Fraud & Claims Operations

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 fraud