- Travelers Insurance Company (Richmond, VA)
- …evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury ... + Communication - Intermediate + Negotiation - Intermediate + Insurance Contract + Knowledge - Intermediate + Principles of...job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state… more
- Travelers Insurance Company (Richmond, VA)
- …such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. + Verify the nature and extent of injury ... + Communication - Advanced + Negotiation - Advanced + Insurance Contract Knowledge - Advanced + Principles of Investigation...job. **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members -… more
- Travelers Insurance Company (Richmond, VA)
- …Subro, Risk Control, nurse consultants, the Travelers Lab, Claim Legal, 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
- Highmark Health (Richmond, VA)
- …referrals from sources such as claims, customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert Investigators of the need for further analysis; will ... of customers and providers to obtain information in suspected fraud waste and abuse cases; Prepare reports and other...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- City National Bank (Richmond, VA)
- …handling lender self-reporting requirements, and coordinating regulatory audits and fraud reporting. The ideal candidate brings strong analytical skills, attention ... government agencies (eg, Fannie Mae, Freddie Mac, FHA, VA), mortgage insurance providers, and servicing partners. * Monitor reporting requirements and ensure… more
- Wells Fargo (Mclean, VA)
- …to advance intelligence initiatives and information sharing involving AML, CFT, and Fraud typologies and relevant industry risks and trends. + Maintain awareness of ... Qualifications:** + 5+ years of Financial Crimes, Operational Risk, Fraud , Sanctions, Anti-Bribery, Corruption experience, or equivalent demonstrated through one… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …a focus on optimizing payment accuracy, detecting improper payments, identifying potential fraud , and enhancing overall revenue cycle management. This is a full-time ... to analyze healthcare claims for accuracy, coding compliance, and adherence to insurance policies. * Apply data mining techniques to analyze large datasets of… more
- Guidehouse (Mclean, VA)
- …(FCRC) practice and currently seeks candidates with relevant financial crimes, fraud , consumer protection, risk management, and / or regulatory compliance ... Transaction Monitoring, Sanctions, Trade Surveillance, Anti-Bribery & Corruption, and / or Fraud projects and / or related investigations. + Support enterprise risk… more
- CVS Health (Richmond, VA)
- …Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional with strong skills ... who can transform complex healthcare data into actionable insights to support fraud , waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting.… more
- Pixalate, Inc. (Mclean, VA)
- …Employment Type: Full-Time Location: McLean, VA Pixalate offers the market-leading fraud protection, privacy, and compliance analytics platform for Connected TV ... Is Enabling a $65 Million Scam, New Research Says (https://gizmodo.com/apple-icloud-private-relay-ad- fraud -scam-research-1849803510) + Adweek: A 7-Figure Ad Fraud … more