- Bank of America (Richmond, VA)
- …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 (Norfolk, VA)
- …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 (Richmond, VA)
- …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
- DXC Technology (Richmond, VA)
- …We are seeking a **Quality Analyst** with experience in **Life and Annuity Death Claims ** to join our growing team. This role will be responsible for performing ... + Conduct quality control reviews of Life and Annuity Death Claims payments and correspondence to ensure compliance with regulatory requirements and… more
- Capital One (Mclean, VA)
- …products associated with the resolution of credit card Fraud and Dispute claims . This Product Manager will partner closely with the Business Analyst team ... Fraud Product-** Will be responsible for managing the Claims System of Record (CSOR) and Fraud ...Analysts to identify areas of opportunity to reduce cost, risk or manual processes. **Capital One Product Framework** In… more
- Travelers Insurance Company (Chantilly, VA)
- …specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... assigned Specialty 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 (Norfolk, VA)
- …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
- Elevance Health (Roanoke, VA)
- …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
- Parsons Corporation (Fairfax, VA)
- …contracting approaches. + Ensures that the contract is thoroughly reviewed for legal, risk management, tax, and accounting issues. + Participates as a lead member of ... Advises Program Managers and Teams regarding scope, financial, and risk issues of prime contracts. + May be responsible...+ Supports and prepares Requests for Equitable Adjustments and Claims as needed on programs supported. + Works with… more
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