Fraud & Claims Operations
$21 per hourA-Line Staffing Solutions
Pay: From $21.00 per hour Job description: Job Posting: Fraud & Claims Operations Schedule: 40 hours/week | 8 hours/day | Weekly Time Submission Work Environment: Hybrid/Flexible (4 days or less onsite) Openings: 1 Position Overview Salesforce Queue Manager – Fraud & Claims Operations We are seeking a highly analytical and detail-oriented Queue Manager to support fraud and claims operations. This role is responsible for overseeing daily fraud and claims inquiry queues, ensuring timely intake, case tracking, workflow progression, and SLA adherence. The ideal candidate will have experience in fraud operations, claims processing, banking operations, or financial services case management , with strong Salesforce reporting and workflow monitoring expertise. This is an excellent opportunity for professionals experienced in operational queue oversight, performance reporting, and process optimization within financial services environments. Key Responsibilities Monitor and manage daily fraud and claims inquiry queues to ensure timely intake, assignment, and case resolution Create, review, update, and maintain fraud/claims-related cases in Salesforce Track workflow progression to ensure all inquiries meet established SLAs Identify trends, bottlenecks, delays, and operational risks; escalate issues proactively Generate daily, weekly, and monthly operational performance reports Ensure accuracy and completeness of queue data for audit readiness and reporting integrity Collaborate with operations leaders to improve workflow efficiency and service performance Support special fraud and claims operations projects as assigned Maintain high-quality documentation standards and process consistency Analyze queue metrics and recommend operational improvements Required Qualifications Experience in fraud operations, claims processing, banking operations, or financial services support Strong hands-on experience with Salesforce case management and reporting Ability to manage multiple workflows in a fast-paced operational environment Strong analytical and reporting skills Excellent organizational and prioritization abilities High attention to detail and accuracy Strong written and verbal communication skills Proficiency with: Microsoft Excel Outlook PowerPoint Operational reporting tools Preferred Qualifications Prior queue management or workflow monitoring experience Experience reporting on SLA performance metrics Knowledge of banking fraud investigation workflows Financial claims operations experience Process improvement or operational optimization experience Determine if fraud activity is Identifying fraud detection/trending issues Set working in fraud solution and maintaining fraud detection strategies Utilize theft and fraud tools to effectively address potential risk or fraud Review new account fraud alerts Optimize fraud and risk operations Analyze fraud patterns in data to identify new fraud trends and hidden patterns of fraud Combating fraud for the team Keep detailed records of fraud activity Keep detailed records of fraud activity and prepare fraud / risk reports Recommend optimization within fraud prevention rules Maintain company fraud database records Providing thought leadership on fraud prevention Update fraud software to react accordingly to the identified fraud trend Maintain fraud analytics to track behavioral patterns associated with online fraud Monitor a fraud detection system that be designed to identify fraudulent activity Assess and communicate voice fraud risks associated with evolving fraud tactics Determine if fraud has occurred Drive fraud and risk mitigation activities Maintain awareness of new fraud techniques and security developments for counteracting fraudaa415a4b-8b21-40fc-a65c-70d2b25ca29a
- ...Operations Specialist We are seeking a detail-oriented Operations Specialist to oversee the heartbeat of our intake process. In this role, you will monitor and manage our fraud and claims inquiry queues, ensuring cases are accurately tracked, assigned, and resolved...OperationsClaimsFraud
- ...Job Description: Job Details: Minimum years of experience required: 8+ years Must Have Skills: Domain SME in Claims and fraud operations Nice to Have Skills: Agentic AI exposure Role Description: We are building the next generation of our claims management...OperationsClaimsFraud
- ...Job Title: Fraud operations specialist Location: Johnston, RI Duration: 6 Months Contract Pay Rate: $23/hr W2 Job Description... ...consists of 16 members handling multiple fraud detection and claims processing streams, email inbox management, and fraud case...OperationsClaimsFraudContract workMonday to FridayFlexible hours
- Veterans Sourcing Group is seeking a Fraud Operations Specialist in Johnston, RI. This role supports the Fraud Department by managing case... ...occasional overtime. Join a dedicated team of fraud detection and claims processing professionals. #J-18808-Ljbffr Veterans Sourcing...OperationsClaimsFraudMonday to FridayFlexible hours
$23 per hour
...Fraud Operations Specialist - $23/hr Johnston, RI - 6 months+ Manager's call notes: ~ Looking for a Queue Manager in the Fraud... ...manage different streams through fraud detection systems and claims systems ~ they manage an email inbox ~ they've recently...OperationsClaimsFraudInternshipWork at office- ...Claims Examiner Investigates, evaluates, reserves, negotiates and settles assigned claims... ...claims such as Subro, Fire or Fraud investigators and to other experts. Requests... ...Supports workload surges and/or Catastrophe operations as needed to include working significant...OperationsClaimsFraudWork at officeNight shift
- ...overseeing the Club’s insurance financial operations, ensuring accuracy, compliance, and... ...accounting standards, budgeting cycles, and claims‑related financial processes will be a distinct... ...procedural gaps that could lead to fraud and recommends safeguards. Proposes improvements...OperationsClaimsFraudFull timeWork at officeRemote work
$23 per hour
...Fraud Operations Specialist Looking for a Queue Manager in the Fraud Department. They have a team of 16 people currently managing different streams through fraud detection systems and claims systems. They manage an email inbox and have recently started using Salesforce...OperationsClaimsFraudInternshipWork at office- ...American Road Services Company, the insurance claims component of Ford Motor Credit Company,... ...in supporting our dealer network and operations. American Road Services Company is seeking... ...investigations, salvage disposal, and fraud investigations. Perform loss prevention...OperationsClaimsFraudWork at officeImmediate startRelocationFlexible hoursNight shift
$186.49k - $278.88k
...Excellent working knowledge of phase I clinical operations, drug development, multi-region... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...OperationsClaimsFraudContract workTemporary workLocal areaFlexible hours$150.03k - $224.25k
...Summary The Associate Director, Quality Operations will lead initiatives that drive... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...OperationsClaimsFraudTemporary workLocal areaFlexible hours$22 - $28.84 per hour
...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...OperationsClaimsFraudHourly payFull timeWork experience placementWork at officeImmediate startFlexible hours$71.2k - $158.2k
...pertaining to the member, provider, and claim Create novel and standard insightful and... ...models for financial evaluations and fraud vulnerabilities Communicate with internal... ...requirements and subsequent functionality operations Communicating in writing how to use...OperationsClaimsFraudTemporary workWork experience placementFlexible hours- ...insurance payers. Analyze coding related claim issues, process gaps and denials to trend... ...and share best coding practices. Assist Operations when coding guidance is requested for existing... ...security. Investigate insurance fraud and report if found. Performs all other duties...OperationsClaimsFraudWork at office
$186.49k - $278.88k
...Management, the Director is responsible for the operational strategy and management of Otsuka... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... ...other application processing fee, even if claimed you will be reimbursed, this is not...OperationsClaimsFraudContract workTemporary workLocal areaFlexible hours$32 - $42 per hour
...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...OperationsClaimsFraudHourly payFull timeContract workWork experience placementImmediate startAll shiftsFlexible hoursWeekend work$146.96k - $219.65k
..., labeling, medical writing, regulatory operations, etc.) to develop global regulatory plans... ...). Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection... ...application processing fee, even if claimed you will be reimbursed, this is not...OperationsClaimsFraudTemporary workWork at officeLocal areaFlexible hours$169.22k - $253k
...analyze common pharmaceuticals data (e.g., claims) as well as novel data sets based on lab... ...Information Technology (OIT), Sales Operations, and Medical/Regulatory/Legal integrated... ...Request (****@*****.***). Fraud Warning Statement Regarding Job Recruiting...OperationsClaimsFraudTemporary workLocal areaRemote workFlexible hours$133.54k - $152.07k
...provisions of law, rules and regulations relating to the operation of the merit system of personnel administration for... ...insurance for State Employees, including claims management, risk management and fraud prevention.* As assigned, to execute a centralized and...OperationsClaimsFraudWork at officeMonday to FridayFlexible hours$27.88 - $37.02 per hour
...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...OperationsClaimsFraudHourly payFull timeWork experience placementImmediate startRelocation packageFlexible hours$27.88 - $37.02 per hour
...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...OperationsClaimsFraudHourly payFull timeWork experience placementImmediate startRelocation packageFlexible hours$31.73 - $42.31 per hour
...simultaneously performing Robot-as-a-Service (RaaS) AUV operations. About The Job We are seeking several Lead... ...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...OperationsClaimsFraudHourly payFull timeWork experience placementImmediate startRelocation packageFlexible hours$23.04 per hour
We are seeking a detailed-oriented Operations Specialist to oversee the heartbeat of our intake process. In this role, you will monitor and manage our fraud and claims inquiry queues, ensuring cases are accurately tracked, assigned, and resolved within strict Service Level...OperationsClaimsFraudHourly payPermanent employmentTemporary workWork experience placementShift work- ...Description As a Fraud Claims Sr. Specialist, you’ll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and...OperationsClaimsFraudWork at officeLocal areaShift work
- ...Foreclosure Claims Specialist Once foreclosure representative completes the foreclosure... ...include customer data and/or review for fraud/risk activities and/or perform... ...as assigned including trouble shooting operational issues. May serve as subject matter experts...OperationsClaimsFraudFull timeLocal areaShift work
$60.57 per hour
...------------------------- Job Offer Fraud Alert We take the security of our candidates... ...scams involving individuals falsely claiming to represent our company. Our company... ...would impose an undue hardship on the operation of our business. Visit our DE&I Page...OperationsClaimsFraudHourly payLocal areaMonday to FridayShift workNight shiftWeekend work$29.5 per hour
...------------------------- Job Offer Fraud Alert We take the security of our candidates... ...scams involving individuals falsely claiming to represent our company. Our company... ...would impose an undue hardship on the operation of our business. Visit our DE&I Page...OperationsClaimsFraudHourly payWork at officeLocal areaMonday to FridayShift workAfternoon shift$22 - $25 per hour
...Fraud Customer Support Sr. Specialist If you're a critical thinker, detail-oriented, and... ...resolution. Provide accurate complete claims processing, and records management using... ...Identification 45586 Job Category Servicing & Operations Degree Level High School Graduate/GED...OperationsClaimsFraudHourly payFull timeWork at officeLocal areaFlexible hoursShift workAfternoon shift- ...looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are...ClaimsFraudFlexible hours
$100k - $140k
...Ins Claims Specialist Medical Malpractice - Cranston, RI Insurance Claims Examiner Adjuster Specialist Professional Liability Medical... ...claims, and legal actions. • Identify and investigate possible fraud, subrogation, contribution, recovery, and case management opportunities...ClaimsFraudContract workImmediate startRemote workWork from homeRelocation package
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