- Wells Fargo (Charlotte, NC)
- …Fargo is seeking an Analytics Senior Manager in the Inclearing/ACH team within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking ... + Plan, coordinate, and execute analytics efforts or results-oriented intelligence that support CSBBO- Fraud & Claims Management in order to determine current … more
- Citigroup (San Antonio, TX)
- The Ops Sup Sr. Manager is a senior management level position responsible for accomplishing results through the management of a team or department in an effort to ... other team members. + Ability to manage teams. + Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's… more
- Fallon Health (Worcester, MA)
- …leadership of the Fraud , Waste and Abuse (FWA) program. The FWA Manager will be responsiblefor general supervisionover a number of staff engaged in FWA auditing ... fraud investigation and/or detection and analysis, and laws/regulations related to fraud and general risk management.Medical claim terminology, coding, and… more
- McAfee, Inc. (San Jose, CA)
- …Sift, Kount, Verifi, Ethoca, Chargeback Gurus, etc.). * Relevant certifications (eg, Certified Fraud Examiner, Certified Risk Manager ) are a plus * ... **_Job Title:_** Senior Payments Manager , Fraud and Disputes - Remote...find areas for improvement to reduce first-party misuse and fraud claims . Manage multiple projects focused on… more
- Wells Fargo (Wilmington, DE)
- …is accountable to adhere to multiple policies including, but not limited to, Model Risk , Fraud Risk and Allegations Management. This position will have ... this role:** Wells Fargo is seeking an Analytics Senior Manager for the Enterprise Internal Fraud Detection...Team. A part of the Chief Operating Office under Fraud and Claims Operations, the team provides… more
- CVS Health (Wellesley, MA)
- …a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing fraud detection, ... and external stakeholders and ensuring compliance with regulatory requirements. The Senior Manager develops strategies to mitigate fraud risks, analyzes complex… more
- Bank of America (Phoenix, AZ)
- …purpose, and results, and connects to team strategy, priorities and contributions. + Risk Manager : Ensures proper risk discipline, controls and culture ... experience while managing fraud mosteffectively. As a Fraud Strategy Manager with the Client Protection...Drive the development of new models designed to detect fraud activity. + Ensuring proper risk controls… 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 ... agencies. The individual must have significant experience with Workers' Compensation as a Claims Manager /Director (managing a team of Claims Professionals… more
- NBT Bank (Norwich, NY)
- …withduties and decisions relating to fraudulent applications, transactions, and customer fraud claims . Develops solutions to problemsbased on experience and ... , identity theft, online fraud and cyber fraud as assigned by their Supervisor/ Manager . Assists...additional actions for alerting strategies. + 10% Processes victim fraud claims including checks, forgeries, debit cards,… more
- Elevance Health (Los Angeles, CA)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may… more
- New York State Civil Service (New York, NY)
- …Skills/Experience:* Nursing administration (eg, Director of Nursing, Administrator, Risk Manager ), including current or past employment ... of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS...out of more than $4 Million in false Medicaid claims .Duties: * Assisting with screening and evaluating complaints of… more
- AIG (Lenexa, KS)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Examiner IV, Accident & Health to play your part in that transformation. ... the team. Make your mark in Accident and Health Claims Our Claims teams are the proven...pursue subrogation where warranted. + Recognize and make appropriate Risk and Fraud referrals. + Handle high… more
- AIG (Lenexa, KS)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. ... Recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals. + Increased responsibility...+ Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer… more
- The Toro Company (Bloomington, MN)
- …Toro Company the best place in the Twin Cities to build a career. The Treasury & Risk Manager (II & Sr.) is responsible for partnering with the other Treasury & ... Risk Sr. Manager to optimize the effectiveness...banking relationships. + Manage certain insurance renewal processes and claims management in collaboration with our insurance broker. Continually… more
- AIG (Atlanta, GA)
- Make your mark in Claims Our Claims teams are the...create an impact As Claim Intake Department (C ID) Manager , you will be responsible for managing a staff ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- RELX INC (Duluth, GA)
- …. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the team: Claims Record Unit (CRU) is a division of ... About the business: LexisNexis Risk Solutions is the essential partner in the...use these records to aide in the adjudication of claims . We process 8 million requests annually and foster… more
- Walmart (Brundidge, AL)
- …process design. Interprets and evaluates compliance status reports and relevant risk management practices. Assists in the development of company policies, practices, ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
- USAA (Charlotte, NC)
- …other. Come be a part of what makes us so special! As a dedicated Manager Senior for Financial Crimes and Transaction Analytics, you will lead and develops a highly ... continental US with occasional business travel. **The Opportunity** The **Senior Manager - Financial Crimes and Transaction Analytics** is responsible the… more
- State of Minnesota (St. Paul, MN)
- …functions within the operation, including Claims Adjudication, Contact Center, Payments, Risk , Compliance, and Appeals. The ** Manager of Data and Analytics** ... **Working Title: Manager of Operational Analytics** **Job Class: State Program...Integrity team to provide the necessary visibility to manage fraud , risk , and compliance. **Operational Responsibilities:** +… more
- PulteGroup (Coppell, TX)
- Compliance Manager Hybrid work arrangement - Two times per week required in-office based out of our Coppell, TX location near Dallas. JOB SUMMARY: The Compliance ... Manager is an essential member of the Compliance Department...where appropriate. + Resolve escalations of findings by automated fraud and compliance monitoring tools. + Lead QA Compliance… more