Fraud Triage Specialist (Mobile)

Assurant is hiring a remote Fraud Triage Specialist (Mobile) to support fraud detection and prevention within its Connected Living organization.

The Fraud Triage Specialist plays an important role in protecting the profitability of Assurant’s insurance, benefit, and warranty programs. This position processes claims involving risk issues, researches potential fraud indicators, maintains Known Risk lists, and works with colleagues on fraud detection matters.

The position also identifies potential risk through analysis and the use of off-system data sets.

Schedule

• Monday-Friday
• 1:00 PM-10:00 PM EST

Duties & Responsibilities

• Research and process claims with identified risk issues.
• Collaborate with SIU investigators.
• Perform suspected fraud referrals and callbacks as needed.
• Research and respond to inquiries from internal clients.
• Document claim files to support accurate and timely communication with customers.
• Meet or exceed productivity and quality standards for claim reviews.
• Assist in identifying risk, fraud, and compliance issues.
• Participate in implementing tools and processes designed to minimize or eliminate identified issues.
• Recognize consistent problem areas and report them to higher-level team members for action.
• Perform specialized functions related to fraud detection and prevention.
• Follow Risk Management reporting procedures and policies.
• Ensure compliance with required reporting requirements.
• Participate in regularly scheduled meetings and calls with the Operations Management Team.
• Provide feedback regarding team and business performance.
• Assist with procedural or systematic changes when necessary.
• Provide fraud detection guidance to other team members as needed.
• Perform required post-decision tasks, including documenting BOLOs and updating negative lists.
• Demonstrate strong attendance, teamwork, and organizational contributions.

Required Qualifications

• High School Diploma, GED, or higher.
• 3+ years of experience in a customer service environment.
• Ability to attend and successfully complete required Insurance Adjuster License courses.
• Ability to maintain continuing education requirements necessary for required licenses.
• Analytical skills, including experience with data and statistical analysis.
• Proficiency with Microsoft Word, Excel, and other Microsoft Office applications.
• Ability to work in a multi-system and multi-functional environment.
• Ability to use multiple systems and tools, including Assurant systems, vendor systems, GRM, risk management reports, and specialized websites or portals.
• Excellent verbal and written communication skills.
• Strong interpersonal and customer service skills.
• Ability to effectively communicate accurate and detailed information by telephone, written communication, team meetings, and training sessions.
• Strong problem-solving skills.
• Ability to research and resolve complex exception items originating through various channels.
• Ability to analyze problems and make recommendations that impact the team and business.

Preferred Qualifications

• 2-year degree or equivalent experience.
• Current Insurance Adjuster License.
• Experience with ePrism and Assurant Mobile Claims.

Compensation

$20.96-$34.59 per hour.

Actual compensation may vary based on factors including the candidate’s background, experience, work location, and opportunities for salary growth within the position.

Application Information

If no application deadline is provided, the position may be a pipeline requisition with applications collected on an ongoing basis.

Assurant requires virtual interviews to be conducted on video.

Employment is contingent upon successful completion of Assurant’s identity verification process, which may include biometric technology where permitted by law.

About Assurant

Assurant is a Fortune 500 global business services company that supports, protects, and connects major consumer purchases.

The company operates in 21 countries and partners with major brands to provide solutions including mobile device protection, extended service contracts, vehicle protection, renters insurance, lender-placed insurance, and other specialty products.