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Fraud Claims Operations Representative Jobs in Ohio

7 17 Credit Union

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Banking Teller, Member Service Representative

Kent, OH · On-site

$16 - $24/hr

Position Overview As a Member Service Representative , you'll be the first point of contact for our ... Handle card services, ACH transactions, and member fraud claims as needed * Provide professional ...

7 17 Credit Union

Be Seen First

Banking Teller, Member Service Representative

Burton, OH · On-site

$16 - $24/hr

Position Overview As a Member Service Representative , you'll be the first point of contact for our ... Handle card services, ACH transactions, and member fraud claims as needed * Provide professional ...

TQL

Claims Associate

Cincinnati, OH · On-site

$17.50 - $22/hr

As a Claims Representative with TQL, you will be a vital part of the company's risk management and ... Experience in claims, insurance, fraud or another related field preferred * Strong, independent ...

Sedgwick

Claims Representative, Auto | PIP

Cleveland, OH · On-site

$60K - $65K/yr

... Claims Representative, Auto | PIP PRIMARY PURPOSE OF THE ROLE: To evaluate auto claims involving ... Assesses medical treatment, evaluates medical bills, and initiates or reviews potential fraud ...

Sedgwick

Claims Representative, Auto | PIP

Columbus, OH · On-site

$60K - $65K/yr

... Claims Representative, Auto | PIP PRIMARY PURPOSE OF THE ROLE: To evaluate auto claims involving ... Assesses medical treatment, evaluates medical bills, and initiates or reviews potential fraud ...

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Fraud Claims Operations Representative information

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.

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 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.
What are popular job titles related to Fraud Claims Operations Representative jobs in Ohio? For Fraud Claims Operations Representative jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Fraud Claims Operations Representative jobs in Ohio look for? The top searched job categories for Fraud Claims Operations Representative jobs in Ohio are:
What cities in Ohio are hiring for Fraud Claims Operations Representative jobs? Cities in Ohio with the most Fraud Claims Operations Representative job openings:
Fraud Claims Operations Representative jobs near you

Claims - Field Claims Representative

The Cincinnati Insurance Companies

Dayton, OH • On-site

$62K - $90K/yr

Full-time

Retirement, PTO

Posted 3 days ago

New

Cincinnati Insurance Company rating

9.0

Company rating: 9.0 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

36th of 304 rated insurance

Job description

Make a difference with a career in insurance
At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person®.
If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow.
Build your future with us
Our Field Claims department is currently seeking field claims representatives to service the territory surrounding: Dayton, Ohio . The candidate is required to reside within the territory.
This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
Be ready to:
  • complete thorough claim investigations
  • interview insureds, claimants, and witnesses
  • consult police and hospital records
  • evaluate claim facts and policy coverage
  • inspect property and auto damages and write repair estimates
  • prepare reports of findings and secure settlements with insureds and claimants
  • use claims-handling software, company car and mobile applications to adjust loss in a paperless environment
  • provide superior and professional customer service
  • once eligible, become a certified and active Arbitration Panelist

To be an Entry Level Claims Representative:
The pay range for this position is $57,000 - $76,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
  • be available and communicative during your regular business hours
  • a desire to learn about the insurance industry and provide a great customer experience
  • the ability to work unsupervised
  • excellent verbal and written communication skills
  • strong interpersonal skills
  • excellent problem-solving, negotiation, organizational and prioritization skills
  • preparedness to follow-up with others in a timely manner
  • a valid driver's license

Bring education or experience from:
  • a bachelor's degree
  • AINS, AIC, or CPCU designations preferred

Benefits in addition to compensation include:
  • company car
  • company stock options, including Restricted Share Units and Incentive based stock options
  • paid time off (PTO)
  • 401K with 6% company match

To be an Experienced Claims Representative:
The pay range for this position is $62,000 - $90,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.
Be equipped with:
  • be available and communicative during your regular business hours
  • multi-line claims experience preferred
  • ability to completely assess auto, property, and bodily injury type damages
  • capacity to work unsupervised
  • excellent verbal and written communication skills
  • strong interpersonal skills
  • excellent problem-solving, negotiation, organizational, and prioritization skills
  • preparedness to follow-up with others in a timely manner
  • a valid driver's license

Bring education or experience from:
  • one or more years of claims handling experience
  • AINS, AIC, or CPCU designations preferred
  • bachelor's degree or equivalent experience required

Benefits in addition to compensation include:
  • company car
  • company stock options, including Restricted Share Units and Incentive based stock options
  • paid time off (PTO)
  • 401K with 6% company match

Enhance your talents
Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career.
Enjoy benefits and amenities
Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities.
Embrace a diverse team
As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.

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