Manager, Claims & Fraud Operations
$82.5kSantander US
It Starts Here: Santander is a global leader and innovator in the financial services industry and is evolving from a high-impact brand into a technology-driven organization. Our people are at the heart of this journey and together, we are driving a customer-centric transformation that values bold thinking, innovation, and the courage to challenge what’s possible. This is more than a strategic shift. It’s a chance for driven professionals to grow, learn, and make a real difference. The Difference You Make The Manager, Claims & Fraud Operations is responsible for leading and overseeing investigative teams that identify, mitigate, and prevent fraud-related losses while ensuring full compliance with regulatory, risk, and service level standards. This role provides strategic direction, operational oversight, and subject‑matter leadership across fraud investigations, SAR referral governance, regulatory adherence, and loss recovery efforts. The Manager ensures investigative quality, regulatory timeliness, and effective collaboration with law enforcement, internal stakeholders, and peer institutions while continuously strengthening fraud detection and prevention controls. What You Bring Lead, coach, and develop a team of fraud investigators and senior specialists. Establish performance standards aligned to SLA, QA, regulatory, and loss mitigation objectives. Monitor investigative quality and ensure consistent application of fraud policies and procedures. Drive a high‑performance culture focused on accountability, risk awareness, and continuous improvement. Provide escalation guidance and decision support on high‑risk or complex fraud matters. Oversee after‑hours fraud event rotation and escalation protocols. The individual must be able to perform each essential duty satisfactorily. Bachelor's Degree or equivalent work experience – Required. 5+ Years banking experience, preferably in operations and/or fraud prevention – Required. Prior leadership or supervisory experience – Preferred. Strong working knowledge of BSA requirements, SAR referral standards, and regulatory expectations. Demonstrated experience managing high‑volume investigative teams. Knowledge of fraud detection systems, payment processing systems, and operational back‑end platforms. Experience working with law enforcement and supporting litigation or prosecution cases. Strong analytical, reporting, and risk assessment skills. Excellent written and verbal communication skills. Proven ability to influence cross‑functional stakeholders and drive change. Cross-Functional & External Partnership Serve as primary liaison with law enforcement, regulatory agencies, and peer banks when appropriate. Partner with lines of business, operations, technology, legal, and compliance to implement fraud prevention enhancements. Act as subject‑matter expert in claims insights, fraud risk trends, and operational readiness for new initiatives. Support evaluation of new systems and applications impacting fraud detection and claims management. Controls, Systems & Continuous Improvement Oversee refinement and testing of fraud system controls to detect and prevent evolving threats. Ensure proper documentation and governance of fraud detection systems and operational procedures. Identify control gaps and lead remediation efforts. Drive statistical trend analysis and process optimization initiatives. Key Competencies Regulatory judgment & escalation discipline Strategic fraud risk management Operational leadership & coaching Data‑driven decision making Crisis & escalation management Cross‑functional influence Quality assurance & audit readiness Loss mitigation & recovery strategy Performance Metrics May Include Fraud loss avoidance and recovery rates SAR referral timeliness and quality SLA adherence and productivity targets QA scores and documentation quality Regulatory audit results Trend mitigation effectiveness Employee engagement and development outcomes Certifications No certifications listed for this job. Base Pay Range Minimum: $82,500.00 USD Maximum: $142,500.00 USD Risk Culture We embrace a strong risk culture and all of our professionals at all levels are expected to take a proactive and responsible approach toward risk management. EEO Statement At Santander, we value and respect differences in our workforce. We actively encourage everyone to apply. Santander is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status or any other characteristic protected by law. Working Conditions Frequent minimal physical effort such as sitting, standing and walking is required for this role. Depending on location, occasional moving and lifting light equipment and/or furniture may be required. #J-18808-Ljbffr
$94.4k - $293.8k
...modernize Personal and Commercial lines operations - Und erwriting, and Claims -using domain depth, data driven... ...including agentic AI). As a Transformation Manager / Senior Manager, you'll lead cross... ...in insurance (e.g., automation, fraud detection, decision support,...OperationsClaimsFraudLive inWork at officeLocal area- ...Description Position Summary The Security Manager - provides security and safety by... ...areas. (50%) # Reviews incident and claim reports of fraud, assault injury or crimes. (20%) #... ...people. People like you. We develop, operate, and manage more than 600 locations, 1...ClaimsFraudWork experience placement
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$292k - $386k
...by Lattice OS, an AI-powered operating system that turns thousands of... ...Operations, and Program Management to execute success. Mature products... .... What to Do If You Suspect Fraud: Should you encounter any... ...questionable or fraudulent outreach claiming to be from Anduril, please...OperationsClaimsFraudFull timeTemporary workWork experience placementImmediate start- Santander Consumer USA Inc. in Boston is seeking a Manager for Claims & Fraud Operations. This leadership role involves overseeing investigative teams to combat fraud while ensuring regulatory compliance. You will drive performance, uphold high standards, and support law...OperationsClaimsFraud
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...investigation of Workers Compensation claims to determine either... ...has direct responsibility of managing the claim in its entirety while... ...' bottom lines. Identify fraud indicators and actively pursue... ...the retail and distribution operations and ways to minimize these risks...OperationsClaimsFraudFull timeRemote workFlexible hours- ...functionDefine the strategy, operating model, and rhythms for how Allure... ..., organize and approve MDF claims, and track ROI. You will work... ...building and managing a partner portal (PRM platforms... ...phishing, digital risk protection, fraud, or adjacent product categoriesExisting...ClaimsFraudRemote workHome office
$26.54 - $39.81 per hour
...investigation of more complex types of claims made against the company in... .... Responsibilities Claims Management Performs thorough... ...identify and follow up with any fraud indicators. Partners with the... ...the retail and distribution operations and ways to minimize these risks...OperationsClaimsFraudFull timeWork at officeImmediate startRemote workFlexible hours$173.99k - $214.93k
...federal and state antikickback and false claims laws, the federal Food Drug and Cosmetic... ...continued development, optimization, and operation of Akebia’s Compliance program, including... ...including FDA promotion, anti-kickback, and fraud and abuse matters. Excellent problem...OperationsClaimsFraudPrivate practiceWork at officeFlexible hours- ...millions just to accept payments, suffer from fraud, and gain zero competitive advantage. We... ...reduce costs, fraud, and simplify operations, Sales Reps exceed ambitious sales quotas... ...market and enterprise companies. Ability to manage complex deals from inception, navigating...OperationsFraudRemote work
$124.34k - $225k
...money related to health care fraud, waste, and abuse. The SIU team... ..., this position will review claims, look for patterns of... ...Unit (SIU) is responsible for management and oversight of the Special... ...cost effective and compliant operations. This position is responsible...OperationsClaimsFraudWork at officeLocal areaFlexible hours$146k - $194k
...by Lattice OS, an AI-powered operating system that turns thousands of... ...Experience with risk management, change control/change management... ...What to Do If You Suspect Fraud: Should you encounter any questionable... ...or fraudulent outreach claiming to be from Anduril, please report...OperationsClaimsFraudFull timeWork experience placementImmediate start$80k - $110k
...custodians, and the like identify, file claims, and collect funds made available in securities... ...FRT a market leader. As the Project Manager, you will drive cross-functional... ...stakeholders are aligned, and the organization is operationally ready at launch. The Project Manager...OperationsClaimsTemporary workWork at officeLocal area- ...note that our agency is small boutique operation, which gives us the ability to have strong... ..., endorsements, binders, and first claims • Marketing, quoting, rating of new client... ...preferred. • Experience using agency management systems is strongly preferred....OperationsClaims
$72k - $141k
...professional to lead the development and execution of claim service strategies. You'll manage relationships with clients, agents, and brokers while... ...degree, 5-8 years of experience in claims or insurance operations, and strong problem-solving skills. Offers a competitive...OperationsClaims$55k - $60k
...Senior Deposit Operations Specialist The Senior Deposit Operations... ...reporting, process IRA death claims in a timely manner, administer... ...to the Deposit Operations Manager and assist in clearing discrepancies... ...closures, account abuse, and fraud to account verification...OperationsClaimsFraudWork experience placementWork at officeImmediate start- ...to inform agency policy and operations. The Senior Healthcare... ...with a focus on supporting fraud, waste, and abuse (FWA) investigations... ...analytical data models. • Manage the delivery and reporting... ...eligibility, enrollment, and claims data to get answers to these...OperationsClaimsFraudFull timePart timeWork experience placementWork at officeWork from homeMonday to Friday
- ...Quality Manager page is loaded## Quality Managerlocations: Bristol, NHtime type: Full timeposted... ...customer needs* **Elevate Site Warranty Operations:** Collaborate closely with Sales to... ...improvement efforts* **Resolve Customer Claims:** Implement and maintain the Claim...OperationsClaims
$100k - $130k
...regulatory expertise on labeling, claims, legal matters, recalls,... ...Leads cross‑functional teams, manages complex compliance programs... ...safety standards across all operations. Oversee import / export compliance... ...conducting the annual Food Fraud Ingredient Assessment....OperationsClaimsFraud$25k
...investigation of General Liability claims to determine liability... ...has direct responsibility of managing the claim in its entirety while... ...' bottom lines. Identify fraud indicators and actively pursue... ...the retail and distribution operations and ways to minimize these risks...OperationsClaimsFraudFull timeRemote workFlexible hours$25.48 - $33.65 per hour
...by Lattice OS, an AI-powered operating system that turns thousands of... ...growth through the material management and inventory flow. The right... ...links. What to Do If You Suspect Fraud: Should you encounter any... ...questionable or fraudulent outreach claiming to be from Anduril, please...OperationsClaimsFraudHourly payWork at officeImmediate startFlexible hours$186.49k - $278.88k
...to assay development, sample management, pharmacogenomics and biomarker... ...of phase I clinical operations, drug development, multi-region... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take... ...application processing fee, even if claimed you will be reimbursed, this...OperationsClaimsFraudContract workTemporary workLocal areaFlexible hours- ...investigative techniques and fraud detection to provide assistance... ...data, such as health care claims data, financial transaction data... ...or organization's pattern of operations, to identify information... ...with working on document review/management platforms such as Relativity,...OperationsClaimsFraudFull timeWork at officeLocal areaFlexible hours
- Freudenberg Group is seeking a Quality Manager in Bristol, NH, to enhance the Quality Management System and oversee warranty operations. The ideal candidate will have 5 years of experience... ...Indicators, resolving customer claims, and facilitating audits. Freudenberg promotes...OperationsClaims
$75k
...of self-administered casualty claims in multiple jurisdictions.... ...has direct responsibility for managing the claim in its entirety while... ...bottom lines. Identify fraud indicators and actively pursue... ...the retail and distribution operations and ways to minimize these risks...OperationsClaimsFraudFull timeRemote workFlexible hours$35.21 per hour
...Boston, MA DHL Global Forwarding manages the flow of goods and information across... ...world’s leading logistics provider with operations in over 220 countries. Visit our career... ...process files and related records for cargo claims including notification to origin...OperationsClaimsTemporary workCasual work- ...Position Summary Assists and supports the General Manager and Assistant General Manager in leading and directing restaurant operations in accordance with the vision and mission of... ...Compensation reports, general liability claims, and other reporting as needed. Deliver...OperationsClaimsLocal areaShift workWeekend workAfternoon shift
$113k - $149k
...systems is powered by Lattice OS, an AI-powered operating system that turns thousands of data streams... ...on links. What to Do If You Suspect Fraud: Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...OperationsClaimsFraudFull timeWork experience placementWork at officeLocal areaImmediate start
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