- 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
- City National Bank (Newark, DE)
- …losses to City National Bank and its clients. The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center knowledge, ... adaptability in a fast-paced contact center environment * The Fraud Specialist is responsible for reviewing ...operations . * Minimum 2 years of experience in fraud investigations, disputes, and /or fraud exposure.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …regulatory and state guidelines, and policies. + Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments + ... blue. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention...to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of claims … more
- City of New York (New York, NY)
- …of Child and Family Well-Being (CFWB), the Child Care Risk and Integrity Specialist will have the following tasks and responsibilities: - Draft letters to providers, ... Track cost savings and avoidance - Review of complex claims for improper payments or false claims ...of Children and Family Services (OCFS), concerning NYC ACS' fraud and risk assessment activities - Prepare and distribute… 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
- MyFlorida (Lakeland, FL)
- …evaluating, leading and guiding staff; establishing overpayment and over-issuance claims ; conducting fraud investigations for public assistance programs; ... ELIGIBILITY SPECIALIST II - 60046635 Date: Oct 28, 2025...Plans, evaluates, guides and coaches staff as required. Conducts fraud investigations and recommends appropriate action. Reviews and analyzes… 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
- MyFlorida (Panama City, FL)
- ELIGIBILITY SPECIALIST II - 60023019 Date: Oct 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 863944 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60023019 Pay Plan: Career Service Position Number: 60023019 Salary:… more
- Parsons Corporation (Centreville, VA)
- …possible. **Job Description:** Parsons is looking for an amazingly talented **Sr. Financial Specialist (Remote)** to join our team! In this role you will get to ... Integrated Delivery Projects: NAV over $5M, retention, negative cashflow, Exposure Report, claims report. + Support Project Managers to ensure forecasts are correct… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role BHPS has a great opportunity for an Accounts Payable Specialist to join the Finance Team. Reporting to the Accounting Supervisor, the Accounts Payable ... Accountant will be responsible for accounts payable operations end-to-end and assisting with the financial close process, including performing analysis and… more
- Molina Healthcare (Milwaukee, WI)
- …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
- 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
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