- Travelers Insurance Company (Charlotte, NC)
- …evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury ... or property damage by obtaining and reviewing appropriate records and damage documentation. + Maintains claim files and documents claim file activities in accordance with established procedures. + Utilizes evaluation documentation tools in accordance with… more
- Grant Thornton (Charlotte, NC)
- …regarding internal control, business and IT process optimization, profit improvement, fraud prevention, and compliance + Lead and support business development ... activities such as new relationship development, proposals, client account management, conferences, presentations, whitepapers, and other thought leadership + Conduct entity and process level risk assessments and develop internal audit plans for client… more
- Centene Corporation (Raleigh, NC)
- …industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan ... guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws + Makes decisions on complex issues regarding technical approach for project components and can work without significant direction + Performs other duties as assigned.… more
- RELX INC (Raleigh, NC)
- …justice and fair results for their clients; businesses and governments prevent fraud ; consumers access financial services and get fair prices on insurance; and ... customers learn about markets and complete transactions. Our purpose guides our actions beyond the products that we develop. It defines us as a company. Every day across RELX our employees are inspired to undertake initiatives that make unique contributions to… more
- Bank of America (Charlotte, NC)
- …discover and develop mitigations from threats to help detect, prevent cybercrime and fraud from taking advantage of our customers or infrastructure. The position of ... sets to uncover threats and attack techniques under the mentorship of more senior members of the Cybercrime Disruption & Response team. A Cybercrime Identification… more
- Prime Therapeutics (Raleigh, NC)
- …Description** Responsible for the intake and initial handling of allegations of fraud , waste or abuse. Conducts preliminary investigation to assess the merit of ... audit or investigation. Serves as a corporate resource on fraud , waste and abuse issues and maintains confidentiality and...Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties… more
- Wells Fargo (Charlotte, NC)
- …execution, compliance, and innovation of payment processes across our global network. ** Fraud and Claims Management:** + Fraud and Claims Management delivers ... investigation and claims services that protect customers and Wells Fargo from fraud losses. The team reviews account activity and high-risk transactions to prevent… more
- BioFire Diagnostics, LLC. (Durham, NC)
- …with internal protocols and external legal requirements. As a senior -level investigator, the Director will personally lead complex, high-risk investigations, ... conducting corporate investigations, handling sensitive matters discreetly, and advising senior leadership on investigative findings and remediation strategies. Key… more
- TD Bank (Charlotte, NC)
- …for this role. **Line of Business:** Technology Solutions **Job Description:** The Senior Manager Information Security manages / leads a team of Technology Controls ... in security incident and event management (SIEM) tools + Experience with fraud prevention systems and solutions + Understanding of digital authentication and IAM… more
- First Horizon Bank (Raleigh, NC)
- …any office location within the company's footprint. **Summary** At First Horizon, the Senior Model Risk Analyst validates statistical models developed for use by the ... Bank, including Stress Testing, Fraud , Generative AI, CECL, Economic Capital, Risk Ratings, econometric, and other statistical models. **Primary Responsibilities** +… more