- Santander US (Austin, TX)
- Sr. Specialist, Claims & Fraud Operations Santander Consumer, United States of America USA Job Function Description: Responsible for the day-to-day ... in the financial service industry or similar environment, such as Customer Service, Operations , or Fraud Prevention. Skills and Abilities: + Working knowledge of… more
- Regions Bank (Nashville, TN)
- …+ Independent self-starter + Strong data and analytics capabilities + Experience with fraud claims from intake to final decision + Understanding of Compelling ... into the careers section of the system. **Job Description:** At Regions, the Fraud Strategy Analyst performs analysis and interpretation of fraud -based threats… more
- JPMorgan Chase (Elgin, IL)
- …client experiences and foster enduring relationships with both colleagues and clients. As a Fraud Associate with JPMorgan Chase, you will be a part of the ... Fraud Prevention Operations Leadership Group including Specialists...support client escalations related to spending interruptions and addressing fraud claims that impact program performance by… more
- Regions Bank (Hoover, AL)
- …**Job Description:** At Regions, the Financial Crimes Fraud Specialist monitors fraud prevention reports and/or reviews and resolves claims to address ... or other bank products + Identifies valid and fraudulent charges, sets up fraud files, uses multiple research techniques to resolve issues, reconciles and summarizes… more
- Humana (Indianapolis, IN)
- …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...closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the… more
- JPMorgan Chase (Wilmington, DE)
- … & Customer Protection Services (FCPS) Operations organization. FCPS consists of Fraud Prevention and Claims & Dispute Call Centers and Back office functions ... domestic and international locations. As a Senior Analytics Solutions Associate in our Fraud Prevention team, you...and decision quality. You will collaborate with leaders across Fraud Operations , Risk, Product and Controls to… more
- Wells Fargo (Charlotte, NC)
- …**Desired Qualifications:** + 6+ months of Agency or LOB complaints experience + Non- fraud / fraud claims experience + Familiarity with investigations case ... in you. Apply today. **About this role:** Wells Fargo is seeking an Escalations Associate . **In this role, you will:** + Research and resolve escalated inquiries and… more
- Delek US Holdings (Brentwood, TN)
- Associate General Counsel Location: Brentwood, TN, US, 37027 Are you looking for a career in a dynamic and innovative company that values versatility, growth, and ... career in a supportive and innovative environment. **JOB SUMMARY** As an Associate General Counsel, you will provide comprehensive legal support across various areas… more
- Walmart (Columbus, OH)
- …training. Determines training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and procedures ... and collaborating with all levels of associates regarding store operations , utilizing technology, business initiatives, merchandising, and company direction;… more
- Walmart (El Paso, TX)
- …versustraining. Determines training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations , utilizing technology, business initiatives,merchandising, and company direction; introducing… more
- University of Utah Health (Salt Lake City, UT)
- …University of Utah Health, Hospitals and Clinics, is seeking an experienced new Associate Executive Director for Revenue Cycle! The Associate Executive Director, ... This roleensures seamless management of patient billing, insurance verification, claims processing, collections, health information, denials management and others.The… more
- Walmart (Shreveport, LA)
- …training needs; and developing and delivering the training where needed. Manages claims and receiving operations by ensuring proper policies and procedures ... violations of company policies and criminal activities by investigating alleged fraud and other alleged illegal activities; conducting investigations relating to the… more
- Walmart (Santa Fe, NM)
- …training needs; and developing and delivering the training where needed. Manages claims and receiving operations by ensuring proper policies and procedures ... violations of company policies and criminal activities by investigating alleged fraud and other alleged illegal activities; conducting investigations relating to the… more
- Nuvance Health (Danbury, CT)
- *Description* *Summary:* Reporting to the Chief Legal Officer (CLO) or to a Senior Associate General Counsel (SAGC) designated by the CLO, the AGC is responsible for ... counsel to internal clients regarding all aspects of hospital operations . The AGC will also have responsibilities related to...state health care law, with a particular emphasis on fraud and abuse (Stark Law, Anti-Kickback Statute, and Civil… more
- CareFirst (Columbia, 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
- Walmart (Brundidge, AL)
- …Consults on complex claims and settlements. Designs preventative claims management processes (for example, associate engagement efforts, return-to-work ... or More Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional;… more
- AIG (Atlanta, GA)
- …changes to laws and regulations regarding fraud matters and report to the claims team on those matters. + Assist Associate General Counsel in reviewing ... risk managers and customer's in-house counsel to negotiate and draft claims service agreements for large commercial risks with complex workers' compensation,… more
- Maryland Department of Transportation (Anne Arundel County, MD)
- …due to a permanent disability and investigating complaints of abuse and/or fraud regarding these reserved spaces + Being thoroughly knowledgeable with the ... witness when subpoenaed or requested by a competent authority + Investigating fraud involving the issuance of driver's licenses, identification cards and vehicle… more
- Oregon Lottery (Salem, OR)
- …marketing and media. You will also process prize claims and resolve problem claims while remaining alert for attempted fraud . You will collect debt setoffs ... a culture of safety + Process walk-in and mail-in claims from players. Create celebratory winner experience with the...taking photos for use in marketing. + Perform daily operations of the claim center. Daily claim and check… more
- MAPFRE Insurance (Webster, MA)
- …Ensure timely and comprehensive responses to complaints with supervisory oversight. + Fraud Identification - Identify potentially fraudulent claims for transfer ... Claim Rep, you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining coverage exposures, and… more
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