- Randstad US (San Antonio, TX)
- fraud claims call center representative ....Fraud Investigation + Claims Processing + Claims + Call Center + Banking Operations Qualifications ... perm + no requirements + category business and financial operations occupations + referenceAB_4504945 job details Randstad is seeking...approximately 50 calls per day + Focus exclusively on non- fraud inquiries and claims submitted via phone… more
- Santander US (East Providence, RI)
- Specialist, Claims & Fraud Operations - East Providence, RI East Providence, United States of America Responsible for the day-to-day operations of the ... operational standards to execute service delivery. Evaluates and ensures that operations meet company objectives, business needs, service agreements and relevant… 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 ... an exciting concept of evolved banking. **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)
- …of card alerts and fraud prevention reporting. + Process disputes and fraud claims in accordance with client policies and guidelines. + Identifies and ... where individuality is noticed and valued every day. **Job Description:** **Bilingual Fraud Customer Service Representative ** **Onsite Guaynabo, PR** $12.10 HR… more
- State of Minnesota (St. Paul, MN)
- …and criminal law + Auditing and accounting experience + Have an understanding of claims the processing operations , claims forms, edits and coding structures ... **Working Title: Investigator OR Senior Investigator** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Who May Apply** :… more
- Veterans Benefits Administration (IN)
- …Veterans Service Representative (VSR) works in the Decision Review Operations Center (DROC) The VSR explains benefit programs and entitlement criteria, conducts ... interviews, identifies issues, gathers relevant evidence, adjudicates claims , authorizes payments, and inputs data necessary to generate the award and notification… more
- DXC Technology (Oklahoma City, OK)
- …(NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and ... DXC Insurance BPaaS and BPO services help our customers optimize and transform operations , lower costs, increase agility and open new channels for growth. Our… 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
- Patent and Trademark Office (Alexandria, VA)
- …of work and delivery performance of contractors involved with USPTO's risk and fraud management processes. Serves as contracting officer representative (COR) in ... are an expert on financial and program risk and fraud management this may be the job for you....sustainment of USPTO's Enterprise Risk Management program to guide operations in achieving agency goals and objectives. Develops and… more
- USAA (Miami, FL)
- …services, contracts, and internal processes/systems/procedures to ensure compliance. + Review claims /suppliers for fraud indicators and refers to Special ... inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves...for damages claimed. + Support workload surges and/or Catastrophe Operations as needed which may involve volunteering for extended… more
- USAA (Gainesville, FL)
- …services, contracts, and internal processes/systems/procedures to ensure compliance. + Reviews claims /suppliers for fraud indicators and refers to Special ... inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves...for damages claimed. + Supports workload surges and/or Catastrophe Operations as needed which may involve volunteering for extended… more
- ManpowerGroup (Columbia, SC)
- … claims processing, customer service, auditing, training, analysis, or operations experience.** **Required Skills:** + Under direct supervision, performs quality ... **Title: Customer Service Representative ** **Location: Columbia SC (Onsite)** **Duration: 3 months**...control audits, reviews, or monitoring of departmental operations functions including, but not limited to, claims… more
- Bausch Health (Bothell, WA)
- …and work effectively with stakeholders. The position will be the marketing representative on the product development teams from the concept phase through ... global regions and with functional departments such as R&D, regulatory, quality, sales, operations & downstream marketing is a must for success in this role.… more
- MAPFRE Insurance (Webster, MA)
- …Ensure timely and comprehensive responses to complaints with supervisory oversight. + Fraud Identification - Identify potentially fraudulent claims for transfer ... Claim Rep, you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining coverage exposures, and… more
- University of Washington (Seattle, WA)
- …Medical Group ("CUMG"). This position will advise on all aspects of specific operations , including legal issues related to hospital and medical center operations ... RESPONSIBILITIES** General Counsel's Office: While not exhaustive, the following are representative elements of the AGC's duties and responsibilities: * Provide… more
- Bausch Health (Bridgewater, NJ)
- …submissions by required due dates and certification requirements. Oversight of Medicaid claims , Tricare and Coverage Gap processing operations with Third Party ... GTN team and validate against CMS calculated URAs in MDP prior to Operations team activating quarter within Medicaid system. Insure approval workflow of Medicaid,… more
- Air National Guard Units (Belle Chasse, LA)
- …position is located at unit level in the Air National Guard (ANG) Aviation Wing, Operations Group at flying units in the ANG. Its paramount purpose is to pilot a ... conditions; and conducts post-flight checks. 5. Serves as the Air Commander's representative when performing duties as Supervisor of Flying (SOF) and is responsible… more
- Bausch Health (Bridgewater, NJ)
- …Commercial Data Science and Analytics will exist to help the Commercial Operations , Marketing and Sales organizations achieve their vision by unlocking value from ... on key datasets (ie, external data sources such as claims , affiliations, etc. and internal data sources such as...who will provide ML Ops/Data Science support for daily operations and future enhancements + Should be an SME… more
- Sanofi Group (Bridgewater, NJ)
- …Review promotional materials for Market Access content. + Act as legal representative on US-based cross-functional Pricing Review Boards and Pricing Committees. + ... areas outside of market access such as sales, medical, regulatory, operations , finance, supply chain, manufacturing, pharmacovigilance, external affairs, and other… more