- Humana (Raleigh, NC)
- …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
- Truist (Greensboro, NC)
- …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
- CRC Insurance Services, Inc. (Charlotte, NC)
- …deployment of advanced ML solutions to transform insurance broker and underwriting operations . This role requires deep expertise in insurance domain analytics and ... ML use cases (eg, risk scoring, pricing optimization, customer segmentation, fraud detection). + Champion data-driven decision-making across the organization. **ML… more