and ensuring...ClaimsRemote job
$69.48k - $125.06k
...and appraisal of vehicle damage claims for both repairable and total... ...Reviews claims/suppliers for fraud indicators and refers to Special... ..., including mandatory on-call dates and potential evening, weekend... ...identified, measured, monitored, and controlled in accordance...ClaimsFraudContract workH1bRemote workAfternoon shift$18.04 - $28.46 per hour
...SUMMARY: E xciting new opportunity at Rhode Island Hospital! Join the Continuous Monitoring Unit (CMU) as a Telemetry Monitor Technician! Located at 79 Plain Street in Providence, RI, this night position is part-time at 24 hours per week. The Telemetry...Part timeShift workNight shift2 days per week- ...Responsibilities Perform security screening procedures for non-staff entering the Patient Assessment and Emergency Department areas. Monitor patients, visitors, and the environment to help maintain a safe and secure setting. Conduct routine rounds of designated areas and...Full timeAfternoon shift
- ...Kyc Analyst Splitwise is looking for a full-time KYC Analyst to expand our KYC team! We're eager to find folks who enjoy solving complex... ...Splitwise Pay by verifying customer identities, preventing fraud, and following Know Your Customer (KYC) and Anti-Money Laundering...FraudFull timeRemote workVisa sponsorshipWork visaWeekday work
- CVS Health is seeking a Senior Analyst, Informatics (Encounter Technical Analyst) to analyze and document business data and processes, conduct... ...reports to support business needs. This role focuses on varied claim and encounter data analysis within a healthcare context....Claims
$57k
Splitwise is looking for a full-time KYC Analyst to expand our KYC team! We're eager to find folks who enjoy solving complex problems, digging... ...Splitwise Pay by verifying customer identities, preventing fraud, and following Know Your Customer (KYC) and Anti-Money...FraudFull timeWork at officeRemote workVisa sponsorshipWork visaFlexible hoursWeekday work- ...Description Job Summary Minimum 5 years auto claims / office assistant experience. This... ...repair status updates to customer via call, text or email based on customer’s... ...days needed , making AR follow-up calls, monitoring and answering emails ~ Schedule customers...ClaimsHourly payFull timeWork at office
- ...Investigative Services, Intercare, InterMed, George Hills, and AS&G Claims Administration, we’re a people-focused, operations-driven... ...Immediate opportunities are open in Rhode Island Requirements Conduct fraud investigations to include video surveillance, recorded...ClaimsFraudContract workPart timeImmediate startNight shift
- ...assisting our customers with their automotive claim. This position requires a high level of... ...repair status updates to customer via call, text or email based on customer’s preferred... ...as needed, making AR follow-up calls, monitoring and answering emails Schedule customers...ClaimsFull timeWork at officeMonday to FridayShift work
- Overview Sr. Benefits Analyst - Remote role at UNFI Leads or assists with planning, budgeting, pricing, analysis, reporting and maintenance... ...welfare plan data to identify trends including risk factors, claim expenses, turnover and other cost drivers that affect program cost...ClaimsRemote jobFull timeContract workFor contractorsWork at officeFlexible hours
- ...to safeguard patients, visitors, and staff in the Emergency Department and across the campus. You will perform non-staff screening, monitor environments, and assist clinical teams with de-escalation and interventions, while ensuring confidentiality and safety standards....
- ...Configuration Management Analyst Smithfield, RI - Smithfield, RI 02917 Overview Position Type: Full Time Job Shift: Daytime Education... ...for configuration in depth research, review, and creation of claims data to validate configuration output is performing as expected...ClaimsFull timeWork experience placementShift work
$72k - $90k
...advanced pacing defibrillation and remote monitoring solutions. CRM combines proven therapies... ...of employment. Recruitment Fraud Alert We are aware of phishing scams... ...If you receive a suspicious message claiming to be from Medtronic do not respond click...ClaimsFraudFull timeH1bWork at officeLocal areaImmediate startRemote workFlexible hoursWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Fraud & Claims Call Monitoring Analyst. Be the first to apply!


