- Wells Fargo (Chandler, AZ)
- …this role:** Wells Fargo is seeking a Quality Control Director to join the Fraud & Claims Management (FCM) Quality Control team. **Key ... are met timely and accurately. + Lead the FCM Claims Assurance Quality Control organization including developing... management or leadership experience. **Desired Qualifications:** + Fraud and Claims Management and… more
- Santander US (RI)
- Sr. Specialist, Claims & Fraud Operations Providence, United States of America The Sr. Specialist, Claims & Fraud Operations is responsible and ... risk and improve Santander's profitability. + Communicates significant issues to management and makes recommendations when weaknesses are identified. + Completes… more
- ManpowerGroup (Salt Lake City, UT)
- **Job Title: Fraud / Claims Operations Analyst** **Location: Salt Lake City, UT 84116 (Hybrid -3 days onsite per week)** **Position type: 12+ months with high ... of performance)** **Job Description:** As a contingent resource in Fraud and Claims Operations, you will support...Qualifications:** + Minimum of 2 years of experience in Fraud , Investigations, Risk Management , or Compliance; or… more
- Independent Health (Buffalo, NY)
- …in fraud , waste and abuse investigations and audits; insurance claims investigation; or professional investigation with law enforcement agencies OR seven (7) ... and a culture that fosters growth, innovation and collaboration. **Overview** The Fraud Investigator will develop, implement and administer the IH anti- fraud … more
- Geisinger (Danville, PA)
- …case updates on progress of investigations to internal departments, committees and management . + Establishes and maintains quality relationships with public ... and research initiatives related to prevention and detection of Fraud , Waste and Abuse in all the Health Plan...Pennsylvania state regulations relevant to the Health Plan, and claims adjudication. + Reports to Management potential… more
- Conduent (Guaynabo, PR)
- …by monitoring card alerts and fraud prevention reports. Process disputes and fraud claims in line with client policies and guidelines. Escalate issues to ... identified using comprehensive training, customer records, and our knowledge management systems. Analyze potential fraud and suspicious...in your career and join a team that values quality service and continuous growth. Apply today to become… more
- 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 ... identified using comprehensive training, customer records, and our knowledge management systems. + Analyze potential fraud and...in your career and join a team that values quality service and continuous growth. Apply today to become… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …once trained, will be able to prioritize their own work to ensure all quality and timeliness commitments are met to the full satisfaction of our customer (the ... Analysts. Specific accountabilities include: * Reviewing incident reports, such as fraud and other law violations, strategizing on effective ways to minimize… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …once trained, will be able to prioritize their own work to ensure all quality and timeliness commitments are met to the full satisfaction of our customer (the ... USPTO). Specific accountabilities include: * Reviewing incident reports, such as fraud and other law violations, strategizing on effective ways to minimize losses… more
- State of Colorado (Denver, CO)
- …and management of whistleblower (qui tam) litigation. The False Claims Act encompasses all varieties of government spending and collections, ranging from ... city attorneys, and Plaintiffs' bar to promote the False Claims Act as a fraud deterrent and...employer and believe that a diverse work force adds quality and perspective to the services we provide to… more