Job Family :
Risk & Regulatory Compliance Consulting
Travel Required :
None
Clearance Required :
Ability to Obtain Public Trust
What You Will Do :
This role is responsible for conducting identity fraud investigations, reviewing account and identity information, analyzing potentially fraudulent activity, and making investigative determinations in accordance with established procedures and program requirements. The Fraud Investigator will leverage investigative tools, available data, and established investigative methodologies to identify indicators of identity fraud, document findings, and support appropriate case outcomes. The role requires strong analytical judgment, attention to detail, and the ability to effectively manage investigative caseloads in a production-driven environment.
Conduct investigations of suspected identity fraud, identity misuse, account compromise, and other potentially fraudulent activity.
Review identity, account, transactional, and other relevant information to identify fraud indicators, inconsistencies, and patterns requiring further investigation.
Use investigative and identity verification tools, including LexisNexis and Socure, as applicable, to research identities and inform investigative determinations.
Analyze available evidence and make timely, well-supported investigative determinations in accordance with established procedures and program requirements.
Document investigative steps, findings, supporting evidence, and case determinations clearly and consistently within applicable case management systems.
Manage assigned investigative caseloads and meet established production, timeliness, and quality expectations.
Escalate complex cases, emerging fraud patterns, procedural questions, and potential control gaps to team leadership as appropriate.
Identify recurring fraud trends, investigative challenges, and opportunities to strengthen fraud detection and investigation processes.
Collaborate with fellow investigators, team leads, and other stakeholders to resolve complex cases and promote consistent investigative practices.
Participate in case reviews, calibration sessions, and team discussions to support consistent application of investigative procedures and decisioning standards.
As needed, draft, maintain, and update Standard Operating Procedures (SOPs), job aids, investigative guidance, and other operational documentation.
As needed, develop training materials and conduct onboarding, refresher, or targeted training for investigators on investigative procedures, tools, fraud trends, and operational best practices.
Support continuous improvement initiatives intended to strengthen investigative effectiveness, efficiency, and consistency across fraud operations.
What You Will Need :
Must be able to OBTAIN and MAINTAIN a Federal or DoD "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse.
Due to contract requirements, candidates must be U.S. Citizens and reside within the United States.
Bachelor's degree
One (1) to Five (5) Years of experience conducting risk assessment (e.g., risk scoring, control evaluation).
Experience in one or more of the following areas:
o Identity fraud investigations
o Fraud investigations or fraud operations
o Identity verification or identity proofing
o Account or identity-related investigative research
Strong analytical and critical-thinking skills with the ability to evaluate multiple sources of information and reach well-supported investigative conclusions.
Strong attention to detail and ability to conduct investigations accurately and consistently while adhering to established procedures.
Ability to clearly document investigative findings, evidence, and case determinations.
Strong written and verbal communication skills.
Ability to identify and escalate unusual fraud patterns, emerging risks, and complex investigative scenarios.
Experience working in a production-based, metrics-driven, or quota-driven…