- Travelers Insurance Company (New York, NY)
- …throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, litigation management, negotiation and resolution) including ... evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury… more
- City of New York (New York, NY)
- …with child support requirements; takes actions on behalf of the Bureau of Fraud Investigation ; Liens and Recovery; and Claims and Collections. Staff reviews ... Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division (SID), Office of Accountability Strategies (OAS), Compliance and Contract… more
- Travelers Insurance Company (Albany, NY)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
- Elevance Health (Latham, NY)
- …+ Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation , law enforcement; or any ... The **Investigator Senior** is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare… more
- Option Care Health (Albany, NY)
- …the regulatory landscape, with a strong focus on preventing, detecting, and addressing fraud , waste and abuse (FWA). This leader promotes a culture of integrity and ... healthcare professional engagement process, Corporate Integrity Agreement requirements, internal investigations , policy updates, exceptions approval, training, monitoring and auditing… more
- Synchrony (New York, NY)
- …manage to the financial commitments of the deal pricing inclusive of credit and fraud losses, along with return for OnePay. Other aspects of the role include credit ... and contributing to Acquisition and Account Management credit and fraud strategies. The role acts as the lead credit...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Travelers Insurance Company (Albany, NY)
- …**Target Openings** 2 **What Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime insurance ... businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation , analysis, evaluation, and disposition of claims and claim litigation to achieve… more
- AON (Garden City, NY)
- …and service claims in accordance with plan provisions. + Conduct thorough investigation of claim submissions and documentation to confirm coverage. + Review medical ... customers throughout the claims process, and monitoring claims for possible fraud and misrepresentation. + Proactively resolve claims within established Service… more
- RELX INC (New York, NY)
- …of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You ... compliance, and a minimum of five years of experience conducting complex investigations involving various typologies + Cross-functional leadership and the ability to… more
- DataVisor (New York, NY)
- DataVisor is the world's leading AI-powered Fraud and Risk Platform that delivers the best overall detection coverage in industry. With an open SaaS platform that ... solution scales infinitely and enables organizations to act on fast-evolving fraud and money laundering activities in real time. Its patented unsupervised… more