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Fraud Representative Jobs in Florida (NOW HIRING)

Fraud Specialist

Hollywood, FL · On-site

$23.80 - $29.32/hr

Responsible for analyzing fraud trends and tracking losses resulting from fraudulent transactions ... The physical demands described here represent those that an employee must meet to perform the ...

The Associate I, Fraud & Non-Fraud Engagement serves as a front-line resource within a call center environment, supporting accountholders and clients through inbound fraud and/or dispute-related ...

New

Enterprise Fraud Management Risk Strategist

Orlando, FL · On-site

$113K - $146K/yr

The requirements listed below are representative of the knowledge, skill and/or ability required ... fraud management experience 3. Strong leadership and communication skills 4. Experience leading ...

CALL CENTER SERVICES REPRESENTATIVE II

Tampa, FL · On-site

$14 - $18.25/hr

Call Center Services Representative II This posting will be used to fill Career Service vacancies ... Identifies cases of possible fraud overpayment and over issuance for referral to the Benefit ...

$10/hr

Member Service Representative Pay type: Hourly Pay Rate: $10/HR Planet Fitness is one of the ... We have been made aware of an increasing number of hiring fraud schemes across numerous platforms.

$10/hr

Member Service Representative Pay type: Hourly Pay Rate: $10/HR Planet Fitness is one of the ... We have been made aware of an increasing number of hiring fraud schemes across numerous platforms.

$10/hr

Overnight Member Service Representative Pay Rate: $10/HR + $1/hr overnight differential (9:30pm-6am ... We have been made aware of an increasing number of hiring fraud schemes across numerous platforms.

$10/hr

Overnight Member Service Representative Pay Rate: $10/HR + $1/hr overnight differential (9:30pm-6am ... We have been made aware of an increasing number of hiring fraud schemes across numerous platforms.

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Showing results 1-20

Fraud Representative information

See Florida salary details

$8

$13

$20

How much do fraud representative jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for fraud representative in Florida is $13.49, according to ZipRecruiter salary data. Most workers in this role earn between $11.15 and $14.38 per hour, depending on experience, location, and employer.

What is the difference between Fraud Representative vs Fraud Analyst?

AspectFraud RepresentativeFraud Analyst
Required CredentialsHigh school diploma or equivalent; some roles may prefer certifications like ACFEBachelor's degree often preferred; certifications like CFE beneficial
Work EnvironmentCustomer service settings, call centers, financial institutionsOffice-based, data analysis, investigation teams
Employer & Industry UsageFinancial services, insurance, retailBanking, credit card companies, financial institutions
Comparison Search IntentUnderstanding entry-level fraud roles, customer interactionAnalyzing fraud patterns, data investigation

While both Fraud Representatives and Fraud Analysts work to combat fraud, Fraud Representatives typically handle customer interactions and initial fraud reports, focusing on customer service. Fraud Analysts perform in-depth data analysis and investigations to identify fraud patterns. The roles often overlap in industry and required credentials, but differ mainly in daily responsibilities and focus areas.

Is it hard to become a fraud representative?

Becoming a fraud representative typically requires strong attention to detail, good communication skills, and knowledge of fraud detection tools and procedures. Many employers prefer candidates with customer service experience or a background in finance or law enforcement, and some roles may require specific certifications or training programs. Overall, the difficulty depends on the employer's requirements and the candidate's relevant skills and experience.

What qualifications do I need to work in a fraud representative role?

A fraud representative typically needs a high school diploma or equivalent, strong communication skills, and attention to detail. Some employers prefer experience in customer service, banking, or security, and knowledge of fraud detection tools or software may be beneficial. Certifications in fraud prevention or related fields can enhance job prospects.

Is working in a fraud representative role a good career?

A fraud representative role can be a stable career with opportunities for advancement in the financial and insurance industries. It requires strong attention to detail, analytical skills, and knowledge of fraud detection tools. The job often involves shift work and may require certifications or ongoing training to stay current with fraud trends.

What degree do I need to work in a fraud representative role?

A fraud representative typically does not require a specific degree but often benefits from a high school diploma or equivalent. Some employers prefer candidates with postsecondary education in fields like criminal justice, finance, or business, and strong skills in investigation, communication, and familiarity with fraud detection tools are important.

What does a fraud representative do?

A Fraud Representative is responsible for detecting, investigating, and preventing fraudulent activities within an organization, typically in the banking, finance, or retail sectors. They review suspicious transactions, communicate with customers to verify account activity, and work closely with law enforcement or other departments to resolve fraud cases. Their goal is to protect both the company and its clients from financial losses due to fraud, while ensuring a positive customer experience. Effective Fraud Representatives possess strong analytical skills, attention to detail, and the ability to handle sensitive information confidentially.

What are the key skills and qualifications needed to thrive as a fraud representative, and why are they important?

To thrive as a Fraud Representative, you need strong analytical skills, attention to detail, and a background in finance, business, or criminal justice. Familiarity with fraud detection software, case management systems, and data analysis tools is typically required, along with any relevant certifications such as Certified Fraud Examiner (CFE). Excellent communication, problem-solving abilities, and integrity are essential soft skills for investigating suspicious activity and interacting with clients. These skills ensure accurate identification and resolution of fraudulent transactions, protecting both customers and the organization.

What are the most common challenges faced by fraud representatives, and how can they be managed effectively?

Fraud Representatives often encounter challenges such as handling high volumes of suspicious activity alerts, working under time pressure to prevent losses, and communicating with customers who may be distressed or frustrated. Successfully managing these challenges involves strong analytical skills, excellent communication, and the ability to stay calm under pressure. Most organizations provide robust training and ongoing support, as well as team collaboration tools to help representatives share insights and best practices. Building experience in this role prepares you for advancement opportunities in fraud prevention, risk analysis, or supervisory positions.
Infographic showing various Fraud Representative job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $28,059 per year, or $13.5 per hour.

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Cigna

Miami, FL • Remote

Full-time

Posted 14 days ago


Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

23rd of 887 rated healthcare providers


Job description

Bilingual Spanish Junior Healthcare Fraud Investigator:

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.

As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.

What you'll do:

  • Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations

  • Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies

  • Support on-site inspections and patient/provider interviews as necessary

  • Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate

  • Prepare reports to expedite tracking and reporting of investigations

Requirements:

  • Located in South Florida (Miami, homestead) and West Palm Beach area to support site visits

  • Bilingual Spanish

  • A bachelor's degree in a Criminal Justice, or related field

  • 1+ years professional work experience, preferably with health insurance investigations/audit

  • Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word

  • Excellent verbal and written communication skills, along with ability to effectively manage conflict

  • Keen ability to deal with ambiguity and leverage reasoning skills

  • Possession of a strong desire and demonstrated ability to lead


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.


What Cigna Healthcare employees say

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

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