- Citizens (Pittsburgh, PA)
- …fulfilling career with exciting new challenges and opportunities to stretch yourself. As a Fraud Operations Manager , you will be a key player across Debit ... experience. You will lead the Research, Adjustments, and Recovery team within the Claims Department and will be responsible for growing and developing a high-quality… more
- Elevance Health (Norfolk, VA)
- …Investigator II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- Bank of America (Phoenix, AZ)
- …include researching and analyzing of account activity to assess levels of risk and fraud . Job expectations include completing inbound and outbound ... Takeover Team, detection analysts perform complex judgmental reviews of high- risk activity to limit true client impact while protecting...all holidays **Desired Qualifications** * Prior experience in Retail Fraud Servicing, Claims or Fraud … more
- Bank of America (Newark, DE)
- …include researching and analyzing of account activity to assess levels of risk and fraud . Job expectations include completing inbound and outbound ... and/or extended hours as needed. **Desired Qualifications:** + Prior experience in Retail Fraud Servicing, Claims or Fraud Detection. + Experience working… more
- Grant Thornton (Atlanta, GA)
- As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business ... role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... . Be a key contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements . Support expert witness… more
- Point32Health (Canton, MA)
- …Special Investigations Unit ("SIU") of the Legal Department, the Point32Health Manager , Prevention & Recovery manages the investigative team responsible for ... all lines of business and multiple provider types. In addition, the manager will hire and train Investigators to perform prepayment reviews, performs complex… more
- TD Bank (Mount Laurel, NJ)
- …and subject matter expertise in the areas of KYC/AML, insider threat, and fraud and claims . This role provides support for end-to-end regulatory engagements. ... **Job Description:** The FCM Testing Coordination - Regulatory Issues Manager is an individual contributor in the Financial Crimes...regulatory experience preferred. Includes but not limited to KYC/AML, fraud and claims , insider threat, Reg E,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …US Ethics & Compliance (E&C) processes in furtherance of US and global fraud and abuse risk mitigation, financial transparency, and Otsuka ethical standards. ... **Job Summary** The Manager Corporate Compliance will oversee business compliance with...disclosure requirements. + Tracks and logs federal and state fraud and abuse enforcement activities. + Develops and maintains… more
- TD Bank (Charlotte, NC)
- …you more specific details for this role. **Line of Business:** Financial Crimes & Fraud Mgmt **Job Description:** The Regulatory Issue Manager is an individual ... expertise in the areas of KYC/AML, insider threat, and fraud and claims . This role provides support...planning + Requires expert process management knowledge and the risk profile for team processes supported + Leads teams… more