- Woodforest National Bank (The Woodlands, TX)
- …or regulation. **Job:** ** Operations * **Organization:** **Texas - Houston* **Title:** * Specialist - Debit Card Fraud Services I* **Location:** *Texas-The ... of the largest employee-owned banks in the country! The Specialist , Debit Card Fraud Services I -...questions and issues resolution. . Processing debit card dispute claims initiated by customers. . Review fraud … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …regulatory and state guidelines, and policies. 4. Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments 5. ... persona. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention...abuse and to facilitate accurate claim payments. The coding specialist will conduct pre-payment reviews of claims … more
- Kemper (Miami, FL)
- …oral and written communication skills and promote a favorable company image to the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims ... The SIU Investigator will conduct field and desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit.… more
- Army National Guard Units (AR)
- …administration, payments and financing, intellectual property, government furnished property, fraud and ethical considerations, changes, disputes and claims , ... EXCEPTED SERVICE POSITION This National Guard position is for a SUPERVISORY CONTRACT SPECIALIST (Title 5), Position Description Number T0044000 and is part of the AR… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… 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
- Jabil (Austin, TX)
- …Services team with shipping and logistics in Austin, TX. The Logistics Specialist will be responsible for managing and coordinating international and domestic ... shipping operations , ensuring compliance with all regulatory requirements, and handling...invoices are correctly charged. + Ensures all the insurance claims on cargo damage or missing are closed accordingly.… more
- Mohegan Sun (Uncasville, CT)
- …limited to banks, processors, customers, merchants and card networks + Investigate chargeback claims and compile evidence to either support or oppose a claim through ... in online gaming or related industries preferred + One + years of fraud experience in online gaming or related industries preferred + Intermediate understanding of… more
- AIG (Atlanta, GA)
- …insurance experience and to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist , etc. + Provide weekly ... Make your mark in Claims Our Claims teams are the...staff of Claim Intake Assistants, Segmentation Technicians and Segmentation Specialist as well as reviewing and assigning the daily… more
- Molina Healthcare (Columbus, OH)
- …years of experience working in the group health business preferred, particularly within claims processing or operations . + A demonstrated working knowledge of ... Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Adecco US, Inc. (Minneapolis, MN)
- …healthcare organization. The ideal candidate will have a strong understanding of fraud , waste, and abuse within the healthcare industry and experience conducting ... with our client. + Assigned your very own onboarding specialist . **Job Details** + **Length of assignment:** 6 Month...High school diploma or equivelant + Strong understanding of fraud , waste, abuse, and error within a healthcare setting… more
- Internal Revenue Service (Washington, DC)
- …following specialty areas: One position to be filled in Criminal Investigation, Global Operations , Financial Crimes. The following are the duties of this position at ... of cooperative activities; coordinates high level and sensitive joint operations ; and communicates the National Compliance Strategy and CI's priorities… more
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