- Highmark Health (Pittsburgh, PA)
- …:** **JOB SUMMARY** The job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of ... Fraud Plans and Reports. The incumbent is responsible for...state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business +… more
- M&T Bank (Clanton, AL)
- …on both inbound and outbound calls received/made. + Identify suspect situations (eg, fraud , lack of insurance ) and investigate exposure, escalating issues to ... management along with recommendation of appropriate course of action. + Identify and resolve problematic account situations where appropriate, referring more complex problems to the supervisor. Understand the workflow necessary for account… more
- S&P Global (Southfield, MI)
- …the auto insurance sector in areas such as underwriting, claims, fraud , and actuarial departments. This role is pivotal in nurturing and expanding relationships ... is seeking an experienced Account Manager to join our Insurance Solutions group. The ideal candidate will have 5-10...collaboration, we drive innovation and power global markets. **Recruitment Fraud Alert:** If you receive an email from a… more
- Charles Schwab (Omaha, NE)
- …in the United States on a full-time basis without employer sponsorship. **Group Overview** Fraud Risk Oversight (FROST) is a team within the Fraud Risk ... is responsible for the design and oversight of Schwab's fraud risk management program, which protects client and firm...benefits + Tuition reimbursement + Health, dental, and vision insurance What's in it for you: At Schwab, we're… more
- MyFlorida (Orlando, FL)
- …is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida. Pay:$60,000.20 - $62,425.00 Annually Qualifications:Florida ... requirements of s. 943.135. Preference will be given to candidates with healthcare fraud investigative experience working in a Medicaid Fraud Control Unit, or… more
- MyFlorida (Miami, FL)
- …States. The Consumer Protection Division's mission is to protect consumers from fraud and other financial exploitation, to prevent and stop unfair and deceptive ... investigations may include allegations of unfair and deceptive trade practices, consumer fraud , asset forfeiture, organized schemes to defraud, and fraud … more
- Amazon (Seattle, WA)
- …worldwide by protecting customers, brands, selling partners, vendors and Amazon from fraud , counterfeit, and abuse as well as providing world‐class support and ... of being Earth's most customer-centric company. We catch bad actors and stop online fraud ; It's fun! It's hard! It matters! We are passionate about protecting our… more
- Magellan Health Services (Boise, ID)
- …Job Requirements Responsibilities Minimum of five years of experience in fraud investigations, related behavioral or medical healthcare insurance experience ... This position is responsible for comprehensive management and ownership of fraud , waste and abuse investigations including development and presentation of… more
- First National Bank of Omaha (Omaha, NE)
- …this role will lead strategic initiatives across several critical areas, including 1st party fraud and 3rd party fraud detection for Unsecured Credit Lines (UCL) ... that inform broader enterprise strategies. **About This Role:** **Major Responsibilities:** ** Fraud Management** + Lead efforts to detect and manage 1st party… more
- USAA (Phoenix, AZ)
- …to detect and prevent identity theft, account takeover, and first party/synthetic fraud . These solutions will range from the development of machine learning models ... and continuously update internal identity theft and authentication models to mitigate fraud losses and negative member experience from fraud application,… more