- Zurich NA (Atlanta, GA)
- …potential subrogation and fraud . + Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed. + ... Senior Claims Specialist Construction Professional Liability Claims ...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- AIG (Lenexa, KS)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. ... Recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals. + Increased responsibility...+ Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer… more
- Guardian Life (Harrisburg, PA)
- …**Reporting Relationships** As an Annuity Claims Specialist, you will report to our Claims Manager , who reports to our Head of Life and Annuity Claims ... settlements) to ensure proper claims handling. + Manage complex, high-value claims with precision to minimize financial risk and ensure accurate payouts.… more
- LifePoint Health (Richlands, VA)
- …with ever-changing legislation and safety regulations. Is a liaison to the Risk Manager /Coordinator, facilities legal team and out-side agencies to mitigate ... the Operations Team, when applicable. * Notifies Operations Team, Risk Manager and the companies Legal Counsel...the companies Legal Counsel of potential litigation or malpractice claims . * Reviews medical records for liability issues *… more
- Grant Thornton (Atlanta, GA)
- As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business ... role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your… more
- Ankura (Washington, DC)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... team + Be a key contributor to project delivery teams + Serve as project manager for client services + Support expert witness reports and testimony with respect to … more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …Summary** This position assists the US Ethics & Compliance (E&C) Governance, Risk Management, and Compliance (GRC) function supporting the Chief Compliance Officer ... in executing an effective compliance program. The Manager , Healthcare Law Auditing & Monitoring, executes the annual plan by conducting quarterly monitoring and may… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** Senior Manager , GPV Aggregate Report & RMP Operations Apply knowledge and expertise in the area of aggregate reports and risk management plans. ... Lead project management activities for Aggregate Reports, Risk Management Plans; PV-related HA request, Safety Governance; and other relevant projects. **Job… more
- RELX INC (Frankfort, KY)
- …and manage risk . About the Job: The Associate Vertical Account Manager exists to acquire and grow revenue within established enterprise sales accounts using ... About the Business: LexisNexis Risk Solutions is the essential partner in the...you looking to join an industry-leading sales organization? Our Claims Insurance team works with claims teams… more
- CVS Health (Annapolis, MD)
- … claims processing, and regulatory requirements related to healthcare fraud . Proficient in researching information and identifying information resources AAPC ... all with heart, each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is… more
- Walmart (Douglas, GA)
- …process design. Interprets and evaluates compliance status reports and relevant risk management practices. Assists in the development of company policies, practices, ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
- Walmart (Chino, CA)
- …process design. Interprets and evaluates compliance status reports and relevant risk management practices. Assists in the development of company policies, practices, ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Manager will report to the Associate Director, Transparency & Aggregate Spend, GRC and will oversee and ensure OAPI and OPDC compliance with state financial ... cross-functional teams to provide analytic intelligence to identify potential risk areas, and develop an action plan/options for resolutions,...Ability to meet deadlines with minimal supervision, as a manager as well as a team member + Proven… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- Eastern Bank (Lynn, MA)
- …Utilizing multiple systems, tools and investigative techniques to assess the level of fraud risk to the bank. Maintain accurate, complete and detailed records ... Management Division and reports to the VP Security Manager . AVP, Security Investigator III is responsible for the...experience in fraud detection, financial crimes investigation, fraud analytics or risk at a Financial… more
- FM (Johnston, RI)
- …objectivity - Ethical behavior - Due professional care - Organizational governance - Fraud - Risk management - Internal control - Engagement planning, fieldwork ... providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain… more
- Lundbeck (Deerfield, IL)
- Senior Manager Compliance Programs - Remote Opportunity Requisition ID: 6332 Location: Deerfield, IL, US Do you want to join a team where the mission is meaningful, ... with the development and delivery of appropriate trainings mapped to key risk areas. Lead the compliance communications program including the development of content… more
- Staples (London, OH)
- …initiatives and programs in Supply Chain locations related to inventory loss, theft, and fraud . + Ensures appropriate internal risk controls are in place through ... to safety regulatory compliance, and training. + Works with Risk Management to analyze accident data and develop corrective...Manage workplace violence mitigation programs. + Manages the WC claims process, in the field, and ensures compliance to… more
- FM (Johnston, RI)
- …objectivity - Ethical behavior - Due professional care - Organizational governance - Fraud - Risk management - Internal control - Engagement planning, fieldwork ... providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain… more
- Abbott (Abbott Park, IL)
- …and scientists. **The Opportunity:** We have an immediate opportunity for a ** MANAGER , GLOBAL COMPLIANCE AUDIT** in our **ABBOTT PARK, IL OR CHICAGO, IL** ... location. Join Abbott as a ** Manager , Global Compliance Audit** and play a pivotal role...program laws, including the Anti-Kickback Statue, Stark Law, False Claims Act and CMS regulations. + Proficiency in audit… more