- Robert Half Management Resources (El Monte, CA)
- …services industry. This role is crucial in developing and implementing fraud risk management frameworks and methodologies to safeguard the organization against ... The successful candidate will play a pivotal role in overseeing fraud detection tools, collaborating across departments, and ensuring adherence to industry… more
- Robert Half Legal (San Francisco, CA)
- …located in San Francisco, California. This role will be focusing primarily on fraud investigation within the securities industry. You will be working in a dynamic ... environment where your skills in fraud detection and investigation will be utilized to their...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- Travelers Insurance Company (Irvine, 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
- Travelers Insurance Company (Glendale, CA)
- …- $180,200.00 **Target Openings** 1 **What Is the Opportunity?** Bond & Specialty Insurance provides management and professional liability insurance , as well as ... Liability, Fiduciary Liability, CyberRisk, Kidnap and Ransom, Crime, and Identity Fraud Expense Reimbursement. The Account Executive Officer (AEO) will partner with… more
- Travelers Insurance Company (Irvine, CA)
- …documentation of claim files and transactions. + Identify and escalate potential fraud or complex claims for further investigation. + Coordinate with internal teams ... Candidate Have?** + Bachelor's Degree. + Three years of experience in insurance claims, preferably General Liability. + Experience with claims management and… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as ... a claim is compensable under Workers Compensation including evaluating claims for potential fraud . + Achieve a positive result by returning an injured party to work… more
- Travelers Insurance Company (Sacramento, CA)
- …evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. + Verify the nature and extent of injury ... job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state...job. **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members -… 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
- Walmart (Sunnyvale, CA)
- …**What you'll do ** Walmart is seeking a **Sr. Director of Data Science - Fraud & Risk** to lead data science efforts that protect our end-to-end retail and ... you will oversee teams building models to detect, prevent, and mitigate fraud and risk across buyer, seller, store, and delivery partner flows-supporting billions… more
- CVS Health (Sacramento, CA)
- …United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more