- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims ...and accurate benefits + Evaluate the claim for potential fraud indicators and escalate the claim to SIU, as… more
- MetLife (Aurora, IL)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- City National Bank (Newark, DE)
- …losses to City National Bank and its clients. The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center knowledge, ... adaptability in a fast-paced contact center environment * The Fraud Specialist is responsible for reviewing ...operations . * Minimum 2 years of experience in fraud investigations, disputes, and /or fraud exposure.… more
- MyFlorida (Orlando, FL)
- INVESTIGATION SPECIALIST I - 60060474 Date: Dec 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858739 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60060474 Pay Plan: Career Service Position Number: 60060474… more
- MyFlorida (Orlando, FL)
- …evaluating, leading and guiding staff; establishing overpayment and over-issuance claims ; conducting fraud investigations for public assistance programs; ... ELIGIBILITY SPECIALIST II - 60025696 Date: Dec 29, 2025...evaluates, guides and coaches staff as required. + Conducts fraud investigations and recommends appropriate action. + Reviews and… more
- Travelers Insurance Company (Salem, OR)
- …+ 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining coverage, liability, ... negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices....as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. + Verify the nature… more
- Taco Bell (Sugar Land, TX)
- …environment. Key Responsibilities: + Asset Protection & Security + Monitor restaurant operations to identify and reduce theft, fraud , and cash handling ... Job Title: Loss Prevention Specialist Position Summary: The Loss Prevention Specialist...fraud , and accidents. + Work with HR and Operations to handle disciplinary actions when policy violations occur.… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. **Current ... in the field in required.** The Certified Professional Coding specialist will work as a compliance team member by...assisting with the LTC ACO HCC program ensuring that claims are coded and documented accurately and completely, helping… more
- FirstBank PR (San Juan, PR)
- Product Management Specialist Digital Transformation and Innovation FirstBank PR Our Company At FirstBank PR, we strive to be a trusted advisor to our clients and ... the number one place for you. A Brief Overview The Product Management Specialist within the Digital Transformation and Innovation team is an execution-focused role… 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 ... **Location:** On site at location listed in job posting. **Summary:** The Client Specialist role supports the line of business by providing exceptional service and… more
- First Horizon Bank (Memphis, TN)
- …account details, and policies; conduct account research, file and process fraud claims * Proactively identify cross-selling opportunities, recommending ... **Description** **Location:** On site in Memphis, TN **SUMMARY** The Client Specialist role supports the line of business by providing exceptional service and… more
- System One (Pensacola, FL)
- Job Title: Bankruptcy Accounts Specialist Location: Pensacola, FL Hybrid: onsite 2 days a week (remote the other days) Shift: 9:00 am - 5:30 pm CST, Mon-Fri Pay ... Maximize recovery of bankrupt accounts through negotiation, reaffirmation, legal proceedings, fraud detection and collection efforts. Serve as liaison for OGC and… more
- LCEC (North Fort Myers, FL)
- JOB TITLE: Specialist , Credit and Collections Location: North Fort Myers, FL Work Hours: M-F 8-5:30pm with varying shifts Our benefits include: + Company-wide annual ... and professional honors. Position Summary: The Credit & Collections Specialist serves as the focal point for all aspects...and forms for Supervisor review and approval; submit timely claims and other appropriate paperwork to the courts; update… 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
- Kemper (Doral, FL)
- …oral and written communications skills and promote a favorable company image to the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims ... SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit.… more
- CDM Smith (Lakewood, CO)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data ... related to disaster-related claims , including property damage, business interruption, and other loss categories. The specialist will conduct thorough forensic… 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 ... training. Position Summary Actively seeking a motivated Dental Billing Specialist located in Oak Park, IL. As a Dental...are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on… more
- Middlesex Water Company (Iselin, NJ)
- …submit medical files for new hires and employee benefit changes to the HR Specialist . * Administer New Jersey Workers' Compensation claims and maintain OSHA ... The HR Representative is responsible for supporting day-to-day Human Resources operations for New Jersey employees across the Enterprise. This position plays… more
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