Fraud Triage Specialist – Mobile

Assurant

Fraud Triage Specialist researching risky insurance claims and fraud indicators for Assurant. Updating risk lists, supporting investigators, and improving claims compliance.

Posted 8/21/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $21 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in fraud detection and risk management, with strong analytical skills for data and statistical analysis. Proficient in communication and customer service, ensuring compliance with reporting requirements and effective collaboration with team members.

Highest-signal resume keywords

Fraud DetectionRisk ManagementInsurance Adjuster LicenseData AnalysisMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Fraud DetectionData AnalysisStatistical AnalysisProblem SolvingDocumentation Skills

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal SkillsTeamworkCustomer Service

Tools & Technologies

Microsoft WordMicrosoft ExcelAssurant SystemsEPrismVendor Systems

Certifications & Qualifications

Insurance Adjuster License

Industry Keywords

Claims ProcessingRisk IssuesFraud ReferralsComplianceReporting Procedures

About the role

Key responsibilities & impact

Research and process claims with Risk Issues.
Collaborate with SIU investigators and perform suspected fraud referrals and callbacks as needed.
Research and respond to inquiries from internal clients.
Document claim files to ensure accurate and timely communication with end customers.
Meet or exceed productivity and quality standards for claim reviews.
Identify risk, fraud, and compliance issues and participate in implementing tools and processes to minimize or eliminate them.
Recognize consistent problem areas and report them to higher level for action.
Perform specialized fraud detection and prevention functions.
Follow standard reporting procedures and Risk Management policies to ensure compliance with reporting requirements.
Participate in scheduled meetings and calls with the Operations Management Team.
Provide fraud detection guidance to other team members as needed.
Perform post-decision tasks, including documenting BOLOs and updating negative lists.
Set examples for behavioral expectations including attendance, teamwork, and organizational contributions.
Work Monday through Friday from 1:00pm to 10:00pm EST.

Requirements

What you’ll need

High School diploma, GED or higher.
3+ years of experience in a customer service environment.
Ability to attend and pass the required Insurance Adjuster License courses.
Ability to maintain continuing education requirements necessary to maintain required Licenses.
Analytical skills including experience with data and statistical analysis.
Proficient in Microsoft Word, Excel, and other Office applications.
Ability to work in multi system/functional environment requiring the use of various systems and tools (e.g.: Assurant systems, vendor systems, GRM, risk management reports, specialized websites/portals).
Excellent verbal and written communication skills, interpersonal and customer service skills.
Demonstrates strong internal and external communication to drive improved performance.
Ability to effectively relay accurate and detailed information to various parties via telephone calls, written communication, in team meetings, and training sessions.
Able to apply problem solving skills on complex issues for researching and resolving exception items that have been initiated via various channels.
Ability to analyze problems and make recommendations that impact the team and business.
2-year degree or equivalent experience.
Current Insurance Adjuster License.
Experience with ePrism and Assurant Mobile Claims.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Assurant Website LinkedIn All Job Openings 10,000+ employees Founded 1892 💼 Consulting 📦 Logistics 💸 Finance 💰 Post-IPO Debt on 2023-02 Consulting
Logistics
Finance Assurant is a global company specializing in providing consumer-centric support and protection services. With a presence in over 21 countries across regions like North America, Europe, Latin America, and Asia-Pacific, Assurant helps over 300 million consumers through services like technology protection, claims resolution, and financial services. The company emphasizes innovation, remote work opportunities, and global collaboration, with teams skilled in technology, claims, customer service, and finance. Assurant offers a competitive benefits package and is committed to equal employment opportunities and work-life balance. Fraud Triage Specialist – Mobile 🔥 1 minute ago 🇺🇸 United States – Remote 💵 $20 - $34 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Fraud Specialist 🦅 H1B Visa Sponsor 👻 Ghost score 0% Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Research and process claims with Risk Issues.
Collaborate with SIU investigators and perform suspected fraud referrals and callbacks as needed.
Research and respond to inquiries from internal clients.
Document claim files to ensure accurate and timely communication with end customers.
Meet or exceed productivity and quality standards for claim reviews.
Identify risk, fraud, and compliance issues and participate in implementing tools and processes to minimize or eliminate them.
Recognize consistent problem areas and report them to higher level for action.
Perform specialized fraud detection and prevention functions.
Follow standard reporting procedures and Risk Management policies to ensure compliance with reporting requirements.
Participate in scheduled meetings and calls with the Operations Management Team.
Provide fraud detection guidance to other team members as needed.
Perform post-decision tasks, including documenting BOLOs and updating negative lists.
Set examples for behavioral expectations including attendance, teamwork, and organizational contributions.
Work Monday through Friday from 1:00pm to 10:00pm EST. 🎯 Requirements
High School diploma, GED or higher.
3+ years of experience in a customer service environment.
Ability to attend and pass the required Insurance Adjuster License courses.
Ability to maintain continuing education requirements necessary to maintain required Licenses.
Analytical skills including experience with data and statistical analysis.
Proficient in Microsoft Word, Excel, and other Office applications.
Ability to work in multi system/functional environment requiring the use of various systems and tools (e.g.: Assurant systems, vendor systems, GRM, risk management reports, specialized websites/portals).
Excellent verbal and written communication skills, interpersonal and customer service skills.
Demonstrates strong internal and external communication to drive improved performance.
Ability to effectively relay accurate and detailed information to various parties via telephone calls, written communication, in team meetings, and training sessions.
Able to apply problem solving skills on complex issues for researching and resolving exception items that have been initiated via various channels.
Ability to analyze problems and make recommendations that impact the team and business.
2-year degree or equivalent experience.
Current Insurance Adjuster License.
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