- Conduent (Guaynabo, PR)
- …account data, and internal tools; escalate complex cases as needed. + Process fraud claims and disputes per client guidelines. + Clearly explain account ... where individuality is noticed and valued every day. **Remote Fraud Call Center Representative - Puerto Rico**...conversations in the case management system. + Support team operations with other duties and tasks as assigned. **What… more
- Conduent (San Antonio, TX)
- …by monitoring card alerts and fraud prevention reports. + Process disputes and fraud claims in line with client policies and guidelines. + Escalate issues to ... culture where individuality is noticed and valued every day. ** Fraud Call Center Representative - Onsite in...confidentiality and compliance with all regulations. + Support team operations during peak times or absences to help maintain… more
- NJM Insurance (NJ)
- …being a key component in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims Specialists are supported by a ... NJM's WC Claims Department is seeking an experienced Claims...and accurate benefits + Evaluate the claim for potential fraud indicators and escalate the claim to SIU, as… more
- State of Minnesota (St. Paul, MN)
- …to detect fraud , abuse, over-utilization, and error in health care claims . AND Experience must demonstrate the following: + Develop criteria and parameters used ... **Working Title: Senior Investigator** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID**...of MN DHS Licensed providers + An understanding of claims processing operations , edits, and CPT coding… more
- JB Hunt Transport (Lowell, AR)
- …are complete; maintain involvement in the carrier onboarding process to reduce risk, claims , fraud , and double brokering * Review carrier applications and ... **Job Title:** Carrier Relations Representative **Department:** Administration, Facilities & Secretarial **Country:** United States of America **State/Province:**… more
- Wells Fargo (Phoenix, AZ)
- …scalability, and security for Wells Fargo. Services include deposits, payments and ATM operations , global fraud and claims , account reconciliation, cash ... role:** Wells Fargo is seeking an Associate Customer Service Representative in Everyday Banking. Find out why we're the...services company to grow YOUR career. Apply today. CSBB Operations delivers a diverse set of foundational operational and… more
- TEKsystems (Plymouth, MI)
- …+ Familiarity with DNA/Fiserv banking software + Experience with legal accounts (death claims , guardianships, power of attorney) + Fraud management and debit ... About the Role We are looking for an enthusiastic and detail-oriented Member Services Representative (MSR) to join our team. This position is ideal for someone who… more
- Middlesex Water Company (Iselin, NJ)
- …The HR Representative is responsible for supporting day-to-day Human Resources operations for New Jersey employees across the Enterprise. This position plays a ... benefit changes to the HR Specialist. * Administer New Jersey Workers' Compensation claims and maintain OSHA reporting log; Ensure FROI are completed and circulated… more
- USAA (St. Louis, MO)
- …to ensure compliance with laws, regulations, and policy provisions. + Review claims /suppliers for fraud indicators and refers to Special Investigations Unit ... to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members… more
- FirstBank PR (Miami, FL)
- …sound operational processes and compliance. Essential Responsibilities: + Operations , Complianceand other Regulatory Requirements + Assure coordination, alignment, ... geared towards the development of: + Business audit plan targeting sound branch operations resulting in Satisfactory or above rating in Branch Banking audits. +… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... and release process for OAPI GMP release of Contract Manufacturers operations supporting clinical and commercial products. + Interfaces with Contract… more
- ProSmile (Parlin, NJ)
- Job Title: Assistant Dental Office Manager Department/Location: Operations Reports to: Regional Vice President FLSA Status: Exempt Company Overview ProSmile is one ... + Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection...+ Employee Assistance Program (EAP) + Identity Theft & Fraud Protection + Legal Support Services + Discount Programs… more
- ProSmile (Oak Park, IL)
- Job Title: Dental Billing Specialist Department/Location: Operations Reports to: Dental Billing Manager FLSA Status: Non-Exempt Direct Reports: No Company Overview ... are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on...+ Employee Assistance Program (EAP) + Identity Theft & Fraud Protection + Legal Support Services + Discount Programs… more
- ProSmile (Manahawkin, NJ)
- Job Title: Orthodontic Treatment Plan Coordinator Department: Operations Reports To: Dental Practice Manager FLSA Status: Non-Exempt Company Overview ProSmile is one ... Promote in office marketing items + Gather and submit claims and documents required by Insurance companies + Set...+ Employee Assistance Program (EAP) + Identity Theft & Fraud Protection + Legal Support Services + Discount Programs… more
- Immigration and Customs Enforcement (Washington, DC)
- …the repatriation of cultural property, confidential informants and undercover operations , customs fraud , intellectual property rights, cybercrime, child ... services to all ICE programs and offices and serves as the exclusive representative of DHS in removal proceedings before the Executive Office for Immigration Review.… more
- Truist (Orlando, FL)
- …review the following job description:** Under minimal supervision of the Operations Manager, responsible for handling electronic payment exceptions, escalations, and ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
- Air National Guard Units (Reno, NV)
- …help identify undetected non-compliance. 2. Applies an extensive knowledge of installation operations and DoD, DAF, and G-MAJCOM guidance to direct complex strategic ... manpower and resources. 5. Serves as a qualified complaint resolution representative providing advisory services to individuals, other staff offices, managers,… more
- The City of Rochester, MN (Rochester, MN)
- …in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as ... including F1 OPT STEM. DUTIES AND RESPONSIBILITIES The work below is representative of the scope of work performed within this job classification. Individual… more
- First Horizon Bank (Mount Pleasant, SC)
- …account details, and policies, conduct account research, file and process fraud claims + Proactively identify cross-selling opportunities, recommending ... This role is responsible for managing client requests, facilitating account operations , and ensuring the accuracy and completion of documentation and transactions.… more
- First Horizon Bank (Memphis, TN)
- …account details, and policies; conduct account research, file and process fraud claims * Proactively identify cross-selling opportunities, recommending ... This role is responsible for managing client requests, facilitating account operations , and ensuring the accuracy and completion of documentation and transactions.… more
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