- City National Bank (Los Angeles, CA)
- ** MANAGER INVESTIGATIONS / FRAUD ** **WHAT IS THE OPPORTUNITY?** Manages Investigations , Fraud Detection and Loss Prevention functions. Responsible for ... staff in their job responsibilities of reviewing fraudulent activity. Manager will oversee efforts of the Fraud ... detection alerts and other potential indicators of client fraud , to conduct investigations into potential fraudulent… more
- Elevance Health (Woodland Hills, CA)
- **Anticipated End Date:** 2024-09-17 **Position Title:** Clinical Fraud Investigator II **Job Description:** **Location:** This position will work a hybrid model ... **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
- Intuit (Los Angeles, CA)
- …thrive in a fast-paced environment then come join our team! The AML Program Governance Manager will report to the Bank Secrecy Act (BSA) / AML Compliance Officer for ... Subject matter expertise or experience in AML transaction monitoring, AML-focused investigations , KYC/EDD compliance, data warehouses is preferred. + Knowledge of… more
- LA Care Health Plan (Los Angeles, CA)
- …(eg reduce medical costs). Work with big data to validate medical fraud investigations and support medical cost reduction opportunities through complex ... Manager , Business Insights Job Category: Management/Executive Department: Advanced...net required to achieve that purpose. Job Summary The Manager of Business Insights for Advanced Analytics Lab (AAL)… more
- BMO Financial Group (Rowland Heights, CA)
- …risk profiles, credit structuring of lending proposals, and completes credit investigations . + Examines individual transactions for the designated portfolio and ... instils confidence to develop credibility and earn their trust as relationship manager . + Identifies business needs, designs/develops tools and training and coaching… more
- Truist (Los Angeles, CA)
- …10. Conduct investigations when needed with regard to dealer issues, fraud accounts, straw purchases, and unperfected liens. 11. Other critical tasks and duties ... Able to work all hours scheduled, including overtime as directed by manager /supervisor and required by business need. Travel Up to 75% **General Description… more
- Elevance Health (Woodland Hills, CA)
- …the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent ... claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line… more
- City of Long Beach (Long Beach, CA)
- …officials are elected to staggered four-year terms. The City Council appoints the City Manager and City Clerk. The City Manager is responsible for the efficient ... and supervise subordinate staff. + Conduct financial and/or performance audits and investigations . + Gather and analyze financial, program and statistical data. +… more
- Crawford & Company (Brea, CA)
- …decisions on claims within delegated limited authority. Responsibilities + Conducts investigations of claims to confirm coverage and to determine liability, ... has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with...bill coding rules and state regulations. + Keeps Team Manager informed verbally and in writing of activities and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage,...+ Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical… more