- Sedgwick (Erie, PA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes… more
- Sedgwick (Harrisburg, PA)
- …PURPOSE OF THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical ... and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic… more
- Citizens (Pittsburgh, PA)
- …Internal Auditor (CIA), Accredited Payments Risk Professional (APRP), Certified Fraud Examiner (CFE), Certified Anti Money Laundering Specialist (CAMS) Hours & Work ... relevant skills and experience. We offer competitive pay, comprehensive medical , dental and vision coverage, retirement benefits, maternity/paternity leave, flexible… more
- Highmark Health (Harrisburg, PA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Wells Fargo (Philadelphia, PA)
- …one or more of the following: CPA, CAMS, CRCM, CIA, CISA or Commissioned Bank Examiner designation + Ability to work effectively in a team environment and across all ... compliance program requirements. **Applicants with Disabilities** To request a medical accommodation during the application or interview process, visit Disability… more
- Wells Fargo (Philadelphia, PA)
- …one or more of the following: CPA, CAMS, CRCM, CIA, CISA or Commissioned Bank Examiner designation + Ability to work effectively in a team environment and across all ... compliance program requirements. **Applicants with Disabilities** To request a medical accommodation during the application or interview process, visit Disability… more
- Highmark Health (Pittsburgh, PA)
- …specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Professional… more
- CDM Smith (Harrisburg, PA)
- …* Certification such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:** We attract ... sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression),… more
- PNC (Pittsburgh, PA)
- …technology, general controls, and other financial product controls Certified Fraud Examiner (CFE), Certified Internal Auditor (CIA), or Certified Public Accountant ... future. Depending on your eligibility, options for full-time employees include: medical /prescription drug coverage (with a Health Savings Account feature), dental… more
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