ZipRecruiter

Log In

1

Fraud Claims Operations Representative Jobs in Florida

MegaCorp Logistics

Claims Director

Jacksonville, FL · On-site

Experience working cross-functionally with Legal, Sales, Operations, Finance, insurance representatives, carriers, and customers preferred Core Competencies: * Claims leadership and team development

Kemper

SIU Investigator

Miami, FL · On-site

... in law to ensure operations are within proper parameters established by law. Position ... Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified ...

Amwins

Self-Funded Director, Claims

Tampa, FL · On-site

Represent Claims in key forums with clear, actionable updates on performance, initiatives, and industry trends, as requested. * Strategic & Operational Leadership: Partner with senior leadership to ...

Amwins

Self-Funded Director, Claims

Tampa, FL · On-site

Represent Claims in key forums with clear, actionable updates on performance, initiatives, and industry trends, as requested. * Strategic & Operational Leadership: Partner with senior leadership to ...

Seacoast Bank

Fraud Analyst (Temporary)

Winter Park, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Naples, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Tampa, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Sarasota, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Miami, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Sarasota, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

The Villages, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Gainesville, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

Seacoast Bank

Fraud Analyst (Temporary)

Stuart, FL · On-site

Remain current on fraud related matters as they relate to bank operations, through ongoing training ... Attend court as necessary to represent bank. * Provide reports and status updates on recovery and ...

previous pagenext page

Showing results 21-40

All JobsFraud Claims Operations Representative JobsFraud Claims Operations Representative Jobs in Florida

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 Florida?

For Fraud Claims Operations Representative jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Fraud Claims Operations Representative jobs in Florida look for?

The top searched job categories for Fraud Claims Operations Representative jobs in Florida are:

What cities in Florida are hiring for Fraud Claims Operations Representative jobs?

Cities in Florida 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 Florida as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Claims Director

MegaCorp Logistics

Jacksonville, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

Ranked as a top 30 brokerage company and in the top 100 of all Logistics Companies in the US, MegaCorp Logistics is a fast-growing third-party logistics company. We are seeking highly creative and motivated individuals who are committed to finding successful answers to our clients' needs. Our team represents decades of experience in the 3PL industry and we are looking to add more talent to our team. We offer our employees a competitive benefits package that includes unlimited earning potential, medical/dental/vision benefits, matching 401(k) Plan, paid time off, and many more perks in a fun high-energy environment. We have our employee's best interest at heart and know you are not simply a number. We want you to thrive in a positive work environment so we give you the tools for success.
Department: Claims
Reports To: Chief Legal Officer
Position Summary:
The Claims Director leads the Claims Department and oversees the investigation, evaluation, negotiation, and resolution of cargo, property damage, and related claims. This role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering with internal and external stakeholders to minimize risk, maximize recovery opportunities, and ensure exceptional customer service.
Key Responsibilities:
The following duties represent the essential functions of this role. They are intended to describe the general nature of the position and may change based on business needs. Employees may be required to perform additional duties as assigned.
  • Lead and oversee the Claims Department, including Claims Managers, Specialists, Analysts, and other assigned personnel
  • Manage the investigation, evaluation, negotiation, and resolution of cargo, property damage, and related claims, serving as the primary escalation point for complex, high-value, or sensitive matters
  • Review and analyze contracts, bills of lading, invoices, insurance policies, carrier agreements, claim documentation, and supporting records to evaluate liability, contractual obligations, coverage, recovery opportunities, settlement strategies, and business risk
  • Approve claim settlements and denials within authority limits and coordinate escalations as necessary
  • Negotiate with carriers, customers, brokers, insurers, inspectors, and vendors to achieve timely, cost-effective claim resolutions
  • Ensure accurate claim documentation, reporting, file maintenance, status tracking, and
    recordkeeping while monitoring claim aging, workload distribution, exposures, recoveries, trends, and departmental performance metrics
  • Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes
  • Implement process improvements to reduce claim exposure, strengthen documentation, improve recoveries, and increase operational efficiency
  • Develop and maintain claims policies, procedures, training materials, best practices, and standardoperating procedures
  • Partner with Sales, Operations, Legal, Finance, and leadership to resolve claims issues, improve business processes, and support cargo protection, claims prevention, and risk mitigation initiatives
  • Hire, train, coach, mentor, and develop Claims Department employees while managing performance, workload allocation, accountability, and succession planning
  • Maintain a professional, customer-focused, and business-minded approach while protecting and promoting the company's reputation
  • Perform other duties as assigned

Education & Experience:
  • High school diploma or GED required
  • Bachelor's degree in Business, Risk Management, Insurance, Logistics, Supply Chain, Legal Studies, or a related field preferred
  • Ten (10) or more years of cargo claims, transportation claims, logistics, freight brokerage, motor carrier, insurance, or related claims experience required
  • Advanced experience handling complex, high-value, escalated, or sensitive cargo and property damage claims required
  • Three (3) or more years of leadership experience managing claims professionals required; five (5) or more years preferred
  • Experience developing claims reporting, analytics, dashboards, KPIs, and operational recommendations required
  • Experience using claims management systems, transportation management systems, ERP systems, or related business software required
  • Experience working cross-functionally with Legal, Sales, Operations, Finance, insurance representatives, carriers, and customers preferred

Core Competencies:
  • Claims leadership and team development
  • Claims investigation, resolution, and risk assessment
  • Strategic decision-making and negotiation
  • Reporting, analytics, and process improvement
  • Customer relationship Management
  • Communication, collaboration, and organizational leadership

Mega Awesome Perks:
  • Medical, dental, vision, and life and disability insurance
  • 401(K) matching
  • Birthday celebrations
  • Health and wellness initiative including gym membership
  • Annual parties
  • PTO and Flex holidays
  • Company sponsored outings

Compensation Range: $125,000 - $150,000
Physical & Cognitive Requirements:
The following requirements are representative of those needed to perform essential job functions. Reasonable accommodations may be made.
Physical Requirements:
  • Ability to see, hear, and communicate clearly
  • Ability to use hands and fingers for computer, phone, and clerical tasks
  • Ability to work at a computer workstation for extended periods
  • Ability to travel occasionally as business needs require

Cognitive Requirements:
  • Reading comprehension of complex contracts, claims files, and legal documents
  • Strong analytical thinking and problem-solving abilities
  • Judgment and decision-making skills
  • Written and verbal communication skills
  • Ability to manage multiple priorities and deadlines
  • Attention to detail and accuracy
  • Ability to interpret financial information, contractual obligations, and operational data

Work Environment:
  • Office-based position
  • Works independently and collaboratively with others
  • Frequent communication with employees, customers, carriers, insurance representatives, legal counsel, and executive leadership
  • Use of claims management systems, transportation management systems, reporting tools, and standard office equipment
  • Fast-paced environment requiring effective prioritization and decision-making.

Confidentiality:
Employees may access confidential information (e.g., customer data, pricing, operations, financials, systems) and must not use or share it outside their job duties without authorization. Violations may result in disciplinary action, up to termination.
The duties and responsibilities listed in this job description are intended to describe the general nature and level of work performed by employees assigned to this position. This description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the role. Employees may be required to perform additional duties or responsibilities as assigned by management in order to meet business needs.
MegaCorp is an equal opportunity employer and considers all applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under applicable federal, state, or local law.

Apply