- Bank of America (Jacksonville, FL)
- …at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management- Fraud Claims Sr- Fraud -Analyst\_25028343) ... Wealth Management Fraud & Claims - Sr. ...in a call center or a financial/banking center + Fraud Detection and Prevention + Credit Risk … more
- Bank of America (Jacksonville, FL)
- …increased the scope and complexity of effectively detecting, mitigating and monitoring ATO risk within the Bank's ecosystem. The Fraud Prevention and Detection ... capability roadmap development **Required Qualification:** + 4+ years of fraud , cyber, or risk analyst experience developing...Computer Science, Data Science, Statistics, or related field + Fraud or Claims background with focus on… more
- Elevance Health (Tampa, FL)
- …Investigator II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- Zurich NA (Tallahassee, FL)
- …potential subrogation and fraud . + Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed. + ... Marine Claims Specialist II 126114 Zurich North America is...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- Sedgwick (Jacksonville, FL)
- …subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external ... Fortune Best Workplaces in Financial Services & Insurance Account Manager **PRIMARY PURPOSE** **:** To manage claim caseload of...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Travelers Insurance Company (Orlando, FL)
- …specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Orlando, FL)
- …specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Elevance Health (Miami, FL)
- …Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** ... + Examines claims for compliance with relevant billing and processing guidelines...relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and… more
- Elevance Health (Tampa, FL)
- …II i** s responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** ... + Examines claims for compliance with relevant billing and processing guidelines...relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and… more
- Truist (Orlando, FL)
- …following job description:** Under minimal supervision of the Operations Manager , responsible for handling electronic payment exceptions, escalations, and ... related to Wire within established timeframes in order to mitigate risk . ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Independently analyze, research, and process… more
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