• AAOS (Rosemont, IL)
    …acts as back up for contract management system in the absence of the Legal Operations Associate . Assists with any pending litigation matters where AAOS is a ... (eg, HIPAA, HITECH). Oversees the contract administration activities of the Legal Operations Associate . Serves on the Business Leadership Group and IT… more
    JobGet (05/25/24)
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  • Fraud & Claims Operations

    Wells Fargo (Charlotte, NC)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Associate in Fraud and Claims Management. Learn more about our career ... and merchant disputes with low to high risk within fraud and claims functional area + Review...system, LexisNexis, OAT (Online Activity Tool), SVP, Hogan, OIB ( Operations Image Browser) and / or Early Warning Services… more
    Wells Fargo (05/24/24)
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  • Fraud & Claims Operations

    Wells Fargo (Chandler, AZ)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Associate for Cards & Merchant Services (CMS) as part of Consumer Lending. Learn ... policy violations, and merchant disputes with low to high risk within fraud and claims functional area + Review complex transactions and referrals to prevent and… more
    Wells Fargo (05/23/24)
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  • Senior Product Associate , Claims

    JPMorgan Chase (Columbus, OH)
    …enjoy the benefits of continuous learning and career mobility. As a Senior Tech Product Associate in the Claims & Disputes team, you contribute to the team by ... Join our Claims & Disputes team as a Senior Tech Product Associate , where your expertise in product development and optimization will not only make a significant… more
    JPMorgan Chase (05/22/24)
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  • Fraud Claims Sr Specialist

    Citizens (Medford, MA)
    …a Fraud Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. ... + Review Claims - Responsible for reviewing claims filed by customers for fraud and...in the banking industry, including an understanding of banking operations , compliance, and customer service best practices. + Workflow… more
    Citizens (05/18/24)
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  • Fraud Detection Analyst II

    EverBank (Charlotte, NC)
    operations processes. + Experience with the recovery rights for various types of fraud , EFT claims and wire recalls processing. + Knowledge of regulations (ie ... **Bank Fraud Analyst II** The Bank Fraud ...disclosed their own pay or the pay of another associate or applicant. However, associates who have access to… more
    EverBank (05/16/24)
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  • Financial Crimes Fraud Specialist

    Regions Bank (Hoover, AL)
    …**Job Description:** At Regions, the Financial Crimes Fraud Specialist monitors fraud prevention reports and/or reviews and resolves claims to address ... or other bank products + Identifies valid and fraudulent charges, sets up fraud files, uses multiple research techniques to resolve issues, reconciles and summarizes… more
    Regions Bank (05/11/24)
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  • Fraud and Waste Investigator

    Humana (Oklahoma City, OK)
    …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied...AHFI) + Analytical background + Understanding of healthcare industry, claims processing and investigative process development + Experience in… more
    Humana (04/11/24)
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  • Sr Wire Operations Associate

    Raymond James Financial, Inc. (Pittsburgh, PA)
    …institutional, and high-net-worth (HNW) clients.** **Job Summary:** The Senior Wire Operations Associate will deliver high quality customer service and ... time sensitive operations environment. The Senior Wire Operations Associate will conduct all aspects of...status queues. The incumbent will also be responsible for fraud monitoring and investigation, working closely with internal and… more
    Raymond James Financial, Inc. (05/09/24)
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  • Customer Experience Associate II

    Conduent (San Antonio, TX)
    …of card alerts and fraud prevention reporting. + Process disputes and fraud claims in accordance with client policies and guidelines. + Identifies and ... of a culture where individuality is noticed and valued every day. ** Fraud Customer Service Representative** $16.75 HR **Great Benefits and Paid Training!**… more
    Conduent (05/23/24)
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  • (USA) Asset Protection Operations Coach

    Walmart (El Paso, TX)
    …training. Determines training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and procedures ... and collaborating with all levels of associates regarding store operations , utilizing technology, business initiatives, merchandising, and company direction;… more
    Walmart (05/26/24)
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  • Associate Health Insurance Investigator

    System One (Baltimore, MD)
    …Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties ... ALTA IT is hiring an Associate Investigator to support a leading health insurance...losses. You will research and analyze data using company anti- fraud software, Excel, and other tools to proactively identify… more
    System One (05/13/24)
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  • Asset Protection Operations Coach Trainee

    Walmart (Hayward, WI)
    …training needs; and developing and delivering the training where needed. Manages claims and receiving operations by ensuring proper policies and procedures ... violations of company policies and criminal activities by investigating alleged fraud and other alleged illegal activities; conducting investigations relating to the… more
    Walmart (03/12/24)
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  • SIU Coordinator (Hybrid)

    CareFirst (Baltimore, MD)
    …billing and/or other related systems and procedures to determine the integrity of claims payments and business operations within CareFirst or previous experience ... and external data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial impact of potential… more
    CareFirst (04/27/24)
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  • (USA) Operations Manager, Asset Protection…

    Walmart (North Platte, NE)
    …Consults on complex claims and settlements. Designs preventative claims management processes (for example, associate engagement efforts, return-to-work ... or More Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional;… more
    Walmart (05/17/24)
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  • Associate Customer Service Representative…

    Wells Fargo (Westlake, TX)
    …scalability, and security for Wells Fargo. Services include deposits, payments and ATM operations , global fraud and claims , account reconciliation, cash ... benefits package. Apply today. **About this role:** Wells Fargo is seeking an Associate Customer Service Representative in **Everyday Banking** . Find out why we're… more
    Wells Fargo (05/09/24)
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  • Executive Administrator, Operations

    Lincoln Financial Group (Columbus, OH)
    … business, specifically supporting our VP level leaders within the Producer Solutions Operations and the Life and Annuity Claims and Regulatory Controls ... (Required):_ + High School Diploma or GED or minimum Associate degree in lieu of required experience. + 3-5+...Operations experience and knowledge within the Producer Solutions Operations and/or the Life and Annuity Claims more
    Lincoln Financial Group (05/23/24)
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  • Compliance Audit Manager

    Bon Secours Mercy Health (Cincinnati, OH)
    …controls and policies and procedures for both acute and provider Revenue Cycle operations including the development of SOPs. + Develops acute and provider compliance ... Office of Inspector General (OIG), Medicare, State Medicaid, State Insurance Fraud , Managed Care or Governmental Value-Based payment programs or other enforcement… more
    Bon Secours Mercy Health (04/06/24)
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  • Revenue Cycle Analyst

    Beth Israel Lahey Health (Burlington, MA)
    …and Revenue Cycle Leadership. 2. Responsible to advise and assist with revenue operations as they relate to Epic build decisions, in-depth analysis of denials, ... appeals, audits, credits, cash, coding, workflows, data collection, report details, claims and remittance set up, logic and processing and applicable technical… more
    Beth Israel Lahey Health (04/13/24)
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  • Director of Compliance Risk Managment

    Burrell Behavioral Health (Springfield, MO)
    …reports, and overseeing audit coordination. You'll investigate suspect billing practices, analyze claims data for potential fraud , waste, and abuse patterns, and ... billing for Federal health care program overpayments + Analyze claims data for potential fraud , waste, and...+ While performing the duties of this job, the associate is frequently required to sit and stand for… more
    Burrell Behavioral Health (05/07/24)
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