- Usaa (St. Louis, MO)
- …to ensure compliance with laws, regulations, and policy provisions. Review claims /suppliers for fraud indicators and refers to Special Investigations ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… 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 ... guidelines and framework responsible to investigate, evaluate and appraise vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- Capital One (Chesapeake, VA)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience ... working virtually at home? Then a Capital One Customer Operations role may be the role for you! To...with a solid attendance record **Learn about the role** Senior Fraud Recovery Coordinators at Capital One… more
- Wells Fargo (Chandler, AZ)
- …Consultant (Business Execution Consultant) to support all implementation needs within Fraud & Claims Management Business Assurance Quality Control that ... span Claims and Detection Operations . Learn more about the career areas and business...of process improvement and implementation experience **Desired Qualifications:** + Fraud & Claims Management or Fraud… 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
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will… more
- Citigroup (Jacksonville, FL)
- …and development of advanced statistical models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts in ... The Fraud Ops Sr Analyst is a senior...Family Group:** Operations - Services **Job Family:** Fraud Operations **Time Type:** Full time **Primary… more
- Citizens (Iselin, NJ)
- …role is responsible for strategy, roadmap execution, and alignment across technology, operations , claims business and strategy, contact center, risk, and digital ... at scale, with proven experience in leading product and transformation initiatives in claims management, fraud , or related domains. + 10+ years of experience… more
- UMB Bank (Kansas City, MO)
- …training to provide extensive UMB and financial knowledge, the Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims and Data Strategy ... clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate...with their manager to develop roadmaps for opportunity within Fraud Operations and beyond. **_How you'll spend… more
- Ally (Austin, TX)
- …so shouldn't your opportunities be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against ... services required. Work related experience should consist of in-depth background in bank fraud investigations of all types of forgery claims and schemes (ie,… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's an opportunity ... and efficiency. How you will create an impact The Senior Claims Investigator is responsible for all...with insureds, lawyers, corporate employees, vendors, police and relevant fraud bodies. + Complete targeted claims reviews… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- **Job Description** The Senior Director, Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient access. Leads and conducts pricing analysis of current… more
- Bank of America (Jacksonville, FL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/ Fraud -Analytics-and-Innovation-Lead-Analyst Fraud -Strategy\_25042825-2) **Job Description:** At Bank of… 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...criminal justice system experience to combat waste, mismanagement, misuse, fraud , and abuse in the Minnesota Medical Assistance program.… more
- Navy Federal Credit Union (Pensacola, FL)
- Overview The Fraud Operations Recovery team focuses on investigating and resolving fraudulent debit and credit card transactions reported by our members. The ... investigators responsibilities include validating claims , processing chargebacks, responding to merchant disputes, and ensuring compliance with federal regulations.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …across a complex matrix environment that includes areas in marketing, sales, sales operations , senior leadership among others. This position is based in ... products for the maintenance of everyday health. As a Senior Manager, Brand Analytics, you will be part of...+ Work with cross functional teams (such as sales operations and forecasting) to communicate brand strategy and insights… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- **Job Summary** The Senior Director will serve as the Translational Medicine CNS Therapeutic Area Head, reporting to the VP, Translational Medicine and Early ... Clinical Development within OPDC's Early Development Organization (EDO). The Senior Director Translational Medicine will oversee a small team of CNS Translational… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Description** The Senior Manager, R&D Strategic Sourcing Clinical Execution is part of a global team which collaborates with R&D category leaders and business ... of category strategy development, contributing advanced strategic industry insight. The Senior Manager role will build an understanding of Otsuka's global,… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Senior Manager, External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... **Cross-Functional Collaboration** + Work close with Medical Excellence and Operations team to facilitate cross-functional workshops and planning sessions to… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …the Senior Manager of Process, Policy & Governance reporting to the Senior Director, Procurement Operations ; your primary focus will be the maintenance and ... enhancement of Otsuka's Procurement operations , processes and policies in support of Otsuka's North America portfolios. This role will have responsibility for… more
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