CrawlJobs Logo

Lead Fraud & Claims Operations Representative

https://www.wellsfargo.com/ Logo

Wells Fargo

Location Icon

Location:
India , Bengaluru

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided
Save Job
Save Icon
Job offer has expired

Job Description:

Wells Fargo is seeking a Lead Fraud & Claims Operations Representative.

Job Responsibility:

  • Support performance and overall effectiveness of team as well as cross-group operational tasks
  • Proactively provide feedback and present ideas for improving or implementing processes and tools with efficient flow of fraud and claims operations
  • Perform or guide others on complex account activity and claims that can include high risk and high dollar transactions requiring research that involves multiple transaction channels and products
  • Independently prioritize work and provide day-to-day work leadership and mentorship for fraud and claims team
  • Contribute in resolving control deficiencies in bank processes, procedures, customer, or team decisions that require coordination among cross-functional teams
  • Provide guidance and subject matter expertise to less experienced staff in complex situations on wide range of information related to fraud and claims

Requirements:

2+ years of customer service, financial services, fraud, or investigations experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education.

Additional Information:

Job Posted:
February 18, 2026

Expiration:
February 24, 2026

Employment Type:
Fulltime
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Lead Fraud & Claims Operations Representative

Fraud & Claims Operations Representative

Wells Fargo is seeking a Fraud & Claims Operations Representative to review acco...
Location
Location
Philippines , Taguig City
Salary
Salary:
Not provided
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
March 15, 2026
Flip Icon
Requirements
Requirements
  • 6+ months of customer service experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
Job Responsibility
Job Responsibility
  • Support and capture all pertinent information from customers about their claims
  • Conduct research and provide updates on status of new and existing claims
  • Identify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claim
  • Perform routine customer support tasks by maintaining balance between exceptional customer service and solid investigative research while answering incoming calls in a call center environment
  • Receive direction from team lead and escalate questions and issues to more experienced roles
  • Interact with colleagues on basic day-to-day issues, and network with supporting functional areas to create a seamless experience for the customers
  • 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

Learning Support Assistant

Teaching Assistants were created because teachers need hero's too... are you tha...
Location
Location
United Kingdom , Lingfield
Salary
Salary:
20889.00 - 23001.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 10, 2026
Flip Icon
Requirements
Requirements
  • Teaching Assistant Qualification (desirable not essential)
  • Relevant teaching Assistant/ LSA experience (Must be able to provide references)
  • Eligibility to work in the UK
Job Responsibility
Job Responsibility
  • Supporting KS2 and 3 learners on a 1:1, small group, and whole class basis
  • Supporting SEN learners in KS2 and 3
What we offer
What we offer
  • Accessible Public transport links
  • Free onsite parking
  • Permanent position
  • Term time only
  • Top of the range technology and resources
  • Supportive Senior leadership
  • Brilliant career progression opportunities
Read More
Arrow Right
New

Classroom Support Assistant

Make Learning Shine: Classroom Support Assistant - Make a Real Difference! Are y...
Location
Location
United Kingdom , Lingfield
Salary
Salary:
19366.00 - 23389.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 10, 2026
Flip Icon
Requirements
Requirements
  • GCSEs in Maths and English (or equivalent)
  • Eligibility to work in the UK
  • Teaching Assistant Qualification and relevant experience supporting children with Special Educational Needs (SEN) are highly desirable
Job Responsibility
Job Responsibility
  • Providing essential 1:1 support to students, tailoring your approach to their individual needs
  • Facilitating engaging learning within small groups, fostering collaboration and progress
  • Assisting effectively in whole-class settings, ensuring every student has the support they need
  • Specialising in supporting learners with severe and complex needs, helping them overcome challenges and celebrate achievements
  • Collaborating closely with the class teacher to achieve learning objectives and create an inclusive classroom
What we offer
What we offer
  • A supportive and rewarding work environment where your contributions are truly valued
  • Excellent benefits designed to enhance your work-life balance
  • Accessible public transport links and free on-site parking for an easy commute
  • Discounted childcare to support your family needs
  • On-site training to continuously develop your skills and expertise
  • Bright and spacious classrooms equipped with top-of-the-range resources and technology
  • A highly supportive Senior Leadership Team committed to your success
  • Free tea, cakes, and biscuits in our modern staff room
  • Dedicated time allocated during your workday to pursue professional development, such as HLTA (Higher Level Teaching Assistant) or even Qualified Teacher Status
Read More
Arrow Right
New

Learning Support Worker

Do you want a role where every day makes a difference? We are recruiting a compa...
Location
Location
United Kingdom , Lingfield
Salary
Salary:
20000.00 - 23500.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 13, 2026
Flip Icon
Requirements
Requirements
  • Empathetic and patient
  • Reliable and committed
  • Experienced in SEN settings (desirable)
Job Responsibility
Job Responsibility
  • Supporting learners academically and emotionally
  • Encouraging confidence and independence
  • Assisting with personal care where required
  • Working closely with teaching staff to adapt learning materials
  • Fulltime
Read More
Arrow Right
New

Classroom Support Assistant

This is a fabulous opportunity for a Classroom Support Assistant that enjoys wor...
Location
Location
United Kingdom , Lingfield
Salary
Salary:
18988.00 - 23366.00 GBP / Year
https://www.randstad.com Logo
Randstad
Expiration Date
March 10, 2026
Flip Icon
Requirements
Requirements
  • Teaching Assistant Qualification (desirable but not essential)
  • Relevant teaching Assistant and SEN experience (desirable)
  • GCSE Maths and English or equivalent
  • Eligibility to work in the UK
Job Responsibility
Job Responsibility
  • Supporting learners on a 1:1, small group and whole class basis
  • Supporting learners with severe and complex needs
  • Working with the teacher to support the learning objectives
What we offer
What we offer
  • Accessible Public transport links
  • free parking available
  • Ready supply of tea, cakes and biscuits in the modern and spacious staff room
  • Discounted childcare available
  • On-site training
  • Bright and spacious classrooms with top of the range resources and technology
  • Supportive Senior leadership
Read More
Arrow Right