- Usaa (Los Angeles, CA)
- …to ensure compliance with laws, regulations, and policy provisions. Review claims /suppliers for fraud indicators and refers to Special Investigations ... triage to field provider method of inspection. May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team… more
- One Nevada Credit Union (Reno, NV)
- …member issues in a timely manner; Follows Internal Control procedures to accurately process fraud claims ; provide members direction for processing fraud ... has an EXCELLENT career opportunity for a Financial Services Representative at our Damonte Ranch Parkway Branch in Reno,...fax machine, and various office equipment; Skill in the operations of a personal computer to include Internet/ Intranet,… more
- TEKsystems (Sandy Springs, GA)
- …credit 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 ... currently searching for career-driven candidates interested in a Member* *Services Representative opportunity with a Fortune 100 Financial Institution in the… more
- Usaa (New Orleans, LA)
- …to ensure compliance with laws, regulations, and policy provisions. Review claims /suppliers for fraud indicators and refers to Special Investigations ... triage to field provider method of inspection. May serve as a subject matter authority representative for disputed claims or trials. Serves as a resource to team… more
- Altorfer Inc (East Peoria, IL)
- …As a vital member of our team, you will help maintain smooth operations for multiple store locations, contributing to our reputation for excellence and reliability. ... Open, process and close work orders. Help process warranty claims for machines for all central Illinois rental stores....well as understanding of the core parts and service operations highly preferred. Must be a self-starter with good… more
- NJM Insurance (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's WC Claims Department is seeking an experienced Claims...and accurate benefits + Evaluate the claim for potential fraud indicators and escalate the claim to SIU, as… more
- Conduent (Guaynabo, PR)
- …account data, and internal tools; escalate complex cases as needed. + Process fraud claims and disputes per client guidelines. + Clearly explain account ... where individuality is noticed and valued every day. **Remote Fraud Call Center Representative - Puerto Rico**...conversations in the case management system. + Support team operations with other duties and tasks as assigned. **What… more
- JB Hunt Transport (Lowell, AR)
- …efforts that address escalated concerns and preserve mutual business value + Oversee claims operations to ensure timely and adequate response to and processing ... **Job Title:** Director I, Cargo Claims and OS&D **Department:** Insurance **Country:** United States...with vendors (contracts, rates, etc.), manage department budget, monitor operations and team performance, and act as the last… more
- 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
- State of Minnesota (St. Paul, MN)
- …claims adjudicated the Medicaid claims processing system. + Understanding of claims the processing operations , claims forms, edits and coding ... **Working Title: Senior Investigator - Pharmacy** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 90721 +… more
- TEKsystems (Jacksonville, FL)
- …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 ... currently searching for career-driven candidates interested in a Member Services Representative opportunity with a Fortune 100 Financial Institution in the… more
- Wells Fargo (Irving, TX)
- …scalability, and security for Wells Fargo. Services include deposits, payments and ATM operations , global fraud and claims , account reconciliation, cash ... role:** Wells Fargo is seeking an Associate Customer Service Representative in **Everyday Banking** . Find out why we're...services company to grow YOUR career. Apply today. CSBB Operations delivers a diverse set of foundational operational and… more
- Middlesex Water Company (Iselin, NJ)
- …The HR Representative is responsible for supporting day-to-day Human Resources operations for New Jersey employees across the Enterprise. This position plays a ... benefit changes to the HR Specialist. * Administer New Jersey Workers' Compensation claims and maintain OSHA reporting log; Ensure FROI are completed and circulated… more
- USAA (Los Angeles, CA)
- …to ensure compliance with laws, regulations, and policy provisions. + Review claims /suppliers for fraud indicators and refers to Special Investigations Unit ... to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …security program through benchmarking and metrics. The position also acts as a trusted representative of the CISO in the delivery of security training & awareness to ... and responses to phishing alerts in coordination with the cybersecurity operations team. + Remain current on information security frameworks, guidance, best… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... and release process for OAPI GMP release of Contract Manufacturers operations supporting clinical and commercial products. + Interfaces with Contract… 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 Overview ... are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on...+ Employee Assistance Program (EAP) + Identity Theft & Fraud Protection + Legal Support Services + Discount Programs… more
- ProSmile (Manahawkin, NJ)
- Job Title: Orthodontic Treatment Plan Coordinator Department: Operations Reports To: Dental Practice Manager FLSA Status: Non-Exempt Company Overview ProSmile is one ... Promote in office marketing items + Gather and submit claims and documents required by Insurance companies + Set...+ Employee Assistance Program (EAP) + Identity Theft & Fraud Protection + Legal Support Services + Discount Programs… more
- ProSmile (West Orange, NJ)
- Job Title: Assistant Dental Office Manager Department/Location: Operations Reports to: Regional Vice President FLSA Status: Exempt Company Overview ProSmile is one ... + Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection...+ Employee Assistance Program (EAP) + Identity Theft & Fraud Protection + Legal Support Services + Discount Programs… more
- The City of Rochester, MN (Rochester, MN)
- …in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as ... including F1 OPT STEM. DUTIES AND RESPONSIBILITIES The work below is representative of the scope of work performed within this job classification. Individual… more
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