- Bank of America (Dallas, TX)
- …of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Attorney Commercial-Banking Wealth-Management- Fraud Claims \_25028867-2) **Job ... Attorney - Commercial Banking & Wealth Management Fraud & Claims Charlotte, North Carolina;Dallas, Texas; Boston, Massachusetts; Plano, Texas **To proceed with… more
- Citizens (Johnston, RI)
- …regulations and standards. Qualifications: + Experience: Extensive experience in either fraud detection management, fraud investigations , strategy or ... Description Job Title: Senior Fraud Operations Manager - OLB and...OLB and Mobile Fraud Detection Description: Citizens Fraud & Claims Organization is seeking a… more
- Citizens (Johnston, RI)
- Description The Manager of Fraud Risk Oversight will support the independent Risk Oversight of the Fraud and Claims divisions and all aspects of Fraud ... including the effectiveness of Fraud Strategy/Analytics, the efficiency of Fraud Alert Review and Investigations and effectiveness of Front-Line Controls… more
- AmeriHealth Caritas (Newtown Square, PA)
- **ROLE OVERVIEW** Under direct supervision of the Director, SIU the Pharmacy Manager in the Special Investigations Unit (SIU) will lead efforts to detect, ... team performance goals. + Proactively identify and analyze patters or anomalies in pharmacy claims and operations indicative of fraud , waste and abuse.; + Lead… more
- Elevance Health (Atlanta, GA)
- …in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role...prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches… more
- Ankura (Chicago, IL)
- …to Life Sciences clients and external counsel through compliance, disputes, investigations and advisory services. The position has tremendous growth potential with ... be working with practice leadership to provide exemplary compliance, disputes, investigations and litigation support (eg, expert witness) services across the Life… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) with a focus on ... identifying, investigating, and resolving health insurance fraud , waste, and abuse (FWA). This role provides operational oversight to the SIU team, ensuring the… more
- American Family Insurance - Corporate (Seattle, WA)
- …internal and external partners, agents and customers. You will report to a Special Investigations Manager . In this primarily home-based role, you will spend 80% ... You will Investigate low to moderately complex insurance fraud activity involving property claims , develop..., develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and… more
- CDM Smith (Raleigh, NC)
- …CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial ... data related to disaster-related claims , including property damage, business interruption, and other loss...other loss categories. The specialist will conduct thorough forensic investigations to identify discrepancies, detect potential fraud ,… more
- Travelers Insurance Company (Diamond Bar, CA)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... all offset opportunities, including apportionment, contribution and subrogation. + Evaluate claims for potential fraud . Proactively manage inventory with… more