- Guidehouse (Richardson, TX)
- …Required** **:** None **What You Will Do** **:** + Manage the Fraud Recovery function, including personnel management, queue management, quality assurance, ... efficient processing of cases. + Conduct quality assurance reviews of fraud recovery cases to ensure accuracy, completeness, and adherence to established… more
- Guidehouse (Richardson, TX)
- …**:** None **What You Will Do** **:** + Conduct quality assurance reviews of fraud recovery cases handled by analysts to ensure accuracy, completeness, and ... the company investigation system. + Provide feedback and training to Fraud Recovery Analysts based on quality assurance findings to improve overall performance… more
- Elevance Health (St. Louis, MO)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Robert Half Management Resources (Phoenix, AZ)
- …* Preferred certifications include Certified Fraud Examiner, Accredited Health Care Fraud Investigator, Health Care Anti- Fraud Associate , or Certified ... clients for an interim part-time project. This role involves conducting in-depth investigations to detect and prevent healthcare fraud , waste, and abuse,… more
- Ross Stores, Inc. (Dallas, TX)
- …regular direction and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross associates and ... of this team\. Periodically, ALPMs may need to support the response to, recovery from, and future prevention of serious incidents within assigned market\. **The… more
- Ross Stores, Inc. (Las Vegas, NV)
- …regular direction and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross associates and ... this team\. Periodically, ALPMs may need to support the response to, recovery from, and future prevention of serious incidents within assigned market\. **ESSENTIAL… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as...investigative units engaged in Medicaid (MA) case reviews and investigations for the purpose of revenue recovery … more
- City of New York (New York, NY)
- …- Record and process manual and electronic checks received from Bureau of Fraud Investigation, Claims and Collections, Liens and Recovery and checks delivered ... Job Description YOU MUST BE PERMANENT IN THE CLERICAL ASSOCIATE TITLE OR IF YOU ARE HIRED PROVISIONALLY AS...WHEN IT BECOMES AVAILABLE. BFI is mandated to conduct investigations of individuals and organized groups allegedly committing fraudulent… more
- City of New York (New York, NY)
- …with child support requirements; takes actions on behalf of the Bureau of Fraud Investigation; Liens and Recovery ; and Claims and Collections. Staff reviews ... Job Description YOU MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Department of Social Services Accountability Office (DSS-AO)… more
- NJM Insurance (Trenton, NJ)
- …of timely, appropriate, and accurate benefits + Evaluate the claim for potential fraud indicators and escalates the file to SIU, as appropriate + Recognize and ... investigate subrogation opportunity and refer to NJM subrogation staff for recovery of third-party funds + Initiate and provide excellent communication with all… more
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