- JPMorgan Chase (Columbus, OH)
- Join our Claims & Disputes team as a Senior Product Associate , where your expertise in product development and optimization will not only make a significant ... and enjoy the benefits of continuous learning and career mobility. As a Senior Product Associate in the Claims & Disputes team, you contribute to the team by… more
- Citizens (Pittsburgh, PA)
- …a Fraud Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. ... + Review Claims - Responsible for reviewing claims filed by customers for fraud and...in the banking industry, including an understanding of banking operations , compliance, and customer service best practices. + Workflow… more
- Regions Bank (Hoover, AL)
- …the careers section of the system. **Job Description:** At Regions, the Financial Crimes Fraud Operations Processor performs a variety of operational tasks for a ... process or function within Fraud Operations . **Primary Responsibilities** + Receives and...Operations . **Primary Responsibilities** + Receives and reviews incoming claims , contacting appropriate resources as needed + Researches issues… 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
- JPMorgan Chase (Columbus, OH)
- …shape change initiatives and strategize resource allocation. As a Senior Product Portfolio Operations Associate in Fraud and Customer Protection Services, ... on the challenge of synchronizing efforts across diverse products and interpreting operations data for growth opportunities. Unleash your potential in a role that… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- …institutional, and high-net-worth (HNW) clients.** **Job Summary:** The Senior Wire Operations Associate will deliver high quality customer service and ... time sensitive operations environment. The Senior Wire Operations Associate will conduct all aspects of...status queues. The incumbent will also be responsible for fraud monitoring and investigation, working closely with internal and… 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...informed decisions. Additionally, you will partner with leaders across Fraud Operations , Risk, Product and Controls to… more
- Staffing Solutions Organization (Albany, NY)
- …and Dental Directors, Bureau of Medical Review is recruiting for Healthcare Program Associate to assist the Bureau in day-to-day operations for the Center ... Healthcare Program Associate Albany, NY, USA Req #944 Tuesday, September...medical equipment and services, policy development as well as fraud , waste, and abuse monitoring for the New York… more
- Walmart (Raleigh, NC)
- …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 (Springville, NY)
- …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 (Wintersville, OH)
- …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
- CareFirst (Baltimore, MD)
- …post-payment investigations. **ESSENTIAL FUNCTIONS:** + Review of medical records and claims . + Investigate potential fraud and over-utilization by performing ... with areas such as Medical Policy, Legal and Legislative Affairs, Claims Processing Areas, Customer Service Operations , Provider Representatives, Credentialing,… 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
- JPMorgan Chase (Columbus, OH)
- …data analysis skills in support of the Customer Claims & Disputes Journey. The Claims Disputes & Fraud Operations Product Analytics (CDFO) team is part ... of the Consumer & Community banking (CCB) Operations Analytics Team and is responsible for data and...Claims journey re-design. As a Quant Analyst Senior Associate within the CDFO Team, you will play a… more
- Liberty Latin America (PR)
- …achieve a sale quota. Have broad working knowledge of Liberty practices and operations and demonstrate continued and consistent proficiency in most of the skill sets ... + Answer customer/client requests or inquiries concerning services, products, billing, equipment, claims , and reports problem areas. + May be required to work in… more
- University of Washington (Seattle, WA)
- …inventing the future of medicine. This position reports to the Department Chair and Associate Dean of Administration and Operations and serves as the business ... jurisdictions. + Maintains a working knowledge of the department's financial operations , funding sources, policies, and procedures. + Understands and appropriately… 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
- Abbott (Abbott Park, IL)
- …health care professionals and reimbursement by government programs areas, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act), FDA regulation ... be expected to identify and resolve complex legal issues to support the operations of a global leader in the research, development, manufacturing, sales and… more
- Covenant Health Inc. (Knoxville, TN)
- …and rules. Topics include but are not limited to HIPPA, Medicare, Fraud and Abuse, Coding Requirements, Claims submission Process, Marketing Practices, ... growth and development to gain and share information regarding Health System operations . May be required to conduct training sessions as needed. + Participates… more
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