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Fraud Claim Representative Jobs (NOW HIRING)

Seacoast Bank

Fraud Analyst (Temporary)

Stuart, FL · On-site

Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ... claim and identity theft complaints or concerns. * Investigate process and partner with the U.S.

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Fraud Claim Representative information

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How much do fraud claim representative jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for fraud claim representative in the United States is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.63 per hour, depending on experience, location, and employer.

What does a fraud claim representative do?

A Fraud Claim Representative is responsible for investigating and resolving claims of suspected fraud involving financial accounts, credit cards, or insurance policies. They review claims, analyze account activity, gather evidence, and communicate with customers to determine if fraudulent activity has occurred. Their goal is to protect both the company and its customers from financial losses by identifying and preventing fraudulent transactions. This role often requires strong analytical skills, attention to detail, and a solid understanding of fraud detection techniques.

What are the key skills and qualifications needed to thrive as a fraud claim representative?

To thrive as a Fraud Claim Representative, you need strong analytical skills, attention to detail, and a background in finance or insurance, often supported by a relevant degree or experience. Familiarity with fraud detection software, claim management systems, and sometimes certifications like Certified Fraud Examiner (CFE) are typically required. Outstanding communication, critical thinking, and problem-solving abilities help differentiate top performers in this role. These skills are vital for accurately identifying fraudulent activities, ensuring regulatory compliance, and protecting organizational assets.

What are some common challenges faced by fraud claim representatives and how can they be managed?

Fraud Claim Representatives often encounter the challenge of balancing efficiency with thoroughness, as they must investigate claims quickly while ensuring accuracy. Handling high volumes of cases and interacting with distressed or frustrated customers can also be demanding. To manage these challenges, it's important to stay organized, utilize available investigative tools, and communicate clearly with both customers and team members. Support from colleagues and ongoing training can also help representatives stay updated on the latest fraud trends and best practices.

What cities are hiring for Fraud Claim Representative jobs?

Cities with the most Fraud Claim Representative job openings:

What states have the most Fraud Claim Representative jobs?

States with the most job openings for Fraud Claim Representative jobs include:

What are popular job titles related to Fraud Claim Representative jobs?

For Fraud Claim Representative jobs, the most frequently searched job titles are:

Workers Compensation Associate Claim Representative

Richmond, VA • On-site, Remote

The Whiteside Agency
See more jobs at The Whiteside Agencyexternal

$52K - $86K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 13 hours ago

Job description

Who Are We?

Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Job Category
ClaimCompensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range$52,600.00 - $86,800.00
Target Openings
1
What Is the Opportunity?
As an Associate Claim Rep, Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. This position focuses on developing your skills and knowledge to successfully manage workers compensation claims.
This program can typically last up to 12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility.What Will You Do?
  • Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.
  • Assist in reviewing, investigating, and documenting Workers Compensation claims under close supervision.
  • Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud.
  • Participate in Telephonic and/or onsite File Reviews.
  • Learn how to determine coverage, compensability, and exposure based on policy terms and claim facts.
  • Gather information from policyholders, claimants, witnesses, and third-party providers.
  • Communicate and apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel.
  • Maintain accurate records of claim activity in claim management systems.
  • Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources.
  • Demonstrate openness to continuous learning, particularly in AI and digital transformation.
  • Acquire and maintain relevant Insurance License(s) to comply with state and Travelers' requirements within three months of starting the job.
  • Perform other duties as assigned.
What Will Our Ideal Candidate Have?
  • Bachelor's Degree.
  • Previous internship or work experience in customer service or insurance.
  • Willingness to obtain an active adjuster license where required by state law.
  • Proficient in Microsoft Office (Word, Excel, Outlook); willingness to learn claims management.
  • Strong verbal and written communication skills with the ability to convey information clearly and professionally.
  • Ability to exercise sound judgement and make effective decisions within established authority.
  • Exceptional customer service skills and commitment to providing a positive experience for insureds and claimants.
  • Attention to detail and organizational skills; ability to manage multiple tasks and prioritize effectively.
  • Basic conflict resolution skills; willingness to learn techniques for facilitating productive discussions and negotiations.
  • Demonstrated openness to continuous learning.
What is a Must Have?
  • High School Diploma or GED and one year of customer service experience.
What Is in It for You?
  • Health Insurance:Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
  • Retirement:Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
  • Paid Time Off:Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
  • Wellness Program:The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
  • Volunteer Encouragement:We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices

Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/.

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