- Omni Financial (Orlando, FL)
- …related duties as assigned. Fraud vs. Non- Fraud Responsibilities Fraud Disputes: Process unauthorized transaction claims Ensure timely provisional credit ... Debit Card Dispute Specialist (Entry Level) Department Debit Card Services / Operations Job Summary The Debit Card Dispute Specialist (Entry Level) is responsible… more
- JPMorgan Chase (Columbus, OH)
- …across one of the world's most innovative financial organizations. As a Senior Product Associate in Claims and Disputes, you contribute to the team by leveraging ... knowledge of data analytics and data literacy + Direct experience in check fraud prevention and management + Proficient in using collaboration platforms such as… more
- Citizens (Johnston, RI)
- … Fraud and Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at ... + Review Claims - Responsible for reviewing claims filed by customers for fraud and...for delivering exceptional customer experiences. + Preferred Qualifications + Associate or bachelors degree, preferred + Proficiency in Microsoft… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I is ... within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review claims...I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA,… more
- NJM Insurance (NJ)
- …being a key component in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims Specialists are supported by a ... NJM's WC Claims Department is seeking an experienced Claims...and accurate benefits + Evaluate the claim for potential fraud indicators and escalate the claim to SIU, as… more
- Citizens (Johnston, RI)
- …high-net work clients. + Cross-functionally assist with filing and tracking fraud claims within the same department. Qualifications, Education, Certifications ... play a pivotal role in the Citizens Private Bank Fraud Detection and Claims group, one of...fraud or suspicious activity. + Preferred Qualifications + Associate degree, preferred + 3+ years of Banking, Professional… more
- Humana (Oklahoma City, OK)
- …into allegations of fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …Bank. GENERAL FUNCTION: The Fraud Analyst I is a cross functional position within Fraud Operations . Fraud Analyst Is can support the Fraud Detection, ... partner). Domestic Collections - Responsible for processing and decisioning fraud check dispute claims . Includes working...thinking skills. Fraud Analyst Is also assist Fraud Operations leadership in developing policies and… more
- Humana (Santa Fe, NM)
- …of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The ... Manager, Fraud and Waste works within specific guidelines and procedures;...Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area.… more
- Humana (Concord, NH)
- …part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud ...CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in… more
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