- Wells Fargo (San Antonio, TX)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to report to the Head of Claims and Recovery. This group is responsible ... + Manage allocation of people and financial resources for Fraud and Claims Operations +...and policies. + Effectively partner and influence at the senior and executive level. + Proven ability to drive… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will… more
- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator Senior ** is responsible for identifying issues and/or entities… more
- Citizens (Johnston, RI)
- …Citizens Fraud & Claims Organization is seeking a dynamic and experienced Senior Fraud Operations Manager to lead our OLB and Mobile Fraud ... Description Job Title: Senior Fraud Operations Manager - OLB and Mobile Fraud Detection Description:… more
- Cambridge Savings Bank (Waltham, MA)
- POSITION: Fraud Operations Analyst Summary: At Cambridge Savings Bank, our purpose is to have a positive impact on our customers, employees, and community's ... having a strong commitment to diversity and inclusion. The Fraud Operations Analyst is responsible for supporting...contacts including law enforcement + Experience in investigative tactics, fraud analysis, claims , and recovery process +… more
- City National Bank (Newark, DE)
- …You will not be employed by City National Bank. *The Opportunity* A Fraud Detection Specialist level I, will review alerts/transactions that are flagged as ... outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in...of losses to the client and its clients. The Fraud Detection Specialist I, is a position requiring banking… more
- City National Bank (Phoenix, AZ)
- …ANALYST* WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations , including: conducting analysis of transactional data for ... ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department...processes and client protection. * Provide escalation support for fraud operations , and review high risk alerts.… more
- Ally (Harrisburg, PA)
- …, and customer service. * Demonstrate executive presence and effectively communicate fraud -related insights and recommendations to senior leadership. * Maintain ... your opportunities be, too? **The Opportunity** The Debit Card Fraud Program Leader is responsible for driving the strategy...Reg E and Mastercard's dispute rules to support accurate claims management and loss recovery. * Strong analytical skills… more
- Kemper (Chesterfield, MO)
- …Come join us in Growing for LIFE. **POSITION SUMMARY** : Kemper is seeking a Senior Accident & Health Claims Adjuster to support our organization's Health ... being world-class operators. Kemper Life has a talented Sales Operations team that helps support this strategic intent with...Claims team. As a Senior Accident & Health Claims Adjuster, you… more
- USAA (Tampa, FL)
- …strategy and operational goals. + **Cross-Functional Collaboration:** Effective in partnering with Claims Operations , Legal, Actuarial, Risk, IT, and Data & ... + ** Claims Domain Expertise** : Proven understanding of end-to-end claims processes, including FNOL, subrogation, fraud detection. + **Leadership** :… more