- Elevance Health (Costa Mesa, CA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- ManpowerGroup (Menlo Park, CA)
- …varies by state) + Long Term Disability + Critical Illness, Hospital coverage, Accident Insurance + MetLife Legal, MetLife ID Fraud , and MetLife Pet Insurance ... + 401(k) ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment… more
- Umpqua Bank (Irvine, CA)
- …Director who is seasoned in implementing and maintaining a world class Fraud and Anti-Money laundering (AML) investigations and transaction monitoring program that ... to provide subject matter expertise and leadership in the field of AML and fraud investigations as well as understanding the risks associated and types of controls… more
- Walmart (Sunnyvale, CA)
- **Position Summary ** **What you'll do ** Join our Fraud Technology team as a **Director, Software Engineering** , where you'll lead a newly formed engineering ... and hands-on role, you'll architect and deliver scalable, secure, and maintainable fraud prevention systems that protect the customer journey from emerging threats.… more
- Walmart (Sunnyvale, CA)
- …drive both analytical insight and technical model development to detect and mitigate fraud and performance risks. You'll work on high-impact problems that require a ... + **Analyze Risk Patterns** by exploring large datasets to uncover emerging fraud tactics, behavioral anomalies, and areas of business exposure. + **Develop… more
- RELX INC (Sacramento, CA)
- …of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You ... IDV solutions-including document authentication, biometric verification, liveness detection, and fraud detection . You will lead product demonstrations, technical… more
- Centene Corporation (Sacramento, CA)
- …workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and … more
- Experian (CA)
- …the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare, create marketing solutions, and gain deeper insights into the ... of markets, from financial services to healthcare, automotive, agribusiness, insurance , and many more industry segments. We invest in...for a Senior Product Manager to join our growing Insurance team. In this strategic role, you'll translate needs… more
- Herbalife (Torrance, CA)
- …RESPONSIBILITIES: The Director will oversee the manager of the credit card fraud prevention team and an insurance manager. **Qualifications** SKILLS AND ... will assist in the management of the credit card fraud team and minimize the fraud loss...Program, Employee Stock Purchase Plan (ESPP), Supplemental Life/Critical Illness/Hospitalization/Accident Insurance , and Pet Insurance . Paid time off… more
- Travelers Insurance Company (Diamond Bar, CA)
- …including apportionment, contribution and subrogation. + Evaluate claims for potential fraud . Proactively manage inventory with documented plans of action to ensure ... to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.… more