- JPMorgan Chase (San Antonio, TX)
- …experiences that cultivate long-lasting relationships. As a New Hire Lead in Fraud and Customer Protection Services, you will report to the Performance Development ... **Preferred qualifications, capabilities, and skills** + 3 years FCPS specific phone experience + History of improving specialist results through coaching, training,… more
- JPMorgan Chase (San Antonio, TX)
- …by offering options and finding solutions to help our customers. The Call Center Fraud Specialist's work is creative, exciting, and different every day. As a Retail ... Fraud Specialist I in the Call Center team at...work in a call center environment that requires 100% phone -based customer interaction. This role requires fluency in both… more
- Advancial (Dallas, TX)
- … phone or e-mail as needed. + Identifies and reports cases of friendly fraud in regards to claims of unauthorized card transactions. + Identifies unauthorized ... issues, and to process and communicate the status of claims . + Works with Advancial's processor on card ...that come in through the department email boxes and phone line. + Monitors fraud Red Flags… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the...more of the following: . Audit experience in medical claims and/or claims data. . Certification as… more
- BECU (WA)
- … fraud investigations, using internal systems and interviewing members to resolve fraud claims . + **Manage Multiple Cases:** You'll handle several cases at ... be found here . **_IMPACT YOU'LL MAKE:_** As a Fraud Investigator at BECU, you'll be at the forefront...phone support to internal and external partners regarding fraud inquiries, fostering strong relationships. + **Stay Compliant:** You'll… more
- Hills Bank (Hills, IA)
- …Bank and let us surprise you with even more perks! SCOPE: The Fraud Specialist position is responsible for the review, analyzation, investigation and resolution of ... internal and external customer reported fraudulent transactions. They will also provide fraud support to internal and external customers in a clear, concise,… more
- New York State Civil Service (Syracuse, NY)
- …General, Office of the Title Forensic Auditor: Support Healthcare Fraud Investigations (6342) Occupational Category Financial, Accounting, Auditing Salary Grade ... and advise or assist in the investigation of alleged fraud .* Designation as a Certified Fraud Examiner.*...ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the… more
- Citizens (Riverside, RI)
- …have a customer-first mentality, and are a combination of friendly and tech-savvy, answering fraud inquiries by phone . As part of our dedicated team, you'll ... and seek opportunities to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist. In this role, you'll play a crucial part in… more
- Regions Bank (Hoover, AL)
- …**Job Description:** At Regions, the Financial Crimes Fraud Specialist monitors fraud prevention reports and/or reviews and resolves claims to address ... to assist in verification of items + Maintains company fraud database records + Responds to emails, phone... fraud database records + Responds to emails, phone calls and voice mails from branches and account… more
- Allied Universal (Durango, CO)
- …Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state ... experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient understanding and application of anti- fraud … more
- Allied Universal (Billings, MT)
- …demonstrated experience conducting insurance claims investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....holidays + Proficient in utilizing laptop computers and cell phones **PREFERRED QUALIFICATIONS (NICE TO HAVE):** + Military experience… more
- Access Dubuque (Dubuque, IA)
- …subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external ... Account Consultant- 1st Party Property Claims Experience Required **Sedgwick** 1 Positions ID: R53990...or other roles.** Primary Contact 1645458383738 Amanda Strothman , Phone Phone Phone Fax ###@sedgwick.com… more
- Modivcare (AZ)
- …you! This position is responsible for providing customer service for the inbound claims phone line. This includes reviewing, processing and managing claims ... departmental deadlines, policies, and procedures. + Reports suspected fraudulent claims to Fraud , Waste, and Abuse (FWA)...inquiries and concerns. + Provides exceptional customer service via phone . + Participate in other projects or duties as… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an Integrated ... Claims Specialist, you will manage a workload of Short-Term Disability claims and their associated leaves. You will be responsible for conducting initial and… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What you'll be doing** As an ... LTD Claims Specialist, you will manage a workload of Long-Term...Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Long Term… more
- Lincoln Financial Group (Columbus, OH)
- …#:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting Group Protection in a ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate, you will be responsible for answering claimants calls… more
- Lincoln Financial Group (Columbus, OH)
- …Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist** to support our ever-growing claims organization in a work from home ... to support our west coast employer groups. _Background details_ As a Group Claims Specialist, you will support our Short Term Disability or Integrated Absence teams.… more
- DXC Technology (Troy, MI)
- …Customer personnel involving customer products, and processing product warranty claims . Representatives provide technical support and warranty adjudication on heavy ... position also includes the processing and verification of warranty claims . Training would be provided on all products and...Must be able to communicate diagnostic information over the phone in a clear and concise manner + Strong… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …or Registered Nurse (RN) preferred. + Experience creating and implementing a healthcare anti- fraud program. + Knowledge of healthcare claims and anti- fraud ... investigate, remediate, and refer to law enforcement as appropriate incidents of fraud , waste, and abuse (FWA) arising in connection with medical, behavioral,… more
- University of Iowa Community Credit Union (North Liberty, IA)
- …liaison between the Credit Union and credit bureaus on regulatory updates.24. Collaborates with Fraud personnel on disputes involving claims of fraud and/or ... for receiving, processing, resolving, and responding to member disputes received via phone , mail and E-Oscar related to credit bureau reporting.19. Responsible for… more