- 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 our ... engage management, vendors or related functional areas associated with fraud and claims investigations + Identify and...+ Interpret and develop data and reports on emerging risk in the fraud environment to implement… more
- Bank of America (Charlotte, NC)
- …least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Attorney Fraud Claims -and-At- Risk -Persons\_25036025) **Job ... Attorney - Fraud & Claims and At- Risk...Attorney - Fraud & Claims and At- Risk Persons Charlotte, North...offered a role with Bank of America, your hiring manager will provide you with information on the in-office… more
- Citizens (Johnston, RI)
- Description The Manager of Fraud Risk Oversight...and Claims divisions and all aspects of Fraud risk across the organization. Independent risk ... relationships across lines of defense to ensure all aspects of the Fraud Risk Management framework are delivered according to policy and business strategy. The… 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
- 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 (San Francisco, CA)
- 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