• Fraud Support Representative

    SMBC (Phoenix, AZ)
    …suspicious activity from Tier 1 operations and back office. + Work with fraud victims in processing claims , assisting in clearing negative impacts of ... banking translates to a richer life. **SUMMARY:** As a Fraud Support Representative , you will work with...for inbound and outbound customer contacts. + Work with Operations back office to correctly reimburse fraud more
    SMBC (08/15/25)
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  • Fraud Call Center Representative

    Conduent (San Antonio, TX)
    …by monitoring card alerts and fraud prevention reports. + Process disputes and fraud claims in line with client policies and guidelines. + Escalate issues to ... culture where individuality is noticed and valued every day. ** Fraud Call Center Representative - Onsite in...confidentiality and compliance with all regulations. + Support team operations during peak times or absences to help maintain… more
    Conduent (09/24/25)
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  • Specialist, Fraud Operations

    Santander US (Quincy, MA)
    …possibilities **We Want to Talk to You!** **The Difference You Make** : The Specialist, Claims & Fraud Operations performs routine, analytical review of data ... Specialist, Fraud Operations Country: United States of...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
    Santander US (09/12/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
    State of Colorado (08/27/25)
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  • Manager, Fraud and Waste

    Humana (Montpelier, VT)
    …to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced… more
    Humana (09/24/25)
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  • Claims Examiner - Job Service Rep I

    State of Massachusetts (Boston, MA)
    * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I ... within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review...I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA,… more
    State of Massachusetts (08/23/25)
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  • Workers Comp- Claims Specialist (I/II/ Sr.)

    NJM Insurance (Trenton, NJ)
    …being a key component in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims Specialists are supported by a ... NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time...and accurate benefits + Evaluate the claim for potential fraud indicators and escalates the file to SIU, as… more
    NJM Insurance (07/31/25)
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  • Senior Investigator / Human Servies Program…

    State of Minnesota (St. Paul, MN)
    …through the Medicaid claims processing system. + An understanding of claims processing operations , claims forms, edits, and coding structures ... **Working Title: Senior Investigator** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 88990 + **Location** :… more
    State of Minnesota (09/18/25)
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  • Customer Service Representative - Shopify…

    TP-Link North America, Inc. (Irvine, CA)
    …TikTok Seller Center would be a plus. + Experience handling returns, disputes, and fraud claims . + Able to work independently in a fast-paced environment. ... + Handle returns, refunds, and complaints according to company policy. + File and track fraud and chargeback claims on Shopify and TikTok Shop. + Flag suspicious… more
    TP-Link North America, Inc. (07/24/25)
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  • HYBRID Member Service Representative

    TEKsystems (Winchester, VA)
    …card maintenance + Submit and provide status of debit or credit card dispute or fraud claims Hours: 5 days a week, 40 hours, Multiple Shifts Available between ... is currently searching for career-driven candidates interested in a Member Services Representative  opportunity with a Fortune 100 Financial Institution in the… more
    TEKsystems (09/27/25)
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