Conduct comprehensive investigations into all aspects of reported claims, including potential fraud ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Conduct comprehensive investigations into all aspects of reported claims, including potential fraud ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Senior Claims Representative, WC
Phoenix, AZ · On-site
$71K - $104K/yr
The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Senior Claims Representative, WC
Phoenix, AZ · On-site
$71K - $104K/yr
The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Claims Advisor, Professional Liability | Medical Malpractice
Phoenix, AZ · On-site
$100K - $125K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case ... Represents company in depositions, mediations, and trial monitoring as needed. * Communicates claim ...
Claims Advisor, Professional Liability | Medical Malpractice
Phoenix, AZ · On-site
$100K - $125K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case ... Represents company in depositions, mediations, and trial monitoring as needed. * Communicates claim ...
ESIS Claims Representative, WC
$62K - $81K/yr
The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Claims Representative, WC
$62K - $81K/yr
The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Claims Representative, WC
Phoenix, AZ · On-site
$62K - $81K/yr
The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Claims Representative, WC
Phoenix, AZ · On-site
$62K - $81K/yr
The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Claims Representative, WC
Phoenix, AZ · On-site
$62K - $81K/yr
The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
ESIS Claims Representative, WC
Phoenix, AZ · On-site
$62K - $81K/yr
The ESIS Claim Representative, reporting to the Claims Team Leader, is responsible for ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
... operations when circumstances do not allow a claim to be established on the system. This would ... Claims Service Representative I experience and successful completion of formal and on-the-job ...
... operations when circumstances do not allow a claim to be established on the system. This would ... Claims Service Representative I experience and successful completion of formal and on-the-job ...
... operations when circumstances do not allow a claim to be established on the system. This would ... Claims Service Representative I experience and successful completion of formal and on-the-job ...
... operations when circumstances do not allow a claim to be established on the system. This would ... Claims Service Representative I experience and successful completion of formal and on-the-job ...
General Liability Claim Representative
$67K - $110K/yr
Medical
Life
Retirement
PTO
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely ... Identify and escalate potential fraud or complex claims for further investigation. * Coordinate ...
General Liability Claim Representative
$67K - $110K/yr
Medical
Life
Retirement
PTO
As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely ... Identify and escalate potential fraud or complex claims for further investigation. * Coordinate ...
Senior Casualty Claims Examiner
Phoenix, AZ · On-site
$53K - $77K/yr
With operations in 54 countries, Chubb provides commercial and personal property and casualty ... Ability to identify potential fraud indicators and escalate concerns appropriately. * Strong ...
Senior Casualty Claims Examiner
Phoenix, AZ · On-site
$53K - $77K/yr
With operations in 54 countries, Chubb provides commercial and personal property and casualty ... Ability to identify potential fraud indicators and escalate concerns appropriately. * Strong ...
Senior Casualty Claims Examiner
Phoenix, AZ · On-site
$53K - $77K/yr
Conduct comprehensive investigations into all aspects of reported claims, including potential fraud ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Senior Casualty Claims Examiner
Phoenix, AZ · On-site
$53K - $77K/yr
Conduct comprehensive investigations into all aspects of reported claims, including potential fraud ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Fraud Detection Specialist I
Phoenix, AZ · On-site
$22.27 - $33.43/hr
Medical
Dental
Vision
Retirement
PTO
... claims. This position will play a key role in the prevention of losses to City National Bank and ... The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center ...
Fraud Detection Specialist I
Phoenix, AZ · On-site
$22.27 - $33.43/hr
Medical
Dental
Vision
Retirement
PTO
... claims. This position will play a key role in the prevention of losses to City National Bank and ... The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center ...
Operations Manager - Debit Fraud & Dispute Claims
Tempe, AZ · On-site
$75K - $89K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Ensures quality service and effective operations support for all assigned internal and external customers. Leads high performance teams of both entry level and skilled professionals by setting goals ...
Operations Manager - Debit Fraud & Dispute Claims
Tempe, AZ · On-site
$75K - $89K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Ensures quality service and effective operations support for all assigned internal and external customers. Leads high performance teams of both entry level and skilled professionals by setting goals ...
... fraud indicators. * Provide direction consistent with ESIS best practices, account requirements ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
... fraud indicators. * Provide direction consistent with ESIS best practices, account requirements ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...
Customer Support Escalations Specialist
$17.75 - $24/hr
This role sits at the intersection of customer empathy and operational excellence. Just as ... FCRA, fraud claims, or regulatory complaints * Experience contributing to QA programs, SOPs, or ...
Customer Support Escalations Specialist
$17.75 - $24/hr
This role sits at the intersection of customer empathy and operational excellence. Just as ... FCRA, fraud claims, or regulatory complaints * Experience contributing to QA programs, SOPs, or ...
ESIS Claims Team Leader, WC
Phoenix, AZ · On-site
... supporting operational effectiveness, loss cost control, and continuous improvement. General ... fraud indicators. * Provide direction consistent with ESIS best practices, account requirements ...
ESIS Claims Team Leader, WC
Phoenix, AZ · On-site
... supporting operational effectiveness, loss cost control, and continuous improvement. General ... fraud indicators. * Provide direction consistent with ESIS best practices, account requirements ...
Claims Advisor, Professional Liability | E&O, D&O
Phoenix, AZ · On-site
$115K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case ... Represents company in depositions, mediations, and trial monitoring as needed. * Communicates claim ...
Claims Advisor, Professional Liability | E&O, D&O
Phoenix, AZ · On-site
$115K - $130K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case ... Represents company in depositions, mediations, and trial monitoring as needed. * Communicates claim ...
Fraud Agent
Phoenix, AZ · On-site
$15.50 - $20.50/hr
Medical
Dental
Vision
Retirement
Understanding of E-commerce and Marketplace operations. * Experience with Customer facing systems ... represented within our workforce.
Fraud Agent
Phoenix, AZ · On-site
$15.50 - $20.50/hr
Medical
Dental
Vision
Retirement
Understanding of E-commerce and Marketplace operations. * Experience with Customer facing systems ... represented within our workforce.
Senior Director, Escalated Provider Issue Resolution
Tempe, AZ · Hybrid
$196K - $258K/yr
Strong understanding of payer operations, including claims, provider data, network operations ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...
Quick apply
Senior Director, Escalated Provider Issue Resolution
Tempe, AZ · Hybrid
$196K - $258K/yr
Strong understanding of payer operations, including claims, provider data, network operations ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...
Attorney-Represented Bodily Injury Associate Manager - National General
Phoenix, AZ · On-site
$70K - $110K/yr
This role plays a key part in executing operational initiatives that support Claim, Discipline, Claims Service Area (CSA), and broader company business objectives. Key responsibilities include ...
Attorney-Represented Bodily Injury Associate Manager - National General
Phoenix, AZ · On-site
$70K - $110K/yr
This role plays a key part in executing operational initiatives that support Claim, Discipline, Claims Service Area (CSA), and broader company business objectives. Key responsibilities include ...
Fraud Claims Operations Representative information
What does a fraud claims operations representative do?
A Fraud Claims Operations Representative is responsible for investigating and resolving claims related to fraudulent activities on customer accounts. They review transaction details, communicate with customers to gather information, and determine the validity of reported fraud. Their work helps protect both the financial institution and its customers from financial losses due to unauthorized or suspicious activity. They also ensure compliance with company policies and legal regulations during the claims process.
How does a fraud claims operations representative typically collaborate with other departments during an investigation?
Fraud Claims Operations Representatives regularly work with teams such as Customer Service, Risk Management, and IT Security to thoroughly investigate and resolve fraud cases. Collaboration often involves sharing detailed case information, coordinating on account holds or restrictions, and ensuring that customers are kept informed throughout the process. Effective communication and teamwork are essential, as representatives must often escalate complex cases or seek specialized expertise from other departments to reach a resolution promptly.
What are the key skills and qualifications needed to thrive as a fraud claims operations representative, and why are they important?
To thrive as a Fraud Claims Operations Representative, you need strong analytical skills, attention to detail, and experience in financial services or fraud investigation, often supported by a relevant associate's or bachelor's degree. Familiarity with fraud detection software, case management systems, and banking platforms is typically required. Excellent communication, problem-solving, and customer service skills help you resolve claims efficiently and reassure affected clients. These skills are essential for accurately identifying fraudulent activity, mitigating losses, and maintaining customer trust in financial institutions.
What are popular job titles related to Fraud Claims Operations Representative jobs in Arizona?
For Fraud Claims Operations Representative jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Fraud Claims Operations Representative jobs in Arizona look for?
The top searched job categories for Fraud Claims Operations Representative jobs in Arizona are:
What cities in Arizona are hiring for Fraud Claims Operations Representative jobs?
Cities in Arizona with the most Fraud Claims Operations Representative job openings:
Chubb rating
8.2
Based on 67 frontline employees who took The Breakroom Quiz
143rd of 309 rated insurance
Job description
Overview: As the Casualty Claims Specialist, you will be responsible for managing injury and damage claims in personal and commercial auto, as well as general liability cases.
Key Responsibilities:
- Analyze initial reports to determine the nature of loss, coverage provided, and the scope of injury or damage in both personal and commercial auto, as well as general liability cases.
- Conduct comprehensive investigations into all aspects of reported claims, including potential fraud. Secure appropriate supporting documentation and verify its accuracy, relevance, and completeness.
- Manage first and third-party injury claims related to No-Fault/Med Pay and liability exposures.
- Apply knowledge of jurisdictional regulations and case law applicable to all territories handled.
- Negotiate liability and damages effectively when appropriate.
- Demonstrate the ability to manage and monitor cases to ensure timely development and resolution of claims inventory.
- Collaborate with department management to deliver presentations, conduct meetings, and serve as a technical resource.
Desired Skills:
- Comprehensive understanding of insurance contracts, investigation techniques, legal requirements, and insurance regulations.
- Strong ability to evaluate, analyze, and interpret policy language, contracts, and other complex information.
- Excellent verbal and written communication skills, with the ability to clearly explain coverage positions, claim decisions, and recommendations.
- Strong analytical and critical thinking skills with the ability to assess claim facts, identify key issues, and determine appropriate next steps.
- Ability to manage multiple claims simultaneously while maintaining accuracy, organization, and attention to detail.
- Demonstrated negotiation skills with the ability to resolve liability and damages effectively when appropriate.
- Sound judgment and decision-making skills, particularly in complex or sensitive claim situations.
- Ability to work independently while also collaborating effectively with management, peers, and other internal stakeholders.
- Strong customer service orientation with the ability to handle challenging conversations professionally and tactfully.
- Ability to adapt to changing priorities, deadlines, and claim environments.
- Familiarity with litigation management and the ability to support claims through the litigation process.
- Proficiency in documenting claim activity thoroughly and maintaining clear, accurate file notes.
- Ability to identify potential fraud indicators and escalate concerns appropriately.
- Strong presentation and facilitation skills, with the ability to contribute in meetings and serve as a technical resource.
- Commitment to continuous learning and staying current on jurisdictional regulations, case law, and industry best practices.
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.
- 5-7+ years of experience in liability insurance claims adjusting, including litigation.
- Bachelor's Degree or equivalent experience.
- If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
About Chubb
Sourced by ZipRecruiter
Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Warren, NJ, US