- Zurich NA (Atlanta, GA)
- Claims Fraud and Investigations Manager 117871 Zurich North America is seeking a Claims Fraud and Investigations Manager to support our ... role and can reside anywhere in the United States. The Claims Fraud and Investigations Manager is responsible for managing the daily activities of the … more
- Bank of America (Kennesaw, GA)
- …to maximize client experience while managing fraud mosteffectively. As a Fraud Strategy Manager with the Client Protection organization, you will capitalize ... fraud prevention methodologies. + Analyze data and conduct investigations to identify patterns, trends, and anomalies indicative of...causes + Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery… more
- Elevance Health (Atlanta, GA)
- …in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify ... **Clinical Fraud Investigator II - SIU Fraud ...prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new… more
- Elevance Health (Atlanta, GA)
- …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
- Walmart (Lagrange, GA)
- …with specific types of tools used for theft prevention. Conducts investigations . Recognizes and investigates security breaches, thefts, shortages (loss), and ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
- Elevance Health (Atlanta, GA)
- …for identifying issues and/or entities that may pose potential risk 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
- Ankura (GA)
- …involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations . We work with Chief Compliance Officers to build and mature their ... innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide… more
- Elevance Health (Atlanta, GA)
- …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on ... fraudulent claims . **How you will make an impact:** + Claim...Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one… more
- Elevance Health (GA)
- …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on ... fraudulent claims . Health insurance experience required with understanding of health...Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one… more
- Stitch Fix (Lithia Springs, GA)
- …People and Culture team to develop these strategies. Reporting to the Business Partner Manager at the Lithia Springs, GA facility, you will play a pivotal role in ... + Provide backup to the P&C Coordinator in responding to unemployment claims , accurately and timely addressing separation reasons, employment history, and relevant… more