Fraud Triage Specialist (Mobile)

Role Overview

This remote U.S.-based position is focused on helping protect the integrity and profitability of insurance, warranty, and mobile protection programs. The role centers on spotting suspicious behavior, reviewing claims for fraud risk, and using data and system tools to support stronger controls and better outcomes.

You will work in a fast-moving operational setting where accuracy, critical thinking, and investigative judgment matter every day. The job is highly collaborative and involves partnering with specialized investigation teams, supporting fraud prevention efforts, and contributing to process improvements that strengthen risk management.

This opening is being managed by a partner company, which will handle applications and the next stages of the hiring process.

What You'll Do

• Examine claims that show possible risk signals and perform detailed reviews to uncover fraud patterns or unusual activity.
• Work alongside Special Investigations Unit (SIU) investigators and assist with referrals, callbacks, and escalations when cases require additional review.
• Look into internal questions and provide clear, timely responses with accurate documentation for stakeholders and customers.
• Use data sources and information outside the core system to identify trends, emerging risks, and indicators of fraud.
• Follow fraud detection procedures, reporting expectations, and risk management rules across assigned queues.
• Spot repeated problem areas and raise them to leadership so corrective action and process changes can be taken.
• Help shape and improve fraud detection tools, workflows, and preventive measures.
• Join operational meetings, share feedback, and support performance alignment and process improvement efforts.
• Guide teammates on fraud handling practices and best approaches for reviewing cases.
• Carry out post-decision updates such as BOLOs, risk flags, and negative list entries in system databases.
• Maintain strong standards for productivity, quality, and accuracy in all claim reviews and fraud assessments.

What We're Looking For

• A high school diploma or GED is required; an associate degree or higher is preferred.
• At least 3 years of experience in customer service, claims, insurance, or a risk-focused environment.
• Solid analytical and problem-solving ability, including experience handling data or statistical analysis.
• Willingness and ability to obtain and keep an Insurance Adjuster License, including required coursework and continuing education.
• Comfort using Microsoft Word, Excel, and Outlook, plus the ability to navigate several systems and platforms.
• Strong written and verbal communication skills, with the ability to document findings clearly and present them effectively.
• Ability to assess complex situations and recommend actions that influence team and business results.
• Experience with multiple systems, databases, or risk tools is a strong advantage.
• Excellent attention to detail, organization, and ability to juggle competing priorities in a busy environment.
• Ability to work well with internal teams and outside stakeholders, including investigators and operational leaders.
• Exposure to insurance claims, fraud detection, or risk management is helpful.
• A current insurance adjuster license and mobile claims system experience are beneficial.

Benefits and Work Environment

• Hourly compensation ranges from $20.96 to $34.59, depending on experience and location.
• The role is fully remote anywhere within the United States.
• You will directly support fraud prevention and risk management initiatives.
• Hands-on exposure to claims systems, analytics tools, and investigative workflows.
• Opportunities to grow a career in insurance, fraud detection, and risk operations.
• A benefits package may include healthcare, retirement, and paid time off, subject to eligibility and employer policy.
• Training and continued professional development are provided.
• The work environment is collaborative, mission-driven, and focused on operational excellence and integrity.

Application and Hiring Process

The hiring partner uses an AI-assisted matching process to review applications against the role’s main requirements. The strongest matches are shortlisted and passed on to the employer, while interviews, assessments, and final decisions are handled by the company’s internal hiring team.

Data Privacy and AI Notice

By applying, you consent to your personal information being processed to assess your candidacy and share relevant details with the employer, in line with applicable privacy laws and legitimate recruitment purposes. The recruitment process may also use AI tools to help review applications, screen resumes, and flag possible inconsistencies, but human judgment remains part of the final decision-making process.

Additional Information

This role is not suitable for anyone who cannot obtain and maintain the required Insurance Adjuster License. Experience in mobile claims systems is a plus, and the position is intended for candidates based in the United States.