- Santander US (Quincy, MA)
- …**We Want to Talk to You!** **The Difference You Make** : The Specialist , Claims & Fraud Operations performs routine, analytical review of data and/or ... Specialist , Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial… more
- NJM Insurance (Trenton, NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims ...and accurate benefits + Evaluate the claim for potential fraud indicators and escalate the claim to SIU, as… more
- PenFed Credit Union (San Antonio, TX)
- Overview PenFed is hiring a (Hybrid) Zelle Fraud Operations Specialist at our San Antonio, Texas service center. The primary purpose of this position will be ... alerts as needed. + Analyze and validate Identity Theft claims and other fraud claims ...Suite. + Basic knowledge of banking or credit union operations preferred. + Basic knowledge of fraud … more
- MetLife (Cary, NC)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… 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
- State of Indiana (Indianapolis, IN)
- …Administration's "Ticket to Work" program. Role Overview: This role, Disability Claims Adjudicator 2 - Vocational Specialist , completes vocational referrals, ... DCA Vocational Specialist Date Posted: Dec 1, 2025 Requisition ID:...This role requires applicants to be fully trained Disability Claims Adjudicators and completion of CDR training. Salary Statement:… more
- Travelers Insurance Company (Salem, OR)
- …+ 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining coverage, liability, ... negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices....as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. + Verify the nature… more
- Taco Bell (Sugar Land, TX)
- …environment. Key Responsibilities: + Asset Protection & Security + Monitor restaurant operations to identify and reduce theft, fraud , and cash handling ... Job Title: Loss Prevention Specialist Position Summary: The Loss Prevention Specialist...fraud , and accidents. + Work with HR and Operations to handle disciplinary actions when policy violations occur.… more
- Genesis Healthcare (PA)
- Overview We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team. This is a remote position. **Current ... in the field in required.** The Certified Professional Coding specialist will work as a compliance team member to...work as a compliance team member to ensure that claims submitted through participating LTC ACO TINs, including PAI… more
- FirstBank PR (San Juan, PR)
- Product Management Specialist Digital Transformation and Innovation FirstBank PR Our Company At FirstBank PR, we strive to be a trusted advisor to our clients and ... the number one place for you. A Brief Overview The Product Management Specialist within the Digital Transformation and Innovation team is an execution-focused role… more
- First Horizon Bank (Charlotte, NC)
- …account details, and policies, conduct account research, file and process fraud claims + Proactively identify cross-selling opportunities, recommending ... **Location:** On site at location listed in job posting. **Summary:** The Client Specialist role supports the line of business by providing exceptional service and… more
- First Horizon Bank (Memphis, TN)
- …account details, and policies; conduct account research, file and process fraud claims * Proactively identify cross-selling opportunities, recommending ... **Description** **Location:** On site in Memphis, TN **SUMMARY** The Client Specialist role supports the line of business by providing exceptional service and… more
- Navy Federal Credit Union (Vienna, VA)
- …To maximize recovery of bankrupt accounts through negotiation, reaffirmation, legal proceedings, fraud detection and collection efforts. Serve as liaison for OGC and ... + Analyze accounts included in the bankruptcy for potential abuse and/or fraud to determine if litigation is warranted to protect NFCU's interest and… more
- Kemper (Doral, FL)
- …oral and written communications skills and promote a favorable company image to the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims ... SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit.… more
- Molina Healthcare (Ann Arbor, MI)
- …years of experience working in the group health business preferred, particularly within claims processing or operations . + A demonstrated working knowledge of ... Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …all Omni-Channel Asset Protection and Safety programs, including shrink control, e-commerce fraud , and management of AP/S staff dedicated to Omni-Channel. Assists in ... total loss and margin erosion programs focusing on causes related to fraud , waste, and abuse. Conducts extensive analysis of business results, develops, implements,… more
- ProSmile (Oak Park, IL)
- Job Title: Dental Billing Specialist Department/Location: Operations Reports to: Dental Billing Manager FLSA Status: Non-Exempt Direct Reports: No Company ... training. Position Summary Actively seeking a motivated Dental Billing Specialist located in Oak Park, IL. As a Dental...are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on… more
- Middlesex Water Company (Iselin, NJ)
- …submit medical files for new hires and employee benefit changes to the HR Specialist . * Administer New Jersey Workers' Compensation claims and maintain OSHA ... The HR Representative is responsible for supporting day-to-day Human Resources operations for New Jersey employees across the Enterprise. This position plays… more