- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first ** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ... and abusive practices. The Fraud and Waste Professional 2 work assignments are varied...an exciting interviewing technology provided by Modern Hire, a third- party vendor. This technology provides our team of recruiters… more
- Citigroup (Jacksonville, FL)
- …management programs; mentor and develop junior staff. + Provide Financial Crimes and Fraud Prevention subject matter expertise and first -hand end to end process ... + Conduct independent end to end targeted reviews across Fraud life cycle to ensure adherence to policy...management of these risks within the Business (eg third party , fraud , sanctions etc) (if applicable). +… more
- Kemper (Lake Mary, FL)
- …that delivers on our promises._ Thoroughly investigates processes and equitably settles first party PIP/Medpay claims. Ensures that all assigned claims are ... within pre-established standards and within the provisions of the insurance policy affording coverage for the loss. **Job Responsibilities:** + Medical Claims… more
- Kemper (Lake Mary, FL)
- …As a PIP/Med Pay Adjuster, you will thoroughly investigate processes and equitably settle first party PIP or Medical Payment claims. Ensure that all assigned ... within pre-established standards and within the provisions of the insurance policy affording coverage for the loss. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** 1.… more
- Walmart (Valrico, FL)
- …of company policies and criminal activities by investigating alleged fraud and other alleged illegalactivities. Conducts investigations relating to company ... returned, liquidated items) and merchandise deliveries (for example, suppliers, third- party deliveries). Providesdirection for claims or receiving issues. Maintains… more
- Walmart (Tampa, FL)
- …with for emergency health and safety regulatory agencies. Assists with third- party audits. Develops and presents audit findings to facility management. Responds ... related action plans; utilizing and supporting the Open Door Policy ; and providing direction and guidance on applying these...to the Customer/Member: Delivers results while putting the customer first ; considers and adapts to how, where, and when… more