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Fraud Claims Operations Representative Jobs in Ohio

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 ...

... 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 ...

The requirements listed below are representative of the knowledge, skill, and/or ability required ... operations General Employee Knowledge, Skills, and Abilities * Ability to establish effective ...

The requirements listed below are representative of the knowledge, skill, and/or ability required ... or banking operations General Employee Knowledge, Skills, and Abilities Ability to establish ...

The requirements listed below are representative of the knowledge, skill, and/or ability required ... operations General Employee Knowledge, Skills, and Abilities • Ability to establish effective ...

With over 35 specialty and property and casualty operations, there are always opportunities to ... Claims Representative. The position will work a hybrid schedule in our downtown office in Tulsa ...

With over 35 specialty and property and casualty operations, there are always opportunities to ... Claims Representative. The position will work a hybrid schedule in our downtown office in Tulsa ...

Showing results 41-60

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 Ohio?

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

Claims Associate

TQL

Cincinnati, OH

$17.50 - $22/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 7 days ago


Total Quality Logistics rating

6.0

Company rating: 6.0 out of 10

Based on 115 frontline employees who took The Breakroom Quiz

325th of 364 rated logistics


Job description

About the role:As a Claims Representative with TQL, you will be a vital part of the company’s risk management and loss prevention efforts. You will be responsible for managing an evolving portfolio of cargo claims, resolving them through customer, carrier, and insurance outreach. This role requires a high attention to detail, customer service, and investigative mentality to ensure we continue to have the best Claims team in the industry. What’s in it for you:* $17.50 - $22/hr.* Comprehensive benefits package* Health, dental and vision coverage* 401(k) with company match* Perks including employee discounts, financial wellness planning, tuition reimbursement and more* Advancement opportunities within structured career paths* Monthly team competitions and contests* Employee referral bonuses* Certified Great Place to Work with 900+ lifetime workplace award winsWhat you'll be doing:* Research reported claims and determine validity of the claim* Manage the documentation and submission process of each claim in your portfolio* Diligently follow up on claims and insurance companies on behalf of TQL and our customers* Collect all necessary documents and information to file, investigate and help resolve claims* Contact carriers, insurance companies, salvage companies and internal/external customers regarding claims made by customers, receivers, or shippers* Work with Accounting and Collections staff to resolve carrier and customer accounting issues related to claimsWhat you need: * Experience in claims, insurance, fraud or another related field preferred * Strong, independent decision-making skills while maintaining great relationships with the sales department* Ability to work quickly and handle requests* Capable of meeting multiple deadlines occurring at the same time* Ability to prioritize various requests and handle changing priorities* Excellent organizational skills with strong attention to detail* Good communication skills* Strong customer service orientation* Focused, positive attitudeWhere you'll be: 4289 Ivy Pointe Boulevard, Cincinnati, Ohio 45245Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered.

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