- Sedgwick (Raleigh, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** : ... & Licensing** Bachelor's degree from an accredited college or university preferred . Professional certification as applicable to line of business preferred… more
- Prime Therapeutics (Raleigh, NC)
- …CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred . + Bachelor's degree preferred . + ... business model and processes, preferably in behavioral health, radiology or pharmacy. ** Preferred Qualifications** **Physical Demands** + Must be able to remain in a… more
- Sedgwick (Raleigh, NC)
- …Financial Services & Insurance Claims Team Lead - Liability (REMOTE - NY/HI licensing preferred ) Are you looking for an opportunity to join a global industry leader ... and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on… more
- Sedgwick (Raleigh, NC)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes… more
- PNC (Charlotte, NC)
- …Technology Audit team. This position is primarily based in a PNC location. Preferred locations are listed in this requisition. Responsibilities require time in the ... by customers and fraudsters attempting to defraud PNC and its customers Preferred Skills & Experience Audit, Risk or Compliance experience in Financial Institutions… more
- The Clorox Company (Durham, NC)
- …workload + Project management experience. **Desirable:** + Consumer products industry experience preferred + Prior consulting industry experience preferred + SAP ... BS Degree (Accounting, Finance, Business or related field). + Certified Fraud Examiner (CFE) or other relevant professional certification (eg, CIA, CPA) **Workplace… more
- Highmark Health (Raleigh, NC)
- …+ None ** Preferred ** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + ... 6 years of related and progressive experience in lieu of Bachelor's degree ** Preferred ** + Master's Degree in Fraud, Forensics Accounting, Business or related field… more
- UNC Health Care (Chapel Hill, NC)
- …graduate-level advanced practice provider (PMHNP) degree PA program strongly preferred . Licensure/Certification Requirements: * Licensed as an Advanced Practice ... PA) in the state of NC. Board certification strongly preferred by the department. Completion of Certified 1stLevel Commitment... by the department. Completion of Certified 1stLevel Commitment Examiner training and exam. It is expected that this… more
- Highmark Health (Raleigh, NC)
- …education as determined by the company in lieu of bachelor's degree. ** Preferred ** + Master's Degree in Business, Finance, Health Administration, Public Health, ... 5 years in a management or leadership role ** Preferred ** + 10 years in compliance, privacy, government affairs,...(CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) +… more
- Sedgwick (Raleigh, NC)
- …systems. + Effectively communicates and builds relationships with the claims' examiner , client, injured worker, attorney and supervisor. + Identifies issues related ... (BSN) from accredited college or university or equivalent work experience preferred . Certification in case management, rehabilitation nursing or a related specialty… more