CrawlJobs Logo

Fraud & Claims Operations Representative

India, Hyderabad · Job Posted June 09, 2026
Apply Position
Job Link Share

Job Description

About this role: Wells Fargo is seeking a Fraud & Claims Operations Representative. In this role, you will: Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers to prevent fraudulent activity Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim Oversee multiple alert types, take appropriate action to decide the case using multiple systems and applications, and may contact third parties for research, as needed Receive direction from supervisor and escalate questions or issues Interact with immediate team and functional area on wider range of information, plus internal or external customers Required Qualifications: 1+ years of Customer Service experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education. Desired Qualifications: Minimum 1+ years’ experience in Fraud or Claims Management. Knowledge of Detection Operation Processes in Fraud & Claims Management Domain Knowledge of Fraud Life cycle for Debit, Credit card, AML, KYC Check, and Online Fraud products. Ability to work additional hours as needed Amenable to working in rotating shifts and weekends and holidays. Review and validate deposit transactions to detect and prevent fraud. Apply holds, restraints, and flags as required. Accurately categorize losses and assign accountability. Document findings in clear, concise, audit‑ready written narratives. Escalate suspicious patterns, discrepancies, or high‑risk scenarios. Support continuous improvement by sharing observations or control gaps. Fraud Alerts & Checks, detection, or prevention experience or banking financial operations experience Provide guidance to newer analysts and support knowledge transfer. Identify emerging fraud trends and contribute to procedural updates. Demonstrate strong decision judgment with reduced supervisory dependence. Strong communication, attention to detail and interpersonal skills. Ability to learn quickly and transfer knowledge effectively with minimal guidance. Flexibility to work rotational shifts, floating weekends, and extended hours when required. The employee is responsible for investigating and decisioning suspicious or potentially fraudulent deposit‑related activity across customer accounts. This role ensures accurate case handling, loss mitigation and regulatory adherence. Protecting both the customer and organization by identifying risk patterns, escalating anomalies, and applying appropriate account‑level controls. Job Expectations: Must be able to attend full duration of required training period Ability to work additional hours as needed Must work on-site at the location posted

Job Responsibility

  • Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers to prevent fraudulent activity
  • Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim
  • Oversee multiple alert types, take appropriate action to decide the case using multiple systems and applications, and may contact third parties for research, as needed
  • Receive direction from supervisor and escalate questions or issues
  • Interact with immediate team and functional area on wider range of information, plus internal or external customers

Requirements

  • 1+ years of Customer Service experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
  • Minimum 1+ years’ experience in Fraud or Claims Management
  • Knowledge of Detection Operation Processes in Fraud & Claims Management Domain
  • Knowledge of Fraud Life cycle for Debit, Credit card, AML, KYC Check, and Online Fraud products
  • Ability to work additional hours as needed
  • Amenable to working in rotating shifts and weekends and holidays
  • Review and validate deposit transactions to detect and prevent fraud
  • Apply holds, restraints, and flags as required
  • Accurately categorize losses and assign accountability
  • Document findings in clear, concise, audit‑ready written narratives
  • Escalate suspicious patterns, discrepancies, or high‑risk scenarios
  • Support continuous improvement by sharing observations or control gaps
  • Fraud Alerts & Checks, detection, or prevention experience or banking financial operations experience
  • Provide guidance to newer analysts and support knowledge transfer
  • Identify emerging fraud trends and contribute to procedural updates
  • Demonstrate strong decision judgment with reduced supervisory dependence
  • Strong communication, attention to detail and interpersonal skills
  • Ability to learn quickly and transfer knowledge effectively with minimal guidance
  • Flexibility to work rotational shifts, floating weekends, and extended hours when required
  • Must be able to attend full duration of required training period
  • Must work on-site at the location posted

Nice to have

  • Minimum 1+ years’ experience in Fraud or Claims Management
  • Knowledge of Detection Operation Processes in Fraud & Claims Management Domain
  • Knowledge of Fraud Life cycle for Debit, Credit card, AML, KYC Check, and Online Fraud products
  • Ability to work additional hours as needed
  • Amenable to working in rotating shifts and weekends and holidays
  • Review and validate deposit transactions to detect and prevent fraud
  • Apply holds, restraints, and flags as required
  • Accurately categorize losses and assign accountability
  • Document findings in clear, concise, audit‑ready written narratives
  • Escalate suspicious patterns, discrepancies, or high‑risk scenarios
  • Support continuous improvement by sharing observations or control gaps
  • Fraud Alerts & Checks, detection, or prevention experience or banking financial operations experience
  • Provide guidance to newer analysts and support knowledge transfer
  • Identify emerging fraud trends and contribute to procedural updates
  • Demonstrate strong decision judgment with reduced supervisory dependence
  • Strong communication, attention to detail and interpersonal skills
  • Ability to learn quickly and transfer knowledge effectively with minimal guidance
  • Flexibility to work rotational shifts, floating weekends, and extended hours when required

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Fraud & Claims Operations Representative

8 matching positions

Associate Fraud & Claims Operations Representative

Wells Fargo is seeking a Fraud & Claims Operations Representative for one of the...
Location
Location
Philippines , Taguig City
Salary
Salary:
Not provided
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 6 months of Customer Service experience in BPO Industry.
Job Responsibility
Job Responsibility
  • Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity
  • Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim
  • Oversee multiple claim types, take appropriate action to decision the case using multiple systems and applications, and may contact third parties for research, as needed
  • Receive direction from supervisor and escalate questions or issues
  • Interact with immediate team and functional area on wider range of information, plus internal or external customers
  • Fulltime
Read More
Arrow Right

Associate Fraud & Claims Operations Representative

Wells Fargo is seeking a Fraud & Claims Operations Representative for one of the...
Location
Location
Philippines , Taguig City
Salary
Salary:
Not provided
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 6 months of Customer Service experience in BPO Industry.
Job Responsibility
Job Responsibility
  • Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity
  • Perform moderately complex customer support tasks by utilizing solid communication, and verbal and written skills to establish rapport with customer and to deescalate difficult, as well as sensitive information as a part of resolving a claim
  • Oversee multiple claim types, take appropriate action to decision the case using multiple systems and applications, and may contact third parties for research, as needed
  • Receive direction from supervisor and escalate questions or issues
  • Interact with immediate team and functional area on wider range of information, plus internal or external customers
  • Fulltime
Read More
Arrow Right

Representative, Carrier Sales

The Carrier Sales Representative is responsible for booking and managing freight...
Location
Location
United States , Mendota Heights; Naperville
Salary
Salary:
65120.00 - 70000.00 USD / Year
kehe.com Logo
KeHE Distributors
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in Business, Logistics, Supply Chain Management, or related field required
  • 2+ years of experience in freight brokerage, logistics, or transportation sales
  • Excellent verbal and written communication skills
  • Strong negotiation and problem-solving abilities
  • Proven ability to manage multiple tasks concurrently and shifting priorities
  • Proficiency with Transportation Management Systems (TMS), CRM tools, and other transportation related software systems
  • Knowledge of FMCSA/DOT regulations and industry standards
  • Customer-focused mindset with the ability to build trust and rapport
  • Proficient in Microsoft Office Suite (Excel, Outlook, Word, PowerPoint)
  • Ability to remain calm under pressure and make decisions in real-time
Job Responsibility
Job Responsibility
  • Source and secure truckload capacity through carrier outreach and relationship building
  • Vet each driver or carrier’s ability to meet specific operational requirements including equipment type, timing, and hours of service
  • Negotiate competitive rates and service terms with carriers, ensuring profitability and reliability
  • Onboard new carriers, ensuring compliance with DOT, FMCSA, and company standards
  • Verify the authenticity of carrier representatives and business credentials to prevent double brokering, identity fraud, or other security and financial risks
  • Monitor carrier performance and resolve issues in collaboration with internal teams
  • Book and manage truckload shipments from pickup to delivery, ensuring all load requirements are communicated and met
  • Support load coordination including appointment scheduling, as needed
  • Track load status and proactively communicate updates or disruptions
  • Manage documentation including rate confirmations, bills of lading, proof of delivery, and carrier invoices
What we offer
What we offer
  • Health/Rx
  • Dental
  • Vision
  • Flexible and health spending accounts (FSA/HSA)
  • Supplemental life insurance
  • 401(k)
  • Paid time off
  • Paid sick time
  • Short term & long term disability coverage (STD/LTD)
  • Employee stock ownership (ESOP)
  • Fulltime
Read More
Arrow Right

Director, Payment Integrity

The Director, Payment Integrity provides strategic leadership and oversight for ...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10 years of experience in Payment Integrity, Special Investigation Unit, or healthcare anti-fraud
  • 7+ years of experience in management role
  • 2+ years of experience in Vendor Partner Oversight
  • contracting and vendor management of external payment vendors and/or audit firms
  • Demonstrated success in developing and executing enterprise-wide strategies
  • Bachelor's Degree in business, statistics, healthcare administration or related field of study
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment
  • Basic skill in word processing and presentation software
  • Intermediate proficiency in spreadsheet, statistical analysis, query / data mining, and business intelligence software
Job Responsibility
Job Responsibility
  • Develop and execute enterprise-wide Payment Integrity strategy aligned with organizational objectives and cost of care targets
  • Lead the design, implementation, and continuous improvement of payment integrity programs, including pre- and post-payment audits, recovery, and investigative functions
  • Establish and maintain governance structures, including cross-functional committees, to oversee payment integrity controls and policy development
  • Representing the organization in internal and external forums, collaborating with industry peers, regulatory bodies, and vendor partners to share best practices and drive innovation
  • Stay abreast of emerging trends, technologies, and regulatory shifts in the healthcare payment integrity space
  • Oversee day-to-day operations, ensuring timely, accurate, and compliant claims payment and recovery activities
  • Direct vendor management, including contracting, performance oversight, and strategic partnerships for payment integrity solutions
  • Drive automation and technology adoption to enhance payment integrity processes and reporting capabilities
  • Lead cost-benefit analyses to determine optimal resource allocation (internal vs. outsourced functions)
  • Set and monitor KPIs, SMART goals, and financial targets for payment integrity initiatives
  • Fulltime
Read More
Arrow Right

Risk, Control & Compliance Manager

The Risk, Control & Compliance Manager will lead and inspire the centre team, co...
Location
Location
Malaysia , Johor Bahru
Salary
Salary:
Not provided
https://www.ikea.com Logo
IKEA
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's or master's degree in occupational health/safety, Environmental Engineering or a related field
  • 10+ years of experience in a similar or compliance role in retail or related industries
  • Minimum 3+ years in managerial level
  • Experience with incident reporting and claims handling process with insurance company
  • Experience in managing FCC and security guards
  • Experience dealing with fire drills, system testing, and crisis management
  • Experience investigating fraud and unethical behaviours
  • Experience in setting and implementing long-term strategic plans, setting budgets, and following up goals
Job Responsibility
Job Responsibility
  • Lead and inspire the centre team, co-workers, and external security guard service to optimize safety, security, and compliance
  • Ensure business process compliance and standard operating procedures compliance
  • Identify safety & security hazards, process gaps and incorporate preventive, protective, and control measures
  • Define, establish, and implement operating procedures and standards
  • Ensure safety and security operating systems meet Ikano requirements and local legislation
  • Develop and implement operations guidelines, standards and procedures
  • Provide expertise on development of training materials for co-workers and external partners
  • Responsible for performance of outsourced security service providers
  • Ensure company standards are fulfilled in fire prevention, intrusion alarm, access control, video surveillance, safety systems
  • Lead risk topics regarding potential operational challenges
  • Fulltime
Read More
Arrow Right

Director, Payment Integrity

The Director, Payment Integrity provides strategic leadership and oversight for ...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10 years of experience in Payment Integrity, Special Investigation Unit, or healthcare anti-fraud
  • 7+ years of experience in management role
  • 2+ years of experience in Vendor Partner Oversight
  • contracting and vendor management of external payment vendors and/or audit firms
  • Demonstrated success in developing and executing enterprise-wide strategies
  • Bachelor's Degree in business, statistics, healthcare administration or related field of study
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment
  • Basic skill in word processing and presentation software
  • Intermediate proficiency in spreadsheet, statistical analysis, query / data mining, and business intelligence software
Job Responsibility
Job Responsibility
  • Develop and execute enterprise-wide Payment Integrity strategy aligned with organizational objectives and cost of care targets
  • Lead the design, implementation, and continuous improvement of payment integrity programs, including pre- and post-payment audits, recovery, and investigative functions
  • Establish and maintain governance structures, including cross-functional committees, to oversee payment integrity controls and policy development
  • Representing the organization in internal and external forums, collaborating with industry peers, regulatory bodies, and vendor partners to share best practices and drive innovation
  • Stay abreast of emerging trends, technologies, and regulatory shifts in the healthcare payment integrity space
  • Oversee day-to-day operations, ensuring timely, accurate, and compliant claims payment and recovery activities
  • Direct vendor management, including contracting, performance oversight, and strategic partnerships for payment integrity solutions
  • Drive automation and technology adoption to enhance payment integrity processes and reporting capabilities
  • Lead cost-benefit analyses to determine optimal resource allocation (internal vs. outsourced functions)
  • Set and monitor KPIs, SMART goals, and financial targets for payment integrity initiatives
  • Fulltime
Read More
Arrow Right
New

Senior Chef De Partie

As a senior Chef de Partie, your key responsibilities include preparing, cooking...
Location
Location
United Kingdom , Bournemouth
Salary
Salary:
34000.00 GBP / Year
aimbridgeemea.com Logo
Aimbridge Hospitality EMEA
Expiration Date
July 10, 2026
Flip Icon
Requirements
Requirements
  • great cooking skills and a deep understanding of different ingredients, flavors, and cooking techniques
  • ability to work well under pressure
  • ability to delegate tasks appropriately to team members
  • strong organisational skills to manage your section effectively
  • commitment to maintaining a clean and hygienic kitchen environment, including adherence to food safety regulations and proper use of kitchen equipment and cleaning products
  • an understanding of profit margins
Job Responsibility
Job Responsibility
  • preparing, cooking, and presenting dishes within your specialty
  • managing and training any chef or commis working with you
  • helping the operations manager to develop new dishes and menus
  • ensuring that you and your team maintain high standards of food hygiene and follow health and safety regulations
  • monitoring portion and waste control to maintain profit margins
What we offer
What we offer
  • Industry leading training and leadership development opportunities
  • Hotel discounts portfolio wide – Staff rates and up to 50% discount on food & beverage and spa
  • Access to Stream - Stream up to 40% pay as it is earned and set automatic savings to support your financial wellbeing
  • 24/7 access to our employee assistance programme
  • Career and lifestyle breaks – Allowing you to take time off for key life events
  • Uncapped incentives to reward you for your contributions
  • Flexible working opportunities
  • Minimum of 28 days holiday
  • Staff meals on duty
  • Access to hotel gym facilities
  • Fulltime
Read More
Arrow Right
New

Lead Iam Security Expert

We’re the world’s leading sports technology company, at the intersection between...
Location
Location
Austria , Wien
Salary
Salary:
Not provided
sportradar.com Logo
Sportradar
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 8–10+ years of experience in cybersecurity, with strong focus on data security, data governance, cloud security, or identity management
  • Strong knowledge of data classification models and data lifecycle management
  • Hands-on experience with DSPM concepts and tooling
  • Experience collaborating with enterprise IT / Corporate Systems and product teams
  • Deep understanding of identity governance and internal access control mechanisms
  • Strong understanding of risk management principles across cloud and on-prem environments
  • Proven experience leading teams or security programs, ideally within data-focused or governance-driven environments is a plus
  • Excellent communication and presentation skills, including executive-level reporting
  • Fluency in English
Job Responsibility
Job Responsibility
  • Lead a High-Performing Team
  • Data Security Strategy
  • DSPM Ownership
  • Data Leakage Prevention & Monitoring
  • Identity & Access Governance
  • Technical Program Leadership
  • Internal Advisory & Consulting
  • Governance & Executive Reporting
  • Risk Assessment & Mitigation
  • Cross-Functional Collaboration
What we offer
What we offer
  • A collaborative environment with colleagues from all over the world (Engineering offices in Europe, Asia and US)
  • Ability to shape your own workday and career via a clearly defined professional and personal development plan
  • Opportunity to work with senior leadership team and develop yourself within an inspiring and fast-growing company
  • Vibrant and inclusive community, including Women in Tech and Pride groups which welcome all participants
  • Flexible working hours
  • Fulltime
Read More
Arrow Right