- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Senior Manager in Consumer & Small Business Banking providing coverage for the ... ensure proactive identification, prevention, detection, investigation and/or reporting of fraud and claims activity + Engage and...allocation of people and financial resources for Frauds and Claims Operations + Develop and guide a… more
- Bank of America (Phoenix, AZ)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... these risks + Collaboration: Collaborate with various departments, including compliance, fraud investigations, and operations , to ensure effective coordination… more
- Bank of America (Phoenix, AZ)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... the production of product performance reports and updates for senior management **LOB Specific Information** **:** This job is...causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... who will oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to… more
- Fallon Health (Worcester, MA)
- …in the healthcare industry. **Experience:** + Advanced knowledge of FWA operations , fraud investigation and/or detection and analysis, and laws/regulations ... summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical...to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of… more
- Wells Fargo (Roanoke, VA)
- …a culture of service and efficiency. + Comprehensive knowledge of Fraud Operations organizational structures, functional roles, and corresponding capabilities ... consultants, and this team will contribute to broad Consumer Operations strategies with a One Wells Fargo lens by...fraud activity + Collaborate with and influence immediate fraud and claims management colleagues, card partners,… more
- Truist (Charlotte, NC)
- …which support fraud management practices, and the operational execution of claims handling, alerts management, and investigations of fraud and suspect ... for the overall planning, administration, coordination and general management of Fraud and Transaction Services functions. Leads the oversight and end-to-end… more
- Bank of America (Newark, DE)
- …metrics to identify root causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪ Proven strong ... Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano,...the production of product performance reports and updates for senior management LOB Job Description: As a Client Protection… more
- OneMain Financial (Baltimore, MD)
- … Fraud Challenge o Ability to discuss feasibility and appropriateness of high dollar Fraud claims with Customers o Ability to differentiate Fraud types ... ** Claims Analyst/ Investigator** . Excited to grow your...a fast-paced and high-volume environment to support and assist Fraud Managers and Senior Investigators in detecting… more
- Axis (New York, NY)
- …other departments and stakeholders (eg, Legal & Compliance, Internal Audit, Finance, North America Claims and Claims Operations etc.) to ensure that Quality ... upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist, Claims Shared Services- Job Description AXIS is… more
- DXC Technology (Baton Rouge, LA)
- …excellence for our customers and colleagues at DXC.com. This position is a for a Senior Business Analyst to join our Assure Claims Delivery team and work ... (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and… more
- Catholic Health Services (Melville, NY)
- …Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or ... will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/ Claims program. Is competent to work on all phases of Epic Resolute… more
- CareFirst (Baltimore, MD)
- …offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical ... the detection, investigation, and resolution of all levels (low to complex), of fraud , waste, and abuse schemes, resulting in the savings and recovery of funds.… more
- Wells Fargo (Charlotte, NC)
- …+ 2+ years of experience with streamlining and automating processes + 1+ years of fraud & claims operations experience + Knowledge and understanding of ... a Senior Business Execution Consultant for the Fraud & Claims Management Contact Strategy and...above. Other core locations within the Wells Fargo Consumer Operations , Fraud & Claims Management… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …all clients benefit documentation into an internal source document and work with IT and Operations to ensure claims are properly coded into the claims ... into an internal source document. Primary Responsibilities + The Senior Benefits Analyst's job responsibilities include, but are not...benefits and plan rules, as well as ensure internal claims system is correctly adjudicating claims . +… more
- Wellpath (Nashville, TN)
- …world, one patient at a time. **How you make a difference** The Senior Vice President, Associate General Counsel, Risk Management and Litigation provides strategic ... insights, and substantive expertise in managing a diverse range of professional liability claims . Reporting to the Chief Legal Officer, this role oversees the … more
- Tennessee Valley Authority (Chattanooga, TN)
- Program Manager, Fuel Assurance Field Inspector Senior - 517416 Job ID:517416Location:CHATTANOOGA, TNRegular/Temporary:Regular External - Posting Description Program ... Manager, Fuel Assurance Field Inspector Senior - 517416 Organization: Chief Operating... - 517416 Organization: Chief Operating Officer Department: Power Operations This is a Hybrid position based at Chattanooga… more
- Walmart (Bentonville, AR)
- …What you'll do **Position Overview:** The Supply Chain Asset Protection Divisional ** Senior Manager** of Grocery Automation will play a critical role in overseeing ... including inventory, equipment, and facilities. Implement strategies to prevent theft, fraud , and other security risks. + **Compliance:** Ensure all operations… more
- ICW Group (Sacramento, CA)
- …The purpose of this job is to detect, prevent, and investigate suspected fraudulent claims for all lines of insurance, with heavy emphasis on Workers' Compensation ... claims . This position exists in order to protect company...in order to protect company assets and deter insurance fraud . **ESSENTIAL DUTIES AND RESPONSIBILITIES** Detects and investigates suspected… more
- Deloitte (Sacramento, CA)
- …Infrastructure and Capital Projects practice. We are seeking individuals at the Senior Consultant level to join our Infrastructure & Capital Projects practice. ... across many different industries and with colleagues from around the globe. As a Senior Consultant in our practice, you will: + Provide expert guidance to clients on… more