- CareFirst (Baltimore, MD)
- …offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical ... **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and...and resolution of all levels (low to complex), of fraud , waste, and abuse schemes, resulting in the savings… 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
- JPMorgan Chase (Columbus, OH)
- …the Private Client Fraud & Claims team, you will oversee fraud operations and support senior leadership with key performance indicators, reporting, ... prevention and client satisfaction? Join our Private Client Fraud and Claims Team, where you'll lead...a meaningful impact. **Job Responsibilities:** + Oversee and manage fraud operations , ensuring our clients receive top-tier… more
- State of Massachusetts (Boston, MA)
- …you'd do:* Claims Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, ... * Claims Examiner/Job Service Representative I| Department of Family...system testing/reporting as required. 13. Intake reports of potential fraud through the Department's Fraud Hotline. 14.… more
- DXC Technology (Nashville, TN)
- …(NYSE: DXC) helps global companies run their mission-critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and ... technology to deliver mission-critical IT services that help our customers modernize operations and drive innovation across their IT ecosystems. We offer solutions… more
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- Otsuka America Pharmaceutical Inc. (Jackson, MS)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... department's budget, ensuring efficient allocation of resources and cost-effective operations , including resource utilization and optimization + **Global Systems:**… more
- State of Massachusetts (Boston, MA)
- …* Reviewing complaints and referrals, including assisting with the day-to-day operations of Office's fraud hotline. * Investigating and documenting ... is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public...bureaus: Specialty & General Government, Legal & Compliance, and Operations , Training & Publications. Each bureau contains divisions that… more
- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. ... are processed appropriately at the branch and/or corporate levels, or credit card operations management Performs a variety of Operations Support functions; such… more
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