- GAF (Parsippany, NJ)
- …roof, we protect what matters most. Team or Function Overview The Residential Warranty Claims Examiner position is a critical member of our Residential Warranty ... Warranty Claims Supervisor for Enhanced Warranties. The Residential Warranty Claims Examiner will be responsible for overseeing their assigned warranty… more
- Health Advocates Network (Folsom, CA)
- …Length: 13 weeks** **Job Summary: ** Responsible for researching and resolving claim denials, ADR requests, and certs, submitting and tracking appeals, noting ... ICD 10 coding requirements with emphasis on modifiers and diagnosis association. + Certified coder or currently enrolled in a coding program + Working knowledge of… more
- Johns Hopkins University (Miami, FL)
- …+ Experience in Occupational Medicine, Workers' Compensation, and DOT exams. + DOT Medical Examiner . + Certified Urine Drug Screen Collector . + Certified ... plan health and wellness events and initiatives + Manage workers' compensation claims + Expand clinic services and reach. + Provide crisis management/intervention,… more
- McAfee, Inc. (San Jose, CA)
- …(Signifyd, Sift, Kount, Verifi, Ethoca, Chargeback Gurus, etc.). * Relevant certifications (eg, Certified Fraud Examiner , Certified Risk Manager) are a plus ... to find areas for improvement to reduce first-party misuse and fraud claims . Manage multiple projects focused on preventing disputes and first-party misuse fraud… more
- Akumin (New York, NY)
- …Privacy Professional (CIPP), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), Certified Professional Compliance Officer ... and state laws and regulations, including but not limited to: The False Claims Act, The Anti-Kickback Statute, The Civil Monetary Penalties Law, The Stark Law,… more
- Highmark Health (Dover, DE)
- …**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more
- New York State Civil Service (Schenectady, NY)
- NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #2361 Occupational Category No Preference Salary Grade 14 Bargaining ... transfer in accordance with 70.1 or 52.6 of the Civil Service Law.ORIndividuals certified eligible for the 55b/c program under the Governor's Program to Hire… more
- Interior, Bureau of Indian Affairs (Aberdeen, SD)
- …addition of a land transaction(s). Use this information to prepare a certified chain of title within established performance timeframe. Record administrative changes ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- Wells Fargo (Wilmington, DE)
- …+ Ability to learn and assimilate information from multiple people and sources + Certified Fraud Examiner (CFE) **Job Expectations:** + This position is not ... Wells Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO).… more
- State of Georgia (Fulton County, GA)
- … and/or claims data. . Certification as a CPA or a CFE ( Certified Fraud Examiner ). Additional Information: A criminal background check is completed on all ... an accounting degree as well as auditing experience, medical claims and/or claims data. Certification as a... data. Certification as a CPA or a CFE ( Certified Fraud Examiner ) is a plus. Additional… more
- First Student (West Coxsackie, NY)
- …Currently possess a valid CDL B with School and Passenger endorsements * 19A certified Examiner and SBDI certification preferred * Good verbal and written ... with Microsoft Word, Excel, and Outlook * Experience dealing with collision and injury claims a plus * Prior School Bus Driver experience preferred * Subject to DOT… more
- Fallon Health (Worcester, MA)
- …+ Additional certification applicable to this work is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other ... to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of...appropriateness of billing and reimbursement Documents findings for each claim line Summarize findings in a written report Abstracts… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …as a certified Medical Review Officer and Commercial Driver. Certified Medical Examiner . Experience in supervising employees. Reference: VA Regulations, ... academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Molina Healthcare (KY)
- … Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all current ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Walmart (Brundidge, AL)
- …qualifications. 1 or More Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
- Sharp HealthCare (San Diego, CA)
- …Health Care Compliance Association (HCCA) -PREFERRED **Other Qualification Requirements** + Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud ... Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree; Certified in Healthcare Compliance (CHC) - Health Care Compliance Association (HCCA)… more
- The Cigna Group (Bloomfield, CT)
- …Excel, Access and Word. + Accredited Health Care Fraud Investigator (AHFI) certification and Certified Fraud Examiner (CFE) preferred. If you will be working at ... for conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring complex investigative and analytic… more
- CVS Health (Wellesley, MA)
- …Minimum 3+ years in a leadership role. + Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) ... investigation, or auditing + In-depth knowledge of healthcare systems, claims processing, and regulatory requirements related to healthcare fraud. **Preferred… more
- Guidehouse (New York, NY)
- …or enforcement agency. + Familiarity with case management tools. + Certified Fraud Examiner (CFE) or forensic accounting/financial investigations background. ... datasets. + Analyze and interpret historical healthcare data related to claims , reimbursement, financial, clinical, and/or operations to identify risks, compliance… more
- City of Bellingham (Bellingham, WA)
- Police Officer (BLEA Certified ) Print (https://www.governmentjobs.com/careers/cobwa/jobs/newprint/4309507) Apply Police Officer (BLEA Certified ) Salary ... is actively seeking qualified applicants for the position of certified Police Officer. Why work for the Bellingham Police...is represented by a union. If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring… more