- Santander US (Quincy, MA)
- …**We Want to Talk to You!** **The Difference You Make** : The Specialist , Claims & Fraud Operations performs routine, analytical review of data and/or ... Specialist , Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial… more
- City National Bank (Newark, DE)
- …of losses to the client and its clients. The Fraud Detection Specialist I, is a position requiring banking operations and/or contact center knowledge, ... be employed by City National Bank. *The Opportunity* A Fraud Detection Specialist level I, will review...outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims … more
- MetLife (Aurora, IL)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… 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
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Meeting Planning Operations Specialist supports the execution and administration of corporate meeting and events and HCP programs ... in Business, Marketing, or a related field. + 3-5 years of experience in operations , event management, or HCP engagement support. + Strong attention to detail and… more
- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. ... are processed appropriately at the branch and/or corporate levels, or credit card operations management Performs a variety of Operations Support functions; such… 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 ... Problem Solving Specialist conducts key quality insurance reviews to prevent fraud and monitor compliance. In addition, the position provides key support in… more
- MyFlorida (Orlando, FL)
- …evaluating, leading and guiding staff; establishing overpayment and over-issuance claims ; conducting fraud investigations for public assistance programs; ... ELIGIBILITY SPECIALIST II - 60065070 Date: Sep 11, 2025...evaluates, guides and coaches staff as required. + Conducts fraud investigations and recommends appropriate action. + Reviews and… more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST III (COE) - 60040139 Date: Sep 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860372 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST III (COE) - 60040139 Pay Plan: Career Service...solve problems. + Reporting cases where identity theft or fraud is suspected. + Advising clients and providers of… more
- PenFed Credit Union (Omaha, NE)
- …it's about being a part of the PenFed family. PenFed is hiring a (Hybrid) EFT Specialist I at our Omaha, Nebraska service center. The primary purpose of this job is ... Regulations and PenFed established policies and procedures. An EFT Specialist will deliver high quality service to internal and...Federal Reserve account. + Research and resolve Regulation E claims and discrepancies for ACH. + Respond to assigned… more
- Army National Guard Units (Carson City, NV)
- Summary This position is for a SUPERVISORY LOGISTICS MANAGEMENT SPECIALIST , PD#D1899000, part of the Nevada Army National Guard. This position is located in the ... monitor, control, analyze and coordinate the installation logistics services support operations of five supply activities. Responsibilities (1) Plans work to be… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role BHPS has a great opportunity for an Accounts Payable Specialist to join the Finance Team. Reporting to the Accounting Supervisor, the Accounts Payable ... Accountant will be responsible for accounts payable operations end-to-end and assisting with the financial close process, including performing analysis and… more
- Truist (Greensboro, NC)
- …review the following job description:** Under minimal supervision of the Operations Manager, responsible for handling electronic payment exceptions, escalations, and ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
- CDM Smith (Raleigh, NC)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data ... related to disaster-related claims , including property damage, business interruption, and other loss categories. The specialist will conduct thorough forensic… 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 ... training. Position Summary Actively seeking a motivated Dental Billing Specialist located in Oak Park, IL. As a Dental...are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on… more
- Jet Aviation (CA)
- …Partner with the CPO and senior HR leaders to align total rewards operations with long-term organizational goals and workforce strategies. + Design and continuously ... decision-making frameworks to support compliance and growth. Payroll Strategy and Operations + Provide strategic leadership and hands-on oversight of enterprise-wide… 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 ... supports providers through complex enrollment and documentation processes. The Specialist liaises between providers and internal departments such as Credentialing,… more
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