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Overnight Fraud Claims Jobs (NOW HIRING)

Shelter Insurance

Property Adjuster

Jackson, TN

$23.82 - $33.38/hr

Investigates, analyzes, evaluates, and settles insurance claims involving non-weather property ... May involve handling of complex property losses requiring expertise in fraud detection and ...

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Overnight Fraud Claims information

What unique challenges do overnight fraud claims specialists face, and how can they manage them?

Overnight fraud claims specialists often handle high-pressure situations with minimal direct supervision, as they work outside of standard business hours. This role requires quick decision-making and strong attention to detail, especially since fraudulent activity can peak during off-hours. Specialists must be comfortable working independently, but also know when and how to escalate complex cases to daytime teams. Developing strong communication skills and staying up-to-date on the latest fraud trends are key to managing these challenges successfully.

What is an overnight fraud claims specialist?

Overnight Fraud Claims specialists are professionals who handle reports of fraudulent transactions and account activity during overnight hours. They are responsible for reviewing, investigating, and resolving claims of fraud made by customers, often working for banks or financial institutions. These specialists play a crucial role in protecting customer accounts and minimizing financial losses by quickly identifying unauthorized activity and taking appropriate action. Their work ensures that fraud is addressed promptly, even outside of regular business hours, maintaining the security and trust of financial services.

What is the difference between Overnight Fraud Claims vs Fraud Claims Adjuster?

AspectOvernight Fraud ClaimsFraud Claims Adjuster
CredentialsInsurance licenses, claims handling certificationsInsurance licenses, claims handling certifications
Work EnvironmentRemote or night shift, insurance companiesOffice or remote, insurance companies or third-party firms
Industry UsageHandling overnight fraud claims specificallyHandling various types of insurance fraud claims
Search IntentCompare overnight fraud claims roles with fraud claims adjustersCompare fraud claims adjuster roles with overnight fraud claims

Overnight Fraud Claims focus on managing fraud cases during night shifts, often requiring specialized knowledge of fraud detection and insurance policies. Fraud Claims Adjusters handle a broader range of insurance fraud cases during regular hours. While both roles require similar credentials, their work hours and scope differ, with Overnight Fraud Claims roles emphasizing night shift operations and specific fraud detection skills.

What skills and qualifications are needed to thrive as an overnight fraud claims specialist?

To thrive as an Overnight Fraud Claims Specialist, you need strong analytical abilities, attention to detail, and a background in finance or banking, often supported by experience or education in a relevant field. Familiarity with fraud detection software, case management systems, and banking platforms is typically required, along with knowledge of regulations such as Reg E. Effective communication, critical thinking, and the ability to remain calm under pressure are standout soft skills for this position. These skills and qualities are vital for quickly identifying and resolving fraudulent activities, minimizing financial losses, and maintaining customer trust during overnight hours.
What cities are hiring for Overnight Fraud Claims jobs? Cities with the most Overnight Fraud Claims job openings:
What are the most commonly searched types of Fraud Claims jobs? The most popular types of Fraud Claims jobs are:
What states have the most Overnight Fraud Claims jobs? States with the most job openings for Overnight Fraud Claims jobs include:
Overnight Fraud Claims jobs near you

Sr. Claims Representative, Property

California Dental Association

Remote

$95K - $105K/yr

Other

Posted yesterday

New

Job description

Job Title:Senior Claims Representative, Property Pay Information:Exempt, $95,000 - $105,000 per year Location:Remote first work environment with occasional travel and in office meetings.
Candidate must life in California, Oregon, Washington, or Nevada.
Job Purpose:
The Sr. Claims Rep, Property will manage, coordinate and appropriately direct the handling of complex dental commercial property and general liability claims, with minimum supervision, and will manage claims in accordance with established state mandated claims handling practices.
Universal Competencies:
  • Collaboration: Proactively engages with an iterative mindset to enhance ideas and achieve organizational results; Cultivates relationships, builds partnerships, shares and learns without boundaries.
  • Service: Focusing on meeting needs and exceeding expectations for those served inside and outside the organization.
  • Respect: Embracing others for their true authentic self; nurture and promote an environment that values diversity of thought, input, experience and expertise.
Essential competencies:
  • Problem Solving: Applies analysis, creativity, resilience and logic to reach optimal outcomes; develops and implements solutions.
  • Influence: Inspires action to achieve organizational goals and desired outcomes; demonstrates expertise and earns respect; socializes ideas and bring others along.
  • Decision Making: Decides with intention, reflection and reason while maintaining a big-picture mindset; clarifies purpose, evaluates alternatives and analyzes risks.

Essential Functions - must be able to perform with or without a reasonable accommodation:
  • Evaluating and making determinations on issues related to coverage;
  • Arranging for retention and review by coverage counsel on coverage related issues;
  • Investigating and making determinations related to cause and origin of loss;
  • Gathering key evidence, witness statements and early retention of legal counsel to optimize successful subrogation
  • Retaining and supervising outside adjusters, legal counsel and other vendors, to ensure efficient and timely adjustment of claims;
  • Managing and oversight of related losses and policyholders arising from a single event with varying complexities, damages and exposures;
  • Evaluating and establishing appropriate case reserves;
  • Attending, directing and coordinating meetings with policyholders, vendors, involved parties and consultants;
  • Attending trials, mediations, and settlement conferences;
  • Negotiating claims resolutions with policyholders and involved parties;
  • Identifying, managing, negotiating and resolving all issues related to subrogation of claims;
  • Developing and documenting strategic plans and case evaluations;
  • Reviewing vendor bills to ensure they meet the strategic plans and budgets developed by the file handler and authorizing payment;
  • Identifying and evaluating possible responsibilities of third parties for subrogation recovery and managing all subrogation activity through trial; and
  • Determining salvage value of damaged property contents and arranging for storage, sale or appropriate disposal.

Non-Essential Functions:
  • Complete special projects as assigned.
  • Perform other duties as assigned

Minimum Qualifications:
  • High school diploma or GED required
  • At least 10 years property and general liability claims experience; or equivalent combination of education and experience.
  • Advanced knowledge of property and general liability coverage,
  • Knowledge of subrogation and salvage principles and the ability to review, interpret and apply insurance contracts, commercial leases and make coverage decisions.
  • Experience in identifying and reporting fraud and knowledge of state specific SIU requirements.
  • Ability to assemble, coordinate and manage a CAT team in the event of a disaster.
  • Demonstrated record of accomplishment of successful negotiation and resolution of issues with policyholders, legal counsel, claimants and third parties.
  • Excellent interpersonal, verbal and written communication skills.
  • Experience supervising outside adjusters, attorneys, and contractors.
  • Demonstrated diplomacy and tact while interacting with all levels within and outside of the organization.
  • Demonstrated ability to perform job duties independently, exercise good judgment and professionalism; and maintain confidentiality.
  • Strong computer skills, including the ability to operate Windows/Microsoft Office and a general claims system.

Preferred Qualifications:
  • Associate's or Bachelors' degree with courses in insurance.
  • Commercial property insurance and in-person negotiation experience.
  • Experience with claims management and estimating software programs.

Working Conditions: Occasionally (1-33%) Frequently (34-66%) Constantly (67-100%)
  • Constantly reviewing and analyzing data on a computer screen.
  • Frequently maintains a stationary position.
  • Occasional auto/air travel required.
  • Occasional overnight travel as needed.

We Are CDA
Over our 150-year history, the California Dental Association (CDA) has become a leader in oral health throughout California and the country. Today, we continue to support our community of over 27,000 dentists through our family of companies, which include The Dentists Insurance Company (TDIC), TDIC Insurance Solutions, Rotunda Partners and the CDA Foundation. At CDA, we value individual talents, encouraging a diverse, collaborative, and innovative work environment fueled by new ideas. As our organization continues to grow, we invite you to be a part of what's next.
CDA is an equal opportunity employer and is committed to the principle of equal employment opportunity for all employees and providing a safe work environment. CDA does not tolerate discrimination or harassment and all employment decisions are based on job requirements and individual qualifications, without regard to race, color, religion, national origin, age, gender, gender identity or expression, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran or military status. If you have a disability or special need that requires accommodation, please contact us at humanresources@cda.org.
To see our privacy policy, go to www.cda.org/Home/About/Careers-at-CDA/Apply

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