ZipRecruiter

Log In

1

Fraud Claims Operations Representative Jobs in Arizona

Yoh

Customer Service Operations

Tempe, AZ · On-site

$24/hr

... fraud services, data entry, office coordination, documentation management, or a related field ... representative skills, phone etiquette Required Qualifications * Strong customer service and ...

New

Whatnot

Fraud Agent

Phoenix, AZ · On-site

$15.50 - $20.50/hr

Understanding of E-commerce and Marketplace operations. * Experience with Customer facing systems ... represented within our workforce.

previous page

Showing results 41-60

All JobsFraud Claims Operations Representative JobsFraud Claims Operations Representative Jobs in Arizona

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:

Fraud Claims Operations Representative jobs near you
Infographic showing various Fraud Claims Operations Representative job openings in Arizona as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Pharmacy Claims Representative (remote)

StateServ Medical

Mesa, AZ • Remote

$22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 21 days ago

Job description

Schedule: Monday - Friday, 2:30PM - 11:00PM EST & every 4th weekend rotation

Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked

Dragonfly Health - A great place to land 

Dragonfly Health is the leading care-at-home data, technology and service platform, and the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states.

Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most.

We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development.

Dragonfly Health is our name for a reason.

The dragonfly is symbolic of the transformational impact we’re making on the industry, our people, and the lives we touch. We are a guiding force for what’s ahead, delivering more than equipment and medications, but also comfort and peace of mind. We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises. 

Whatever it takes. Wherever it takes us. What we offer
  • Competitive Pay starting at $22.00 per hour + shift differentials applied during evenings (after 6:00PM and all weekend hours)
  • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.) 
  • Growth Opportunity and Career Advancement
  • Agile and Adaptable team culture
  • Innovative and revolutionary technology solutions
  • A higher calling to provide quality patient care

See how Dragonfly Health is transforming the world of hospice and post-acute care.

What you will do
  • In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards.
  • Identify discrepancies, investigate claim issues, and determine appropriate resolutions.
  • Communicate effectively with pharmacies, providers, and internal teams to clarify information and resolve errors.
  • Support audits and quality reviews by maintaining detailed, accurate claim documentation.
  • Identify trends and share insights that can improve claim accuracy and efficiency.
  • Uphold confidentiality and compliance with HIPAA and corporate policy standards.
What we look for
  • 1–2 years of pharmacy claims or healthcare operations experience.
  • Working knowledge of pharmacy billing procedures, insurance verification, and third-party payer systems.
  • Strong analytical, organizational, and data-entry skills.
  • Proficiency in claims processing platforms and Microsoft Office tools.
  •  Ability to communicate professionally with providers and team members.
  • High attention to detail and a commitment to getting it right the first time.
Why Pharmacy Claims Representatives are important

Each claim you touch impacts a patient’s access to care. By ensuring claims are processed correctly and efficiently, you help protect both patient satisfaction and business integrity. Your accuracy and dedication directly support our mission to deliver exceptional patient care and strengthen trust with every transaction.

Let's soar together 

Apply