- 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 ... ensure proactive identification, prevention, detection, investigation and/or reporting of fraud and claims activity + Engage and...allocation of people and financial resources for Frauds and Claims Operations + Develop and guide a… more
- Wells Fargo (Tempe, AZ)
- **About this role:** Wells Fargo is seeking a PCC Fraud & Claims Operations Representative in Detection Operations . Learn more about the career areas and ... at wellsfargojobs.com. **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve customer… more
- 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
- 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 ... provide operations support services in coordination with the ...of judgement and autonomy. + Acts as SME to senior stakeholders and /or other team members. + Ability… more
- Bank of America (Newark, DE)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... the production of product performance reports and updates for senior management **LOB Specific Information** **:** This job is...causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... who will oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to… more
- USAA (Tampa, FL)
- …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 on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes, procedures,… more
- Bank of America (Plano, TX)
- …metrics to identify root causes ▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪ Proven strong ... Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano,...the production of product performance reports and updates for senior management LOB Job Description: As a Client Protection… more
- USAA (Houston, TX)
- …you will help protect USAA and our members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact ... position. **What you'll do:** + Leads the execution of fraud prevention strategies and investigative operations . +...knowledge of state laws and regulations pertaining to insurance fraud in investigating claims . + Processes large… more
- CareFirst (Columbia, MD)
- …offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical ... the detection, investigation, and resolution of all levels (low to complex), of fraud , waste, and abuse schemes, resulting in the savings and recovery of funds.… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …all clients benefit documentation into an internal source document and work with IT and Operations to ensure claims are properly coded into the claims ... into an internal source document. Primary Responsibilities + The Senior Benefits Analyst's job responsibilities include, but are not...benefits and plan rules, as well as ensure internal claims system is correctly adjudicating claims . +… more
- JPMorgan Chase (Wilmington, DE)
- … & Customer Protection Services (FCPS) Operations organization. FCPS consists of Fraud Prevention and Claims & Dispute Call Centers and Back office functions ... located across domestic and international locations. As a Senior Analytics Solutions Associate in our Fraud ...and decision quality. You will collaborate with leaders across Fraud Operations , Risk, Product and Controls to… more
- Elevance Health (MD)
- **Clinical Provider Auditor Senior - Maryland Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid ... improve the delivery of care. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or entities that...and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… 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
- Elevance Health (Houston, TX)
- **Clinical Provider Auditor Senior ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- DXC Technology (Columbia, SC)
- …we deliver excellence for our customers and colleagues at DXC.com. This role is for a Senior Technician to join our Assure Claims Delivery team with the goal of ... (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and… more
- Leonardo DRS, Inc. (Bridgeton, MO)
- …Louis area. **Job Summary** Leonardo DRS Land Systems is seeking a full time Senior Program Financial Analyst II for our Bridgeton, MO facility. This role will ... (EAC), variance analysis, workforce projections and the revenue/profit forecasting. The Senior Program Financial Analyst will provide support to the Program… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- …to corporate, institutional, and high-net-worth (HNW) clients.** **Job Summary:** The Senior Wire Operations Associate will deliver high quality customer ... of financial transactions in a fast paced, time sensitive operations environment. The Senior Wire Operations...status queues. The incumbent will also be responsible for fraud monitoring and investigation, working closely with internal and… more
- EFI Global (Houston, TX)
- …analysis and engineering projects for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers ... grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,...to learn more about EFI Global. **Seeking an experienced senior Structural Engineer, PE, who has a strong background… more
- MyFlorida (Tallahassee, FL)
- …as requested, in developing solutions to address risks. Recommends improvements in operations to senior management. Conducts audits and reviews of systems ... 840376-OPS GOVERNMENT OPERATIONS CONSULTANT II - 40099874 Date: Oct 29,...Assistance operational internal controls designed to detect and prevent fraud , minimize errors, promote operational efficiencies and achieve compliance… more
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