- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Senior Manager in Consumer & Small Business Banking providing coverage for the ... to ensure proactive identification, prevention, detection, investigation and/or reporting of fraud and claims activity + Engage and influence stakeholders… more
- Zurich NA (Columbus, OH)
- Claims Fraud and Investigations Manager 117871 Zurich North America is seeking a Claims Fraud and Investigations Manager to support our Zurich ... and can reside anywhere in the United States. The Claims Fraud and Investigations Manager ...North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is… 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
- 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 (Chandler, AZ)
- …Queue Management Area Product in the Fraud Detection Operations Product within Fraud & Claims Management supporting multiple Global Operations teams and CSBB ... this role:** Wells Fargo is seeking Senior Lead Product Manager that will be responsible for product management and...ideation through to market delivery with emphasis in the Fraud and Claims Management space + Experience… 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
- 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 (Chandler, AZ)
- Program Manager - Fraud Initiative Execution Phoenix, Arizona;Newark, Delaware; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, ... Our programs are defined by themes and may include: Authentication, Identity, Fraud Strategies, Claims , Digital Self-Service, Data, Analytics and Digital and… 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …advance of the work of the FIP Unit and support Blue Cross' management of risk related to fraud . + Manage interactions with Accounts, members and other ... and OPM requests and audits. The attorney will provide risk management advice, legal advice and litigation services to...abuse activity in FIP, work with the Pharmacy Benefit Manager on fraud waste and abuse work,… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live ... **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
- 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
- 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
- Elevance Health (Manchester, NH)
- …for identifying issues and/or entities that may pose potential risks 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
- 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
- Wells Fargo (Concord, CA)
- … Product Area within the Fraud Management Product, which is a part of Fraud & Claims Management in Global Operations. The Fraud Management Product ... **About this role:** Wells Fargo is seeking a Senior Lead Product Manager to lead the strategic direction and management of the Consumer Fraud… 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