• Fraud & Claims Operations

    Wells Fargo (San Antonio, TX)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Manager in the Claims Assistance Center Claims team. To Learn more about ... Fargo's business goals + Manage allocation of people and financial resources for Fraud and Claims Operations + Mentor and guide talent development of direct… more
    Wells Fargo (08/27/25)
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  • Fraud Operations Sr Manager

    Citizens (Johnston, RI)
    Description Job Title: Senior Fraud Operations Manager - OLB and Mobile Fraud Detection Description: Citizens Fraud & Claims Organization is ... seeking a dynamic and experienced Senior Fraud Operations Manager to lead...OLB and Mobile Fraud Detection teams. Citizens Fraud & Claims is dedicated to protecting… more
    Citizens (08/01/25)
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  • Senior Manager , Operations

    Capital One (Richmond, VA)
    Senior Manager , Operations Servicing Strategy, Fraud and Disputes Operations (Hybrid) As a **Senior Manager , Operations Servicing Strategy, ... Operations department. Capital One receives over 7 million fraud and disputes claims annually totalling over...regularly worked. McLean, VA: $154,600 - $176,400 for Senior Manager , Operations Servicing Strategy Richmond, VA: $140,600… more
    Capital One (08/22/25)
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  • Fraud Operations Manager

    Citizens (Pittsburgh, PA)
    …a fulfilling career with exciting new challenges and opportunities to stretch yourself. As a Fraud Operations Manager , you will be a key player across Debit ... day-to-day colleague management, etc. + Collaborate with the RAR Manager on losses that could be prevented and ways...oversee the Research & Adjustments and Recovery functions within Claims Operations + Work closely with several… more
    Citizens (08/21/25)
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  • Omnichannel Fraud Manager

    Academy Sports + Outdoors (Katy, TX)
    …and controlling for other potential avenues for fraudulent activity such as carrier claims fraud , returns fraud , social engineering of Academy's Customer ... experience Work Experiences + 5+ years of eCommerce, Retail, or Online Fraud Experience preferred. Skills: + Strong interpersonal, written, and verbal communication… more
    Academy Sports + Outdoors (08/08/25)
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  • Health Insurance Fraud Analyst II

    MyFlorida (Tallahassee, FL)
    …DSGI. Knowledge, Skills, and Abilities: * Experience in auditing, data analysis, or fraud detection. * Knowledge of claims processing and medical terminology. * ... HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19,...implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile… more
    MyFlorida (08/20/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
    State of Colorado (08/27/25)
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  • Claims Examiner - Job Service Rep I

    State of Massachusetts (Boston, MA)
    …you'd do:* Claims Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA, ... * Claims Examiner/Job Service Representative I| Department of Family...system testing/reporting as required. 13. Intake reports of potential fraud through the Department's Fraud Hotline. 14.… more
    State of Massachusetts (08/23/25)
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  • Claims Customer Service Advocate II

    TEKsystems (Columbia, SC)
    …following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations. ... procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay … more
    TEKsystems (08/19/25)
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  • Senior Manager , Fleet & Sample…

    Otsuka America Pharmaceutical Inc. (Columbia, SC)
    **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
    Otsuka America Pharmaceutical Inc. (08/15/25)
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