- 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
- 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
- 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
- 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
- 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
- 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
- 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 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
- 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
- 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