- USAA (San Diego, CA)
- …compliance with laws, regulations, and policy provisions. + Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if ... activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + High… more
- Amazon (San Francisco, CA)
- …- 5+ years of legal experience - Healthcare regulatory experience, eg fraud waste and abuse laws, telehealth regulations, direct primary care, value-based care, ... state and federal risk -bearing organization laws; Healthcare transactional experience, including reimbursement arrangements Preferred Qualifications - Experience of… more
- BMO Financial Group (Santa Fe Springs, CA)
- …policies and ethical standards for the prevention of loss due to fraud , robbery, counterfeiting, money laundering, or defalcation. + Maintains the confidentiality of ... creditworthiness, and provide actionable insights to drive business growth and mitigate risk . + Strong knowledge of business banking products, lending processes and… more
- Travelers Insurance Company (Walnut Creek, CA)
- …for specific activities required to effectively 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 damages documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. +… more
- Google (Sunnyvale, CA)
- …cross-functionally with Google engineers and product managers to identify and fight abuse and fraud cases at Google speed - with urgency. And you take pride in ... of Analysts, Policy Specialists, Engineers, and Program Managers, we work to reduce risk and fight abuse across all of Google's products, protecting our users,… more
- Zions Bancorporation (Fresno, CA)
- …integrity. + Monitors and ensures compliance with policy and the companies risk appetite. + Implements management procedures and operating practices and commits the ... and customer experience goals. + Investigates and researches operational issues, loss, fraud and resolves complex and/or significant matters on behalf of the… more
- Centene Corporation (Sacramento, CA)
- …and performance through claim audits for scalability, effectiveness, efficiency, and risk mitigation. + Provide written audit documentation regarding state and/or ... and training to internal and external entities as needed on programs, compliance, and fraud , waste and abuse. + Serve as a Claims regulatory resource related to the… more
- California Dental Association (Sacramento, CA)
- …15 states with a comprehensive suite of dentist-centric insurance products and risk management tools. With this singular focus and the unparallelled expertise of ... leases and make coverage decisions. + Experience in identifying and reporting fraud and knowledge of state specific SIU requirements. + Ability to assemble,… more
- Jabil (Anaheim, CA)
- …electrical and electro-mechanical components and BOM's for supply chain overall risk , adherence to corporate strategy, cost, and risks.ESSENTIAL DUTIES AND ... retirement plan and employee stock purchase plan; and paid time off. BE AWARE OF FRAUD : When applying for a job at Jabil you will be contacted via correspondence… more
- BOOZ, ALLEN & HAMILTON, INC. (San Diego, CA)
- …Cost Estimates. You'll build dashboards with modern visualization tools, develop cost and risk analyses using Monte Carlo simulation sof tware such as Crystal Ball, ... the right to take your picture to verify your identity and prevent fraud . Work Model Our people-first culture prioritizes the benefits of flexibility and… more