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Fraud Claims Operations Representative Jobs in Virginia

Koalafi

Fraud Investigator

Richmond, VA

$61K - $74K/yr

Manage inbound fraud claims and perform ad hoc research into uncommon scenarios that could indicate ... Collaborate across multiple departments, such as Sales, Operations, Fraud Analytics, and Compliance ...

Koalafi

Fraud Investigator

Richmond, VA

$61K - $74K/yr

Manage inbound fraud claims and perform ad hoc research into uncommon scenarios that could indicate ... Collaborate across multiple departments, such as Sales, Operations, Fraud Analytics, and Compliance ...

Koalafi

Fraud Investigator

Richmond, VA · On-site

$61K - $74K/yr

Manage inbound fraud claims and perform ad hoc research into uncommon scenarios that could indicate ... Collaborate across multiple departments, such as Sales, Operations, Fraud Analytics, and Compliance ...

Koalafi

Fraud Investigator

Arlington, VA

$61K - $74K/yr

Manage inbound fraud claims and perform ad hoc research into uncommon scenarios that could indicate ... Collaborate across multiple departments, such as Sales, Operations, Fraud Analytics, and Compliance ...

Brookfield

Chief Claims Officer, Argo Group

Richmond, VA · On-site

This includesCasualty,Operations, Property,Reinsurance,Surety,and Workers' CompensationClaims.The ... Works collaboratively with representatives of the corporate actuarial team. * Strategically manages ...

FVCBANK

Fraud Analyst

Manassas, VA · On-site

BSA Department / Manassas Rep orts to: VP Director / BSA & Fraud About Us: Since opening our doors ... Coordinate with management to approve or deny claims and manage account closures. * Collaboration:

ITC Federal, Inc

Fraud Analyst

Fairfax, VA · On-site

... operational efficiency and bolstering national security. We leverage the latest technology ... Familiarity with specific subject matter helpful - Medicare and Medicaid claims, student loan ...

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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 Virginia?

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

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

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

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

Cities in Virginia 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 Virginia as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Fraud Investigator

Richmond, VA

Koalafi
Finance and Insurance • 51 - 200 employees
Learn more about Koalafiexternal

$61K - $74K/yr

Full-time

Posted 11 days ago

Job description

What You'll Do 

Koalafi partners with thousands of merchants across the country to offer point-of-sale financing and receives over a million customer applications per year. As a Fraud Investigator, you will monitor and research risk signals for both customers and merchants that could indicate some form of fraud is being committed. This includes a risk assessment during onboarding of new merchants, ongoing monitoring/review of merchant performance, and review of applications flagged for potential fraud. 

As a Fraud Investigator, you will look for systemic patterns in suspicious customer and merchant behavior and conduct deep dives/investigations to determine legitimacy. This includes identity theft, synthetic IDs, manipulated IDs, taking advantage of vulnerable persons, and taking advantage of family or friends. Fraud Investigators have several tools available to assist in their research, such as application data, internal system of record data, internet search data, and third-party fraud prevention tools. You will be expected to use these tools and proactively call potential fraud victims to reach as accurate a conclusion as possible. 

In this role you will: 

  • Identify systemic patterns in suspicious customer and merchant behavior and conduct investigations 
  • Review and evaluate all new merchant partners during onboarding to ensure we establish partnerships with properly licensed merchants that align with our intent 
  • Manage inbound fraud claims and perform ad hoc research into uncommon scenarios that could indicate foul play 
  • Leverage tools such as application data, internal system of record data, internet search data, and third-party fraud prevention tools to reach accurate investigation conclusions 
  • Collaborate across multiple departments, such as Sales, Operations, Fraud Analytics, and Compliance 

About You (Qualifications) 

  • 2+ years of relevant experience in fraud detection, investigation, or related financial services experience 
  • Strong pattern recognition and attention to detail, with a strong commitment to quality, accuracy, consistency, and confidentiality  
  • Ability to conduct thorough research using multiple data sources 
  • Experience documenting processes, procedures, and investigation findings 
  • Excellent verbal and written communication skills 
  • Strong interpersonal skills; you're comfortable having difficult conversations with merchants 
  • Strong sense of ownership and motivation to stop fraudsters 
  • Proficiency in tools like Microsoft Excel and Word; familiarity with fraud databases or investigative platforms is a plus 
  • Ability to work independently and efficiently, both in-person and on work from home days 
  • Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ability to handle multiple responsibilities at once 
  • Bilingual (English/Spanish) preferred 
  • High school diploma, GED, or equivalent certification 

Location: Richmond, VA; Arlington, VA; or Remote (U.S.). Associates near one of our office locations may work in-office, hybrid, or remotely. Remote opportunities are available to candidates throughout the United States. 

Salary Range: $61,000-$74,000 per year (depending on experience and location)

Additional Compensation: This position will be eligible to participate in company bonus plan. 

The final salary offer will depend on factors including, but not limited to, experience, skills, and geographic location. The actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.

Applications will be accepted until position is filled.

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