- Wells Fargo (Chandler, AZ)
- … Fraud Alert & Queue Management Area Product in the Fraud Detection Operations Product within Fraud & Claims Management supporting multiple Global ... for teams to design/develop/ deliver technology and processes for Fraud Operations + Works with leaders, stakeholders,...ideation through to market delivery with emphasis in the Fraud and Claims Management space + Experience… more
- Bank of America (Phoenix, AZ)
- …efforts, ensuring monitors are in place, and will self-create initiatives as needed. + Lead a team of fraud analysts in the identification, investigation, and ... Policy and Strategy Development: Stay updated with the latest fraud trends, regulatory requirements, and best practices. Lead...causes + Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Claims TPA Regulatory Governance and Performance Manager to play your part in that transformation. ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...network of third parties to support its global business operations and manage risk. Risk created by third parties… more
- USAA (Tampa, FL)
- …Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations . This employee will report to the Life Company Chief ... Claims & Fraud Officer and will work...Claims & Fraud Officer and will work on Medicare Supplement ...Claims . As business process owner, the employee will lead planning for complex processes including problem definition, evaluation… more
- MyFlorida (West Palm Beach, FL)
- MEDICAID FRAUD ANALYST II - 41001054 Date: Oct 31, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41001054 Pay Plan: Career Service...An employee in this position may also perform as lead analyst on specialized complex civil enforcement investigations and… more
- Wells Fargo (Concord, CA)
- …the Fraud Management Product, which is a part of Fraud & Claims Management in Global Operations . The Fraud Management Product supports the breadth ... **About this role:** Wells Fargo is seeking a Senior Lead Product Manager to lead the strategic...Wells Fargo's consumer products and partners with line-of-business, technology, operations , risk and strategy teams across the enterprise. This… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- …suspicious or fraudulent. **Essential Duties and Responsibilities:** + Assists the Wire Operations team lead on daily tasks and escalate issues accordingly ... institutional, and high-net-worth (HNW) clients.** **Job Summary:** The Senior Wire Operations Associate will deliver high quality customer service and perform daily… more
- RELX INC (Duluth, GA)
- …about LexisNexis Risk at the link below. https://risk.lexisnexis.com/insurance About the team: Claims Record Unit (CRU) is a division of LexisNexis Risk Solutions, ... nationwide. Insurance carriers use these records to aide in the adjudication of claims . We process 8 million requests annually and foster business relationships with… more
- Lincoln Financial Group (Columbus, OH)
- …Plan Services organization in a work from home environment. _Background Details_ As the Operations Manager, you will manage RPS Death Claims and RPS Money Out ... reduced risk. **What you'll be doing** + You will lead the Death Claims and Money Out...5+ Years of experience in Client Customer Support and Operations that directly aligns with the specific responsibilities for… more
- HomeSafe Alliance (Columbus, OH)
- …of International Operations , for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be confirmed with DIOps. + ... **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe...administrative issues, problems, or notable challenges to the OCONUS Supervisor/ Lead or coordinators for onforwarding to the HomeSafe Safety… more
- CareFirst (Columbia, MD)
- …offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical ... and resolution of all levels (low to complex), of fraud , waste, and abuse schemes, resulting in the savings...recovery of funds. **ESSENTIAL FUNCTIONS:** + Independently or as lead in part of an assigned team develop and… more
- American Express (Sandy, UT)
- **Description** **You Lead the Way. We've Got Your Back.** With the right backing, people and businesses have the power to progress in incredible ways. When you join ... is seen, heard and feels like they belong. Join Team Amex and let's lead the way together. **Position Summary:** This position enhances the company's ability to… more
- Elevance Health (MD)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
- Veterans Benefits Administration (Huntington, WV)
- …(VSC) division operations through a staff of personnel responsible for claims processing, providing information, advice and assistance on all types of VA ... development, examination, Adjustment, reconsideration, or authorization of the settlement of claims filed by veterans, their dependents and beneficiaries, as well as… more
- Woodforest National Bank (The Woodlands, TX)
- …. 3 years of Debit Card Dispute or Fraud Prevention/Investigations operations experience required. . 2 years of lead or supervisory role ... for assisting with the management of debit card dispute processing operations including supervising daily work activities. Additional responsibilities will include… more
- Elevance Health (Houston, TX)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
- DXC Technology (Nashville, TN)
- …(NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and ... to deliver mission critical IT Services that our customers need to modernize operations and drive innovation across their entire IT estate. We provide services… more
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