- Wells Fargo (West Des Moines, IA)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Representative for Credit Card Fraud Claims L to U Team as part of ... Fraud & Claims Management. Learn more about the career areas and...(https://www.wellsfargojobs.com/career-areas/) . **In this role, you will:** + Support fraud and claims functional area by proactively… 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
- TEKsystems (Columbia, SC)
- …procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay ... claims following organizational policies and procedures. *45% Ensures effective...lead or manager for resolution. Identifies and reports potential fraud and abuse situations. Additional Skills & Qualifications Required… 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
- 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
- TP-Link North America, Inc. (Irvine, CA)
- …TikTok Seller Center would be a plus. + Experience handling returns, disputes, and fraud claims . + Able to work independently in a fast-paced environment. ... + Handle returns, refunds, and complaints according to company policy. + File and track fraud and chargeback claims on Shopify and TikTok Shop. + Flag suspicious… more
- TEKsystems (Albuquerque, NM)
- …service standards. + Dispute & Fraud Management: Investigate and resolve dispute and fraud claims using Visa Rules, Federal Regulation Z & E, and internal ... excellence will help protect members and ensure smooth card operations . We're looking for a Card Services Representative... operations . We're looking for a Card Services Representative who thrives in a fast-paced environment and is… more
- Liberty Latin America (PR)
- …achieve a sale quota. Has broad working knowledge of Liberty practices and operations and demonstrates continued and consistent proficiency in most of the skill sets ... + Answers customer/client requests or inquiries concerning services, products, billing, equipment, claims , and reports problem areas. + May be required to work in… more
- TEKsystems (Albuquerque, NM)
- …dispute/ fraud caseload by researching, investigating, documenting, and resolving claims utilizing Visa rules and Federal regulations. Maintain adherence to ... credit union and vendors in efforts to help mitigate fraud Assist employees and members in the prompt and...merchants. Process card exceptions and settlement adjustments. Process dispute claims in accordance with Visa Rules & Regulations, Federal… more
- Wells Fargo (Sioux Falls, SD)
- …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 (Charlotte, NC)
- …to ensure compliance with laws, regulations, and policy provisions. + Review 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
- City and County of San Francisco (San Francisco, CA)
- …In addition to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial ... Family and Children's Services (FCS), Investigations, SF Benefits Net, Program Support Operations , Alignment & Guidance as well as the Department of Homelessness and… 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 (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
- ProSmile (Newark, 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
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