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Fraud Claims Operations Representative Jobs in Georgia

Georgia

Investigator - Medicaid Fraud

Atlanta, GA

$50/hr

... legal representation of the highest quality to the agencies, officers and employees of state ... Demonstrates knowledge of court system operations and methods of presenting testimony.

State of Georgia

$50/hr

... legal representation of the highest quality to the agencies, officers and employees of state ... Demonstrates knowledge of court system operations and methods of presenting testimony.

Verida Inc

Claims Administrator

Villa Rica, GA · On-site

The role includes assistant management duties, daily operational support, and contributions to ... Represent the organization at client meetings, professional association events, and workshops.

BENNETT MOTOR EXPRESS

Claims Adjuster I

Mcdonough, GA · On-site

Identify subrogation, salvage, and fraud indicators, and refer files appropriately. * Communicate ... Active adjuster license(s) as required by state(s) of operation, or ability to obtain within a ...

Chubb

Claims Examiner

Alpharetta, GA · On-site

Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...

Chubb

Claims Examiner

Alpharetta, GA

Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...

Chubb

Claims Examiner

Alpharetta, GA · On-site

Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...

Chubb

Claims Examiner

Alpharetta, GA

Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...

Chubb

Claims Examiner

Alpharetta, GA · On-site

Recognize and properly address coverage issues, potential fraud, and subrogation; follow guidelines ... With operations in 54 countries, Chubb provides commercial and personal property and casualty ...

AIG

Inland Marine Claims Manager

Atlanta, GA

... representative of the inland marine claim proposition to internal inland marine business ... Provide strong operational & technical leadership across Inland Marine Claims with direct ...

Crawford and Company

Operations Manager

Peachtree Corners, GA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We're Hiring: Claims Operations Manager Business Segment: Global Technical Services Why Join ... Competitive base pay - The Pay Range/Salary represents the anticipated low and high pay that may be ...

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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:

Fraud Claims Operations Representative jobs near you
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.

Senior Casualty Claims Resolution Specialist - Southeast

Liberty Mutual

Suwanee, GA • On-site

$139K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Liberty Mutual rating

8.8

Company rating: 8.8 out of 10

Based on 161 frontline employees who took The Breakroom Quiz

47th of 309 rated insurance

Job description

Description
Lead With Expertise. Deliver Impact That Matters. Grow With a Company That Invests in You.
At Liberty Mutual, we show up for people in their toughest moments, and we show up for our employees with the same commitment. We are currently seeking a Senior Claims Resolution Specialist who brings deep technical expertise, sharp critical thinking, and a passion for doing what's right.
If you're energized by the challenge of managing high-exposure, complex, and catastrophic injury claims, and you want to work in an environment where professionalism, integrity, and empathy guide everything we do, this is the role for you.
What Makes This Role SpecialYou Own the Complex Work
You'll be the point person on severe and catastrophic auto and homeowner's casualty claims, navigating litigation, partnering with counsel, and driving strategy.
Your Expertise Is Valued
Your judgment plays a key role in shaping outcomes. You'll influence decisions on some of our most significant claims, backed by leaders who respect your experience.
Flexibility Meets Purpose
This role is remote or hybrid depending on location, with only a modest two days a month expectation if you live near a hub.
You'll Keep Growing
From advanced technical training to mentorship opportunities, we're dedicated to helping you expand your impact.
Competitive Bonus Opportunity
External candidates with an active FL or TX All-Lines Adjuster License (CEs current) may qualify for a $2,500 sign-on bonus.
What You'll Do:
  • Manage the investigation, evaluation, and resolution of complex auto and homeowner's casualty claims.
  • Assess coverage, liability, and damages; recommend settlement strategies and escalate appropriately for authority review.
  • Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
  • Collaborate closely with trial counsel; attend mediations, arbitrations, trials, hearings, and conferences.
  • Prepare detailed litigation and trial reports for local management and Home Office.
  • Communicate effectively with policyholders, witnesses, attorneys, and claimants to gather information and provide guidance.
  • Responds to various written and telephone inquiries including status reports.
  • Maintain accurate reserves, recommending increases on cases in excess of authority.
  • Safeguard financial and confidential information across all claim files.
  • Oversee billing practices of outside and in-house counsel to ensure compliance and cost efficiency.
  • May assist as a resource to the team, stepping in for the Claims Team Manager when needed or mentoring colleagues; or representing the company on matters involving state or federal regulatory agencies.
  • Participate in special projects at the direction of leadership.
What You Bring - Ideal Experience Includes:
  • 5+ years managing complex and litigated casualty claims
  • Deep expertise handling severe to catastrophic injuries and fatalities
  • Strong analytical thinking, negotiation skills, and sound judgment
  • Ability to thrive in a fast-paced, high-stakes environment
  • Professionalism, empathy, and exceptional communication skills
  • Southeast Casualty claims handling
Where You Can Work
If you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office per month). Otherwise, it may be fully remote. Candidates located in the Central or Eastern time zones would be most ideal as this position supports claims located in the Southeast Region.
Hub Locations:
Chandler, AZ
Clifton Park, NY
Columbus, OH
Indianapolis, IN
Lake Mary, FL
Liberty Lake, WA
Marlton, NJ
Plano, TX
Suwanee, GA
Warrenville, IL
Westborough, MA
Travel: 10% for mediations, arbitrations, trials, or in-person events.
Training That Sets You Up for Success
Your growth begins on day one. Active engagement and reliable attendance during training are mandatory and crucial to your success in this high-impact role.
Qualifications
  • Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
  • Must be able to effectively handle claims at the highest technical and complexity level.
  • Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
  • A full working knowledge of claims operations and procedures is required.
  • Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills.
  • The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience.
  • Ability to obtain proper licensing as required.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
  • California
  • Los Angeles Incorporated
  • Los Angeles Unincorporated
  • Philadelphia
  • San Francisco

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About Liberty Mutual

Sourced by ZipRecruiter

Since 1912, we've grown into the fifth largest global property and casualty insurer based on 2022 gross written premium. We also rank 86 on the Fortune 100 list of largest corporations in the US based on 2022 revenue. ​At Liberty Mutual Insurance we work hard every day to support our customers and our people, so they can protect their families, build their businesses and invest in their futures. We are headquartered in Boston, but our people, our customers and our reach span the globe. So to better serve our global customers and employees, we are organized into three business units.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Boston, MA, US

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