Fraud & Claims Operations Representative

Fraud & Claims Operations Representative

In this role, you will:

• Support fraud and claims investigations by reviewing customer information, account activity, and transactions

• Manage moderately complex fraud and claims cases across multiple claim types and prioritize work effectively in a high-volume, call center environment

• Oversee assigned cases, using critical thinking and sound judgment to determine next steps and ensure accurate, timely resolution through voice and non-voice functions

• Communicate clearly and professionally with customers, especially in sensitive situations, to build understanding and trust

• Navigate escalated or challenging interactions with professionalism while balancing customer experience, risk, and regulatory requirements

• Partner with internal teams and stakeholders to resolve cases and support effective, end-to-end investigations

• Maintain a strong understanding of fraud risk and consistently apply that perspective to make informed, accurate decisions

Required Qualifications:

• 1+ year of customer service support experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education