- Bank of America (Chandler, AZ)
- Wealth Management Fraud & Claims - Sr. ...in a call center or a financial/banking center + Fraud Detection and Prevention + Credit Risk ... to clients while focusing on retention and re-establishing client confidence. Wealth Management Fraud & Claims associates will handle inbound calls from clients,… more
- Bank of America (Newark, DE)
- …to maximize client experience while managing fraud most effectively. As a Fraud Strategy Manager with the Client Protection organization, you will capitalize ... Drive the development of new models designed to detect fraud activity. * Ensuring proper risk controls...causes. * Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery… more
- Bank of America (Boston, MA)
- …increased the scope and complexity of effectively detecting, mitigating and monitoring ATO risk within the Bank's ecosystem. The Fraud Prevention and Detection ... capability roadmap development **Required Qualification:** + 4+ years of fraud , cyber, or risk analyst experience developing...Computer Science, Data Science, Statistics, or related field + Fraud or Claims background with focus on… more
- Citizens (Glen Allen, VA)
- …is a cross-functional role requiring strong coordination between product, engineering, fraud / risk , operations, and compliance teams. You'll drive both customer ... user stories, and clear acceptance criteria. + Partner with fraud operations, risk , compliance, legal, and contact...the design and optimization of back-office functions in the Claims platforms used by fraud analysts, … more
- AIG (Lenexa, KS)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. ... Recognize and pursue subrogation where warranted and make appropriate Risk and Fraud referrals. + Increased responsibility...+ Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer… more
- Travelers Insurance Company (Hartford, CT)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants nurse ... reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed.… more
- Peak Vista (Colorado Springs, CO)
- Manager of Compliance & Risk Summary Title:...the Compliance & Risk Management Programs, HIPAA, Fraud and Abuse, FTCA, False Claims , and other ... Under the direction of the Director of Compliance & Risk Management, the Manager of Compliance &...monthly, quarterly, and annual C ompliance reports and insurance claims updates for the Board of Directors and provides… more
- DXC Technology (Richmond, VA)
- …quality control and assurance tasks, by reviewing Life and Annuity Death Claims payment and correspondence review, to ensure product compliance with regulatory and ... work experience in Life and Annuity** Proven experience in Life/Annuity Death Claims processing and Quality review** Proficiencies in quality assurance and risk… more
- LifePoint Health (Richlands, VA)
- …with ever-changing legislation and safety regulations. Is a liaison to the Risk Manager /Coordinator, facilities legal team and out-side agencies to mitigate ... the Operations Team, when applicable. * Notifies Operations Team, Risk Manager and the companies Legal Counsel...the companies Legal Counsel of potential litigation or malpractice claims . * Reviews medical records for liability issues *… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …as a result of claims audit or investigation. + Maintains awareness of fraud , waste and abuse laws and regulations and current industry changes that may impact ... clinical and operational excellence. **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours Mercy… more
- Ankura (Washington, DC)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... team + Be a key contributor to project delivery teams + Serve as project manager for client services + Support expert witness reports and testimony with respect to … more
- Banco Popular Puerto Rico (San Juan, PR)
- … claims , allegations, and internal irregularities involving potential employee fraud or deviations from laws, regulations, policies, and procedures. Develop and ... and implement risk mitigation strategies to prevent future occurrences of fraud and misconduct. Ensure all audits and investigations are conducted in accordance… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Summary** This position assists the US Ethics & Compliance (E&C) Governance, Risk Management, and Compliance (GRC) function supporting the Chief Compliance Officer ... in executing an effective compliance program. The Manager , Healthcare Law Auditing & Monitoring, executes the annual plan by conducting quarterly monitoring and may… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Senior Manager , IT Procurement Processes & Governance is a supporting role that assists in ensuring compliance with procurement policies and ... in developing standardized scorecards and dashboards. + Provide input to the vendor risk tiering and concentration analysis to mitigate any third-party risk as… more
- Walmart (Riverside, CA)
- …process design Interprets and evaluates compliance status reports and relevant risk management practices Assists in the development of company policies practices ... management Responds to inquiries by regulatory authorities Consults on complex claims and settlements Designs preventative claims management processes for… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Sr. Manager Quality Management System is responsible for monitoring the effectiveness of the GxP Quality Management Systems regarding CAPA, Deviations, ... in collaboration with Global Quality Systems. Provide guidance and perform a risk assessment for global CAPA and Deviation. Provides guidance to quality record… more
- RELX INC (Trenton, NJ)
- …tools and solutions available to help them better understand the market and manage risk . About the RoleThe Cross Markets Account Manager is responsible for ... About the BusinessLexisNexis Risk Solutions is the essential partner in the...communication skills. + Have Personal Lines, Commercial Lines or Claims Insurance experience (Sales, Claims and Underwriting).… more
- Insight Global (Wayne, NJ)
- …for monitoring for fraud by reviewing the default loan files and notify Fraud Risk Management when necessary - They will be preparing various reports for ... and consumer banking client is looking for a Repossession Manager to join their organization. This person will oversee...of the Repossession, Collateral Protection Insurane and Total Loss claims for the bank owned vehicle. This team is… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- FM (Johnston, RI)
- …objectivity - Ethical behavior - Due professional care - Organizational governance - Fraud - Risk management - Internal control - Engagement planning, fieldwork ... providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain… more