- Carle Health (Champaign, IL)
- …but not limited to healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims, fraud cases and attorney requests, etc.Handles ... advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and… more
- MyFlorida (Tallahassee, FL)
- …with a major in finance, business administration, economics, accounting, insurance or risk management or a Certified Fraud Examiner (CFE); Certified Anti-Money ... college or university with a major in accounting, finance, economics, insurance, risk management and/or business management/administration. + One (1) or more years… more
- USAA (Charlotte, NC)
- …is not available for this position. **We are seeking a proactive and innovative AML/ Fraud Reporting Team Manager to lead our reporting efforts in the fight against ... you will oversee the development and delivery of critical second line AML, Fraud , and other operational reports, ensuring EMG and Operations stakeholders have the… more
- Option Care Health (Bannockburn, IL)
- …Monitoring and Analytics is responsible for supporting the Compliance program's risk -based auditing, monitoring and analytics activities to monitor, assess, and ... (listed in order of importance and/or time spent)** + Executes the risk -based compliance auditing, monitoring and analytics program to assess the effectiveness of… more
- USAA (Auburn, ME)
- …questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. **The candidate ... business travel. **What you'll do:** + Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or… more
- S&P Global (New York, NY)
- …the Ratings division is dedicated to ensuring operational excellence and robust risk management. We pride ourselves on our collaborative culture, where innovation ... anticipate and withstand operational disruptions by embedding resilience into daily risk management. You will enhance regulatory readiness, improve visibility into… more
- Walmart (Bentonville, AR)
- …record in risk management, credit (preferably commercial), chargeback mitigation, or fraud prevention in payments is an advantage. + Ability to lead cross ... record in risk management, credit (preferably commercial), chargeback mitigation, or fraud prevention in payments is an advantage. + Ability to lead cross… more
- Capital One (Mclean, VA)
- …and Analytics team to help us in our mission to protect our customers' identities from Fraud and to help Capital One in its push to put customer centric analysis at ... to help drive the strategy and analytics that we leverage in optimizing fraud prevention. You will partner with Product Managers, Engineering, Design and many others… more
- TD Bank (New Haven, CT)
- …branch administrative duties + Approves financial transactions using sound judgment to minimize risk and potential losses from fraud and other decisions that ... to ensure operational excellence and compliance with policies and procedures to mitigate risk and protect the Bank and Customers. This role will drive, reinforce,… more
- Molina Healthcare (Covington, KY)
- …position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position ... tools, or strategy. + Effectively investigate and manage complex and non-complex fraud allegations. + Develop and maintain relationships with key business units… more