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Senior Fraud & Claims Operations Representative – Veteran Initiative

Job in Buckeye, Maricopa County, Arizona, 85326, USA
Listing for: Jobtailor
Full Time position
Listed on 2026-07-14
Job specializations:
  • Customer Service/HelpDesk
  • Insurance
    Health Insurance
Salary/Wage Range or Industry Benchmark: 42000 - 65000 USD Yearly USD 42000.00 65000.00 YEAR
Job Description & How to Apply Below

Responsibilities

• Support fraud and claims functional area by proactively identifying opportunities to improve customer experience

• Oversee multiple claim types, take appropriate action to decide the case using multiple systems and applications

• Provide feedback and present ideas for improving or implementing processes and tools within fraud and claims functional area

• Interact with fraud and claims functional area on a wide range of information as well as with external customers

Requirements
  • 2+ years of customer service support experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
  • 1+ year of fraud detection, claims, or financial operations experience
  • 6+ months in fraud prevention or banking environments
  • Knowledge of financial crime, fraud schemes, scams, and risk management principles
  • Military experience
  • Identifying anomalies, inconsistencies, or suspicious activity through pattern recognition and attention to detail
  • Experience managing multiple priorities and caseloads within defined timelines in a results-driven environment
  • Strong customer service skills, including listening, information gathering, and resolving complex customer issues
Hard Skills
  • fraud detection
  • claims management
  • financial operations
  • fraud prevention
  • risk management
  • pattern recognition
  • anomaly detection
  • case decisioning
Soft Skills
  • customer service
  • attention to detail
  • information gathering
  • problem solving
  • time management
  • communication
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Position Requirements
10+ Years work experience
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