- Elevance Health (Atlanta, GA)
- …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
- Bank of America (Kennesaw, GA)
- …include researching and analyzing of account activity to assess levels of risk and fraud . Job expectations include completing inbound and outbound ... and/or extended hours as needed. **Desired Qualifications:** * Prior experience in Retail Fraud Servicing, Claims or Fraud Detection. * Experience working… more
- Grant Thornton (Atlanta, GA)
- As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business ... role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your… more
- Travelers Insurance Company (Alpharetta, GA)
- …specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... resolving assigned General Liability 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
- Travelers Insurance Company (Alpharetta, GA)
- …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 (Alpharetta, GA)
- …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
- Elevance Health (Atlanta, GA)
- …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 (Columbus, GA)
- …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
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- RELX INC (Alpharetta, GA)
- R97329 Product Mgr I About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more