- Santander US (Austin, TX)
- Sr . Specialist , Claims & Fraud Operations Santander Consumer, United States of America USA Job Function Description: Responsible for the day-to-day ... + Increases operational efficiencies to streamline and simplify process flows and fraud prevention effectiveness. + Monitors and reviews fraud risk, unique… more
- NJM Insurance (Hammonton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Citizens (Riverside, RI)
- …and seek opportunities to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr . Specialist . In this role, you'll play ... service experience in one of our most critical departments at Citizens. Our Fraud Customer Support colleagues acquire the training, and assistance needed to grow… more
- First National Bank of Omaha (IA)
- …be either remote or in office at 1601 Dodge Street Omaha Nebraska 68197. As a Fraud and Non- Fraud Specialist at FNBO, you will be expected to: Communicate ... balance monitoring Assist the Bankcard Recovery department by investigating claims of fraud on accounts in collections...support and training to help you become a well-versed Fraud and Non- Fraud Specialist who… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ;… more
- Sedgwick (San Diego, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Professional Liability (Medical Malpractice) ... To analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- REI (Seattle, WA)
- …due to fraudulent transactions and policy abuse (resellers, fraudulent insurance claims /returns, etc). The position monitors eCommerce and POS transactions using a ... currently accepted at REI. Monitors REI systems for internal/employee fraud activities, including payment transactions, expenses, policy violations, and integrity… more
- Travelers Insurance Company (New York, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature… more
- Sharp HealthCare (San Diego, CA)
- …other requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan ... with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti- fraud activities, coordinate with the Anti-… more
- Zurich NA (Woodland Hills, CA)
- Senior Claims Specialist Construction Professional Liability Claims 118830 Zurich North America is seeking a ** Senior Construction Professional ... Liability** ** Claims Specialist - Hybrid** to support Claims organization, with moderate direction, handles single and multi-party litigated and non-litigated… more
- MetLife (Tampa, FL)
- …Responsibilities: *Effectively and independently manages an assigned caseload of death claims . *Provides timely, balanced and accurate claims reviews, ... if additional information is needed to make a reasonable and logical claims determination based off the information available. *Collaborates effectively with both… more
- MetLife (Bloomfield, CT)
- …our customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance ... within prescribed time service standards. In this role, the Senior LTD Claims Specialist is...when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed and proficiently… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist , Claims Shared Services- Job Description AXIS ... is seeking a Claims Quality Assurance and Compliance Specialist , ...Medicare reporting program. * Assisting with maintenance of SIU, Fraud reporting and other Compliance reporting and procedures as… more
- Travelers Insurance Company (Tampa, FL)
- …resolving, assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature… more
- New York State Civil Service (Albany, NY)
- …Management Specialist 1, Human Resources Specialist 1, Senior Administrative Analyst, Policyholder Services Representative 1, Claims Services ... NY HELP Yes Agency Insurance Fund, State Title Administrative Specialist 1/Trainee 1/2 - NY HELPS Occupational Category Administrative or General Management Salary… more
- Defense Threat Reduction Agency (Fort Belvoir, VA)
- …the Department of Defense," dated October 15, 2021. Responsibilities As a CONTRACT SPECIALIST at the GS-1102-14 some of your typical work assignments may include: ... contractor delays, contractor performance appraisal, subcontractor surveillance, disposition of claims , and similar matters. Plans, develops, implements, maintains, and… more
- Army National Guard Units (Colchester, VT)
- …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 , Position Description Number T0045000 and is part of the US Property… more
- Woodforest National Bank (The Woodlands, TX)
- … Specialist II or similar role. . 2 years' experience in dispute claims , fraud , payments, or related processing and/or investigations experience required. . ... Card Dispute is responsible for investigating and processing debit card dispute claims initiated by customers regarding the authorization of a merchant to debit… more
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