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474 Claims Adjuster jobs in Attleboro,MA

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Senior Workers Compensation Claims Adjuster - PA, NJ, DE

Gallagher Bassett

Quincy, MA 02171

RemoteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

Minimum of 5 years related claims experience
Jurisdictional Experience: PA, NJ, DE
Appropriately licensed and/or certified in all states in which claims are being handled
Knowledge of accepted industry standards and practices
Computer experience with related claims and business software
High School Diploma
Active Adjusters' Licenses: DE

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Claims Specialist

Liberty Mutual Insurance

Boston, MA 02108

New, Posted 10 hours ago

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Billing Specialist (FT - Work From Home)

Palomar Health Medical Group

Attleboro, MA 02703

Remote

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Manager, Claims & Fraud Operations

Santander Holdings USA

Providence, RI 02903

~ 16 min Onsite

Data-Driven Decision Making
Strong analytical, reporting, and risk assessment skills.
Key Competencies
Crisis & Escalation Management
Certifications
Knowledge of fraud detection systems, payment processing systems, and operational back-end platforms.
Demonstrated experience managing high-volume investigative teams.
Loss Mitigation & Recovery Strategy
Strategic Fraud Risk Management
Proven ability to influence cross-functional stakeholders and drive change.
Partner with Lines of Business, Operations, Technology, Legal, and Compliance to implement fraud prevention enhancements.
Ensure proper documentation and governance of fraud detection systems and operational procedures.
No Certifications listed for this job.
Drive statistical trend analysis and process optimization initiatives.
Cross-Functional & External Partnership
Strong working knowledge of BSA requirements, SAR referral standards, and regulatory expectations.
Support evaluation of new systems and applications impacting fraud detection and claims management.
Oversee refinement and testing of fraud system controls to detect and prevent evolving threats.
Regulatory Judgment & Escalation Discipline
Cross-Functional Influence
Quality Assurance & Audit Readiness
Identify control gaps and lead remediation efforts.
Serve as primary liaison with Law Enforcement, regulatory agencies, and peer banks when appropriate.
5+ Years Banking experience preferably in operations and/or fraud prevention.
Act as subject matter expert in claims insights, fraud risk trends, and operational readiness for new initiatives.
Controls, Systems & Continuous Improvement
Operational Leadership & Coaching
Bachelor's Degree or equivalent work experience - Required.
Excellent written and verbal communication skills.
Experience working with law enforcement and supporting litigation or prosecution cases.