- TEKsystems (Queens, NY)
- …is responsible for a wide range of duties related to the analysis and investigation of potential or realized fraud transactions, including the detection and ... fraud . + Independently review, examine, and decision fraud and merchant dispute claims submitted by...member experience are maintained. + Provide primary support and services to the branches and Contact Center representatives via… more
- Edward Jones (Tempe, AZ)
- …also responsible for supporting clients who are involved in potential legal, compliance, fraud , or account dispute issues. The circumstances of these situations ... in the capacity of the FA to provide advice, service , and support for our client's urgent financial and...may need to be escalated to Compliance for further investigation , the CRFR's goal is to act in a… more
- EverBank (Jacksonville, FL)
- …learning, and rule-based engines. Creates conceptual and logical architecture for fraud data flows, alert/case management, and dispute resolution systems. ... **IT Lead Architect - Fraud ** The Fraud Architect Lead is...is a nationwide specialty bank providing high-value products and services to consumer and commercial clients nationwide. As a… more
- The County of Los Angeles (Los Angeles, CA)
- …outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services , eviction ... assisted in order to analyze consumer trends, and to determine where other services may be needed. Prepares various documents(eg, investigation reports, Board… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of ... clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action… more
- Carrington (Concord, NH)
- …exception/ dispute review and audit rebuttal process. * Complete default servicing fraud investigations and suspicious activity reviews as well as provide ... requirements, and investor/agency/product specific guidelines. Also, ensure that all fraud red flags are identified and fully investigated, and...investigation support. File Suspicious Activity Reports as required. *… more
- Travelers Insurance Company (Hunt Valley, MD)
- …to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with ... a settlement should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage, contacting insureds,… more
- Travelers Insurance Company (Irvine, CA)
- …to work, reached Maximum Medical Improvement (MMI), and has PPD. File litigated to dispute the permanency rating and/or causality. IW has been released to work with ... should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage,...Manager) in order to integrate the delivery of medical services into the overall claim strategy. + Prepare necessary… more
- ADP (Tucson, AZ)
- …Associate Relations Manager is responsible for conducting Associate Relations investigations and inquiries, providing effective people management consultation and ... guidelines utilizing sound judgment. + Conduct fair, neutral, timely investigations and provide guidance related to conflict resolution, disciplinary action… more
- Synchrony (Cincinnati, OH)
- … fraud model development or model validation in financial services , with experience in CI/CD frameworks preferred. + Experience in generative ... Job Description: **Role Summary/Purpose:** The VP, Fraud /GEN AI Validation COE is responsible for performing...reviewers in validation projects. Handle escalation of issues and dispute with model owner level independently. See through the… more