- 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
- REI (Seattle, WA)
- …currently accepted at REI. Monitors REI systems for internal/employee fraud activities, including payment transactions, expenses, policy violations, and integrity ... through Saturday.** **Responsibilities and Qualifications** + Reviews REI's transactions for potential fraud and abuse, ensuring minimal impact to the co-op due to… more
- Vanguard (Malvern, PA)
- …faster, stronger, risk-informed decisions. Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection of Vanguard ... advisors that protect the pride of Vanguard with state-of-the-art security and fraud capabilities. We are a world-class destination of highly engaged, passionate,… more
- Vanguard (Malvern, PA)
- …faster, stronger, risk-informed decisions. Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection of Vanguard ... advisors that protect the pride of Vanguard with state-of-the-art security and fraud capabilities. We are a world-class destination of highly engaged, passionate,… more
- BASF (Geismar, LA)
- **Now hiring! Sr . Environmental Specialist I** Geismar, LA We are looking for a Sr . Environmental Specialist I to join our team in Geismar, LA. **Come ... and local teams regarding EHS culture, regulations, compliance, and best practice. **As a Sr . Environmental Specialist I, you create chemistry by ** + Leveraging… 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 contacting all parties involved...work / return to work efforts + Investigate potential fraud indicators in collaboration with the SIU team +… 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 all parties involved...and medical benefits + Evaluate the claim for potential fraud indicators and escalates the file to SIU, as… more
- RELX INC (Alpharetta, GA)
- …https://risk.lexisnexis.com/insurance About our Team LexisNexis Risk Solutions is seeking a Sr . Marketing Specialist to join our Insurance marketing ... that improve and protect lives. About the Role The Sr . Marketing Specialist is responsible for developing...fair results for their clients; businesses and governments prevent fraud ; consumers access financial services and get fair prices… more
- Intuit (New York, NY)
- …framework which makes it easier for everyone to win together. As an application abuse specialist and senior most fraud expert, you will help Intuit build ... Overview Come join Intuit's Cybersecurity and Fraud Leadership team for Small Business and Self-Employed...product leadership and partnering with key members of the senior leadership team at Intuit + Lead a team… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To analyze ... claim cost for our clients. + Identifies and investigates for possible fraud , subrogation, contribution, recovery, and case management opportunities to reduce total… more
- Sedgwick (Kansas City, MO)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To analyze ... claim cost for our clients.** **Identifies and investigates for possible fraud , subrogation, contribution, recovery, and case management opportunities to reduce… more
- Target (Wilton, NY)
- …and fraud to ensure products are available for our guests. As a ** Senior Target Security Specialist (STSS)** you will lead a physical security and safety ... culture for all at a Target supply chain facility through best practices and physical security program management. You will execute strategic routines to identify, prevent and investigate theft and shortage by leveraging technology, stores partnership, supply… more
- Travelers Insurance Company (New York, NY)
- …evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury ... or property damage by obtaining and reviewing appropriate records and damage documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. + Utilizes evaluation documentation tools in accordance with… more
- Molina Healthcare (Los Angeles, CA)
- …standards and requirements contained in the Molina Medical Compliance and Fraud , Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** + Coordinates, conducts, and ... documents delegation assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. + Prepares status reports from Delegated Entities. Develops corrective action plans when deficiencies are identified, and documents… more
- Travelers Insurance Company (Orlando, FL)
- …evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury ... or property damage by obtaining and reviewing appropriate records and damage documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. + Utilizes evaluation documentation tools in accordance with… more
- Bank of America (Dallas, TX)
- …type): Financial Services and/or related government entity + Certified Anti-Money Laundering Specialist (CAMS) **Skills:** + Coaching + Fraud Management + ... Global Financial Crimes Sr . Investigator Charlotte, North Carolina;New York, New York;...Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or terrorist… more
- Capital One (Plano, TX)
- … or Sanctions, or a combination.** **Preferred Qualifications:** + **Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS), or ... Plano 3 (31063), United States of America, Plano, Texas DART Experienced Sr . Auditor, FCC/ Corporate Compliance (Hybrid) **Capital One's Audit function is a… more
- AutoZone, Inc. (Memphis, TN)
- The Sr . Data Analytics Auditor is a highly analytical and skilled data specialist who helps Internal Audit effectively leverage the vast amount of AutoZone data ... risk, strengthen control structures, and improve operational efficiency. The Sr . Data Analytics Auditor will work with Internal Audit...in a clear and creative manner + Create automated fraud and risk detection tools to continuously audit and… more
- PNC (OH)
- …have an opportunity to contribute to the company's success. As an AML Sanctions Specialist Sr within PNC's , Retail AML Compliance Advisory Organization you may ... Laundering/Sanctions Policies and Procedures, Audit And Compliance Function, Auditing, Fraud Management, Internal Controls, Problem Solving **Work Experience** Roles… more
- EFI Global (Charlotte, NC)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... Performance Competencies This would be a good career transition for collections specialist , billing specialist , accounts receivable specialist , accounts… more