- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Representative in Detection Operations within Fraud and Claims ... following: work experience, training, military experience, education **Desired Qualifications:** + Fraud claims , detection, or prevention experience or banking… more
- SMBC (Phoenix, AZ)
- …suspicious activity from Tier 1 operations and back office. + Work with fraud victims in processing claims , assisting in clearing negative impacts of ... banking translates to a richer life. **SUMMARY:** As a Fraud Support Representative , you will work with...for inbound and outbound customer contacts. + Work with Operations back office to correctly reimburse fraud … 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
- Conduent (San Antonio, TX)
- …by monitoring card alerts and fraud prevention reports. + Process disputes and fraud claims in line with client policies and guidelines. + Escalate issues to ... culture where individuality is noticed and valued every day. ** Fraud Call Center Representative - Onsite in...confidentiality and compliance with all regulations. + Support team operations during peak times or absences to help maintain… 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 Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
- Humana (Montpelier, VT)
- …to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I ... within the Department of Family Medical Leave (DFML). The Claims Examiner/Job Service Representative I will review...I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA,… more
- NJM Insurance (Trenton, 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 is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time...and accurate benefits + Evaluate the claim for potential fraud indicators and escalates the file to SIU, as… more
- TEKsystems (Winchester, VA)
- …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 ... is currently searching for career-driven candidates interested in a Member Services Representative opportunity with a Fortune 100 Financial Institution in the… more
- Wells Fargo (Phoenix, AZ)
- …scalability, and security for Wells Fargo. Services include deposits, payments and ATM operations , global fraud and claims , account reconciliation, cash ... **About this role:** Wells Fargo is seeking an Associate Customer Service Representative in **Everyday Banking.** CSBB Operations delivers a diverse set of… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and ... departments to ensure accurate provider setup in systems and proper claims payment. + Adhere to all organizational policies, including confidentiality, compliance,… more
- USAA (Cincinnati, OH)
- …to ensure compliance with laws, regulations, and policy provisions. + Reviews 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
- Colorado State University (Fort Collins, CO)
- …and evidence summarization), narcotics investigations, physical and electronic surveillance operations , dignitary protection, and undercover operations . The work ... shootings, robbery, burglary, embezzlement, computer crime, illicit drug trafficking, fraud , extortion, possession/distribution of child pornography, arson, assaults and… more
- Penske (Chicago, IL)
- …for the Managers of Carrier Sales and works with Account Management, Pricing, and Claims / Compliance teams to execute business goals and assures those goals are met ... will lead to loss of volume or customers. * Risk/ Fraud Management - Mitigate PTM's exposure to Risk/ fraud...10+ years of experience in a combination of sales, operations , and management required * Advance knowledge of Carrier… more
- Patten CAT (Addison, IL)
- …Warranty Admin. The primary function of this role is to manage the warranty claims process for assigned data center customer accounts for Altorfer's Inc. and Ind. ... team with administrative tasks and monitor data center warehouse operations to ensure proper job coordination and warranty parts...Duties + Coordinate and manage Altorfer's data center warranty claims process to help ensure we deliver world class… more
- ProSmile (Plainfield, 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 (Parlin, 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
- 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
- Air National Guard Units (Fairchild AFB, WA)
- …and with and without night vision devices. Serves as the Air Commander's representative when performing duties as: Operations Supervisor (SUP), Supervisor of ... Service Unit Technician position: AIRPLANE FLIGHT INSTRUCTOR Location: 141st Operations Support Squadron Fairchild AFB, Washington 99011-9413 Air National Guard… more