- Citizens (Johnston, RI)
- … and 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
- State of Arkansas (Little Rock, AR)
- …help care for others. Position Information Job Series:Program Operations - Claims Review Classification: Claims Review Specialist Class Code:PCR02P Pay ... CLAIMS REVIEW SPECIALIST Date: Jan 7,...provide necessary explanations to policyholders or internal personnel. Support fraud detection and prevention efforts by reporting unusual patterns… more
- 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
- Citizens (Johnston, RI)
- …high-net work clients. + Cross-functionally assist with filing and tracking fraud claims within the same department. Qualifications, Education, Certifications ... Description As a Fraud Detection Sr. Specialist , you'll play a pivotal role in the Citizens Private Bank Fraud Detection and Claims group, one of our… 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
- Travelers Insurance Company (Topeka, KS)
- …+ 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
- 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
- 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
- System One (Vienna, VA)
- Job Title: Bankruptcy Accounts Specialist Location: Vienna, VA Work Model: hybrid, onsite 2 days at week, Monday thru Friday, 8-4:30 EST Pay Rate: Open to Both C2C ... To maximize recovery of bankrupt accounts through negotiation, reaffirmation, legal proceedings, fraud detection and collection efforts. Serve as liaison for OGC and… more
- First Horizon Bank (Doral, FL)
- …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
- Interior, Bureau of Indian Affairs (Towaoc, CO)
- …must apply directly to each announcement. Responsibilities As Supervisory Correctional Specialist , GS-0006, your typical work assignments may include, but not ... program such as overseeing the budget and developing, evaluating and monitoring operations to ensure the safety, security and efficiency of the detention facility.… 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
- Otsuka America Pharmaceutical Inc. (MS)
- …Summary:** The Clinical Field Engineer supports Recor's clinical trial operations with responsibilities weighted approximately **80% toward clinical pipeline ... works with site research teams, data teams, and commercial stakeholders to leverage claims data for building provider referral networks and utilize EMR systems to… 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
- DXC Technology (Plano, TX)
- **Job Description:** **Demo Specialist - Life & Annuity Insurance Industry Software and Agentic AI** **About the Role** We're looking for a stand-out Insurance ... software, Cloud, SaaS, and Agentic AI Demo Specialist -someone who pairs deep life insurance technology expertise with a passion for the transformational power of… more
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