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Fraud Intake Coordinator Jobs (NOW HIRING)

Clover Health

Director, Fraud Investigations

... coordinated, well-documented, and supported by the right legal advice from the Legal department ... Those investigations will originate from SIU's standard intake processes as well as other channels.

tastylive

Head of Fraud Risk

Chicago, IL · On-site

$195K - $250K/yr

Drive fraud investigations to resolution, coordinating with all relevant internal and external ... Build the frontline escalation protocol with structured intake, defined triggers, and feedback ...

tastylive

Head of Fraud Risk

Chicago, IL

$195K - $250K/yr

Drive fraud investigations to resolution, coordinating with all relevant internal and external ... Build the frontline escalation protocol with structured intake, defined triggers, and feedback ...

tastytrade

Head of Fraud Risk

Chicago, IL · On-site

$195K - $250K/yr

Drive fraud investigations to resolution, coordinating with all relevant internal and external ... Build the frontline escalation protocol with structured intake, defined triggers, and feedback ...

tastytrade

Head of Fraud Risk

Chicago, IL

$195K - $250K/yr

Drive fraud investigations to resolution, coordinating with all relevant internal and external ... Build the frontline escalation protocol with structured intake, defined triggers, and feedback ...

Estavillo Law Group

Receptionist

Oakland, CA · On-site

$24/hr

... contract, fraud, and wrongful foreclosure actions. At ELG, we pride ourselves on combining ... The position blends reception, client intake coordination, administrative assistance, and general ...

Estavillo Law Group

Receptionist

Oakland, CA · On-site

$24/hr

... contract, fraud, and wrongful foreclosure actions. At ELG, we pride ourselves on combining ... The position blends reception, client intake coordination, administrative assistance, and general ...

Ampcus Inc

AI Program Coordinator

Chantilly, VA · On-site

... Support intake and prioritization of AI requests, assist with scoping, and route work to ... Forensics & Fraud services and human capital management. Founded in 2004, the company is ...

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How much do fraud intake coordinator jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for fraud intake coordinator in the United States is $21.23, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.56 per hour, depending on experience, location, and employer.

What does a fraud coordinator do?

A fraud intake coordinator is responsible for reviewing and processing reports of suspected fraud, verifying the validity of claims, and coordinating investigations. They often use specialized software and follow established procedures to detect and prevent fraudulent activities within an organization.

What are the key skills and qualifications needed to thrive as a Fraud Intake Coordinator, and why are they important?

To thrive as a Fraud Intake Coordinator, you need strong analytical skills, attention to detail, and a background in finance, criminal justice, or a related field. Familiarity with case management systems, fraud detection software, and sometimes certifications like Certified Fraud Examiner (CFE) are highly valuable. Excellent communication, problem-solving abilities, and discretion set outstanding professionals apart in this role. These skills and qualities are crucial for accurately identifying fraudulent activity, maintaining sensitive information, and supporting effective investigations.

What is the highest paying job as a coordinator?

The highest paying roles for coordinators often include senior or specialized positions such as project coordinator, program coordinator, or compliance coordinator, especially in industries like finance, healthcare, or technology. These roles typically require advanced skills, certifications, and experience, and can offer higher salaries compared to entry-level coordinator positions.

What does an intake coordinator do?

A fraud intake coordinator is responsible for reviewing and processing reports of suspected fraud, gathering relevant information, and assessing the validity of claims. They often work with investigative tools and maintain detailed records to support fraud prevention efforts, typically working in a fast-paced environment with attention to detail.

What does a fraud intake coordinator do?

A fraud intake coordinator is responsible for reviewing and processing reports of suspected fraud, verifying the validity of claims, and gathering evidence to support investigations. They often communicate with customers, document cases accurately, and use fraud detection tools or databases to identify patterns. This role requires attention to detail, strong communication skills, and knowledge of fraud prevention procedures.

What is the difference between Fraud Intake Coordinator vs Claims Processor?

AspectFraud Intake CoordinatorClaims Processor
Required credentialsHigh school diploma or equivalent; some roles may prefer certifications in fraud detectionHigh school diploma or equivalent; insurance or claims processing certifications are a plus
Work environmentOffice setting, often in insurance or financial servicesOffice setting, in insurance companies or third-party claims organizations
Employer and industry usageInsurance companies, financial institutions, government agenciesInsurance companies, healthcare providers, government agencies
Common search and comparison intentUnderstanding roles related to fraud detection and preventionProcessing and managing insurance claims

The main difference between a Fraud Intake Coordinator and a Claims Processor lies in their focus. The Fraud Intake Coordinator primarily investigates and assesses potential fraud cases, while the Claims Processor handles the processing and adjudication of insurance claims. Both roles often require similar credentials and work in related environments, but their core responsibilities differ significantly.

What are some common challenges faced by Fraud Intake Coordinators, and how can they be addressed?

Fraud Intake Coordinators often face challenges such as managing high volumes of cases, distinguishing between legitimate and suspicious reports, and ensuring timely escalation of critical issues. To address these challenges, it is important to develop strong organizational skills, maintain clear documentation, and stay updated on the latest fraud trends and detection techniques. Collaborating closely with investigators, compliance teams, and customer service helps ensure that cases are handled efficiently and accurately, while ongoing training can further enhance effectiveness in the role.
What cities are hiring for Fraud Intake Coordinator jobs? Cities with the most Fraud Intake Coordinator job openings:
What states have the most Fraud Intake Coordinator jobs? States with the most job openings for Fraud Intake Coordinator jobs include:
Fraud Intake Coordinator jobs near you
Referral Center Intake Coordinator

Referral Center Intake Coordinator

Chapters Health System

Tavares, FL • On-site

$15.75 - $21.25/hr

Full-time

Posted 24 days ago

Chapters Health System rating

7.5

Company rating: 7.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

It's inspiring to work with a company where people truly BELIEVE in what they're doing!
When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
Role:
The Care Access Coordinator performs daily intake tasks that include, but not limited to, handling, processing, and responding to incoming telephone, fax, and email inquiries and referrals; completing outbound calls as practices specify. Responsible for scheduling of all referrals with admission staff and communicating with Clinical Liaisons in facilities to ensure follow-up of patients. Establishes and maintains positive relationships with team members, patients/families and referral resources; works in collaboration with the care access staff, insurance authorization staff, advanced practice clinicians, and Admission RNs to enhance the admission process.
Qualifications:
  • High school diploma or equivalent; some college coursework preferred
  • Minimum of one (1) year of office/customer service experience
  • Hospice, home health and/or healthcare experience preferred
  • Prior experience in a contact center environment and/or staff scheduling and/or clinical patient care experience strongly preferred
  • Bi-lingual in Spanish preferred
  • Able to perform sedentary work with frequent interruptions
  • Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines
  • Effectively handles stressful situations professionally and calmly
  • Ability to demonstrate patient service skills and effective communications (written and verbal)
    • Information seeking / probing skills
    • Accurate knowledge transfer
    • Listening, understanding and responding
  • Able to multi-task (think, talk, type) in a fast paced environment utilizing interpersonal skills to maximize caller reassurance
  • Ability to work in a cooperative team environment
  • Able to exhibit a sense of urgency in daily work activities
  • Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills
  • Available to work shifts to accommodate extended hours of operation as scheduled

Competencies:
  • Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:
  • Represent the Company professionally at all times through care delivered and/or services provided to all clients.
  • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
  • Comply with Company policies, procedures and standard practices.
  • Observe the Company's health, safety and security practices.
  • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
  • Use resources in a fiscally responsible manner.
  • Promote the Company through participation in community and professional organizations.
  • Participate proactively in improving performance at the organizational, departmental and individual levels.
  • Improve own professional knowledge and skill level.
  • Advance electronic media skills.
  • Support Company research and educational activities.
  • Share expertise with co-workers both formally and informally.
  • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities:
  • Responsible for the timely, courteous and effective (1) handling of all telephone, fax, and email patient inquiries related to patient access and (2) communication with patients/families to schedule admission visits. Clients include current and prospective patients, friends, or family members, Powers of Attorney, care providers, physicians, nursing staff, nursing homes and Assisted Living Facilities (ALFs), hospital staff, and others, as appropriate.
  • Gathers necessary information and required documentation from appropriate sources to ensure complete, current and accurate documentation of patient information and data. Completes outbound calls in order to follow-up and gather current health information as directed by Patient Access leadership.
  • Accurately enters data into information tracking systems, including entering and tracking patient referral file in electronic medical record (EMR). Follows up with referral sources to obtain missing data and makes notations in the EMR record to communicate missing data.
  • Enters and schedules into scheduling software timely and accurately. Handles scheduling including, but not limited to:
    • Timely hospice evaluations-every referral to be seen on same day
    • Unexpected changes in staff assignment
    • Other special clinical exceptions (i.e., complex care review)
    • Out of service area transfers
    • Medical record review
  • Positively promotes and clearly explains benefits of Chapters Health System's services and works to ensure that referrals are addressed in a timely, effective and efficient manner.
  • Works collaboratively with the Care Access team to ensure that referrals are scheduled in a timely manner and as soon as possible to meet the patient/family needs. Ensures medical staff's face-to-face evaluation visit prior to the RN assessment.
  • Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.
  • Adheres to expected productivity and accuracy targets established by management. Navigates the daily assignment board to ensure timely appointments and maximize efficiencies.
  • Performs other duties as assigned.

Compensation Pay Range:
$18.43 - $27.43
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/

What Chapters Health System employees say

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About Chapters Health System

Sourced by ZipRecruiter

Chapters Health System is a non-profit organization based in Temple Terrace, FL, in the United States and operating in the healthcare industry. The company provides a range of essential services, including hospice care, palliative care, home health care, grief support, and more. Chapters Health System was founded on a profound belief in enhancing the quality of life for individuals facing serious health conditions and providing support to their families. The mission of the organization revolves around providing support-centric healthcare services and compassionate care to its patients. Notably, the organization is acclaimed for its comprehensive approach to health care delivering holistic services that address physical, psychological, and emotional wellbeing.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Temple Terrace, FL, US

Year founded

1983

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