- Humana (Tallahassee, FL)
- …to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced… more
- USAA (Port Saint Lucie, FL)
- …to ensure compliance with laws, regulations, and policy provisions. + Review claims /suppliers for fraud indicators and refers to Special Investigations Unit ... to field provider method of inspection. + May serve as a subject matter authority representative for disputed claims or trials. Serves as a resource to team… more
- Truist (Orlando, FL)
- …review the following job description:** Under minimal supervision of the Operations Manager, responsible for handling electronic payment exceptions, escalations, and ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more