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Fraud Claims Operations Representative Jobs in Georgia

This position requires a deep understanding of commercial and personal insurance operations ... claims staff on fraud indicators, red flags, and referral procedures. * Represent the company at ...

... representatives, claimants, other insurers, producers, surveyors and adjusters, experts and others ... claim operations concepts and working knowledge of insurance claims operations in the area of ...

... representatives, claimants, other insurers, producers, surveyors and adjusters, experts and others ... claim operations concepts and working knowledge of insurance claims operations in the area of ...

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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 Georgia?

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

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

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

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

Cities in Georgia with the most Fraud Claims Operations Representative job openings:

Infographic showing various Fraud Claims Operations Representative job openings in Georgia as of August 2026, with employment types broken down into 82% Full Time, 13% Part Time, 2% Temporary, and 3% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Fraud Analytics and Innovation Senior Analyst - Digital Fraud Strategies

Bank of America

Kennesaw, GA • Hybrid

Full-time

PTO

Posted 14 days ago


Bank Of America rating

8.2

Company rating: 8.2 out of 10

Based on 529 frontline employees who took The Breakroom Quiz

51st of 171 rated banks


Job description

Job Description:

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.
Being a Great Place to Work and providing a culture of caring is core to how we drive Responsible Growth. We are intentional about fostering an inclusive workplace where every teammate has the opportunity to succeed, build a career and contribute to our shared success. This includes attracting and developing exceptional talent, recognizing and rewarding performance, and supporting our teammates' physical, emotional, and financial wellness through affordable, competitive and flexible benefits.
We value the unique perspectives individuals bring from all backgrounds and career paths - whether shaped by military service, community college education, or a wide range of work and life experiences. These journeys foster resilience, leadership and innovation, strengthening our workforce and positively impact the communities we serve.
Bank of America is committed to an in-office culture that supports collaboration, engagement, and career development. Our approach includes clear in-office expectations, while providing an appropriate level of flexibility based on role-specific responsibilities and business needs.
At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us!

Job Description:
This job is responsible for performing more complex analysis and modeling to minimize fraud loss exposure and negative impacts to the customer experience. Key responsibilities include utilizing a variety of systems, such as Excel, SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met, and propose policy/procedural changes within segmentation structures to produce optimal results. Job expectations include evaluating data to assess potential fraud risk and creating mitigation strategies.

This role will support Emerging Risk Fraud Strategies primarily in Digital products; Zelle/Wires/BillPay. Responsible for creating fraud strategies and ensuring proper risk controls are deployed adhering to best practices. Team member will provide recommendations on mitigation efforts, ensuring monitors are in place, self-create initiatives as needed. Conducting defect reviews of 3rd party fraud loss cases to identify any gaps in Fraud strategy and/or procedural adjustments. Strategy performance tracking and rule optimization on recurring basis. Team member will also be responsible for developing and validating fraud variables utilized in strategies. Role also include project management where candidate would be responsible for providing fraud requirements, testing, and development of strategies. The projects includes network mandates, Product team support, and internal projects. SAS/SQL technical skills required. Good working experience with Tableau and Python is a plus.

Responsibilities:

  • Recommends ways to help the business achieve desired outcomes and make informed business decisions using data analysis outputs
  • Performs complex analysis of financial models, market data, financial data, and portfolio trends to understand product performance and improve portfolio risk, profitability, performance forecasting, and operational performance
  • Leads coordination of the production of product performance reports and updates for senior management
  • Analyze complex data to provide insights into incoming and loss trends or identify potential problems
  • Develop adhoc reporting
  • Identify process improvements and efficiencies via data analysis
  • Deliver accurate metrics related to fraud and claim activity
  • Validate the integrity and quality of data required for performing analysis
  • Partner with claims, policy, strategy, and product teams to deliver data insights and analysis that inform critical decisions and help achieve goals.

Required Qualifications:

3+ years of fraud experience and/or 2+ years of analytical experience (Payment card /Retail Bank background preferred)

Proficient in SAS/SQL and Excel

Strong quantitative, critical thinking, and analytical skills

Ability to communicate and interact with a high degree of professionalism with executive level personnel across the business

Ability to work independently as well as part of a virtual team

Innovative mindset with the ability to challenge the status quo

Ability to proactively identify, analyze, and improve upon existing processes for optimization and to meet deadlines

Desired Qualifications:

Bachelors degree in a quantitative discipline such as mathematics, statistics, operations research, finance, or business

Advanced analytical and quantitative skills with demonstrated ability in using data and metrics to identify root causes

Basic understanding of 1st and 3rd party fraud (claims to charge-off timing, chargeback recovery rights, etc.)

Proven strong analytical and communication skills

*** This position is not eligible for sponsorship

Skills:

  • Business Analytics
  • Business Intelligence
  • Data Quality Management
  • Fraud Management
  • Monitoring, Surveillance, and Testing
  • Collaboration
  • Data Visualization
  • Oral Communications
  • Problem Solving
  • Written Communications
  • Analytical Thinking
  • Critical Thinking
  • Data and Trend Analysis
  • Innovative Thinking
  • Research

*** Internal employees who are currently working from home are still eligible to apply. However, if selected for the role, you may be required to work onsite in accordance with the workplace excellence policy

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Shift:

1st shift (United States of America)

Hours Per Week:

40

Pay Transparency details

US - IL - Chicago - 110 N Wacker Dr - Bank Of America Tower Chicago (IL4110), US - MA - Boston - 100 Federal St - 100 Federal St Lp (MA5100)Pay and benefits informationPay range$100,000.00 - $133,600.00 annualized salary, offers to be determined based on experience, education and skill set.Discretionary incentive eligibleThis role is eligible to participate in the annual discretionary plan. Employees are eligible for an annual discretionary award based on their overall individual performance results and behaviors, the performance and contributions of their line of business and/or group; and the overall success of the Company.BenefitsThis role is currently benefits eligible. We provide industry-leading benefits, access to paid time off, resources and support to our employees so they can make a genuine impact and contribute to the sustainable growth of our business and the communities we serve.

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About Bank Of America

Sourced by ZipRecruiter

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We're devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

Industry

Finance and insurance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

Year founded

1998

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