- USAA (Phoenix, AZ)
- …NC, or Tampa, FL. Relocation assistance is not available for this position. The Senior Data Scientist - Fraud Identity Analytics is responsible for development ... of Fraud Identity Analytics and Director of Fraud Model Management and Model Users on...and graph techniques to identify criminal networks engaging in fraud , scams, disputes/ claims and AML and deliver… more
- National Indemnity Company (Omaha, NE)
- …appropriate, negotiate and resolve assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with ... authority. What will you do? CLAIM INVESTIGATION: Investigate assigned claims reported under insurance contracts provided by affiliated Companies, including… more
- Eisai, Inc (Nutley, NJ)
- …pharmaceutical laws and industry guidelines including the Anti-Kickback Statute, False Claims Act, federal and state pricing-related laws and regulations, PhRMA Code ... in good standing of a state bar. Strong knowledge of FDA regulatory and fraud and abuse laws and/or pharmaceutical government price reporting laws. Ability to learn… more
- EPIC Brokers (Houston, TX)
- SUMMARY: The Senior Client Manager/Team Lead works with and supports Producers, Client Advocates, Client Executives and the account team to manage client service ... and expand large and complex client relationships. This position is a senior , client-facing role responsible for directly supporting Property & Casualty Insurance… more
- EFI Global, Inc. (Detroit, MI)
- …commercial buildings or residences. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates assigned claims suspected of insurance fraud , this includes large loss, ... grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony,...all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed… more
- Amazon (Seattle, WA)
- …for the program! Key job responsibilities: Strategic Leadership & Program Management : Develop and implement comprehensive strategic roadmaps for the A-to-z Guarantee ... delivery, ensuring alignment with program goals. Conduct regular reviews with senior leadership, including directors and VPs, to communicate progress and strategic… more
- EPIC Brokers (Melville, NY)
- …Brokers License Advanced insurance designation Minimum 8- 10 years account management experience in an agency setting-Commercial Insurance Develops strong working ... relationships with internal resources such as claims and marketing and external relationships with underwriters and...able to communicate with all levels of staff and management at client's office, including CEO, CFO, Accountants and… more
- Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
- …The performance of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment ... and implementing procedures to ensure that the business units quality management and compliance program are effective and efficient in identifying, detecting,… more
- MasTec Inc (Charlotte, NC)
- …Power BI, Word, Excel, PowerPoint). Leadership and negotiation skills. Contract & Claims Management Ensure compliance with HSE processes during project ... Management , Business. Fifteen Years of Experience in the industry including senior project management and estimating Experience in managing budgets and… more
- Abbott (Pleasanton, CA)
- …handle complex matters with minimal supervision and understand which issues to elevate to senior management and appropriate timing for doing so. In addition to ... to health care professionals and reimbursement by government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary… more
- USAA (Phoenix, AZ)
- …or Tampa, FL. Relocation assistance is **not** available for this position. The ** Senior Data Scientist - Fraud Identity Analytics** is responsible for ... of Fraud Identity Analytics and Director of Fraud Model Management and Model Users on...and graph techniques to identify criminal networks engaging in fraud , scams, disputes/ claims and AML and deliver… more
- CVS Health (Hartford, CT)
- …heart, each and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Wells Fargo (Charlotte, NC)
- …of management or leadership experience **Desired Qualifications:** + 8+ years fraud and or claims operational management experience supporting large ... **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to...systemic transformation initiatives. **Required Qualifications:** + 8+ years of Fraud Claim Investigation or Policy Violations, Risk Management… more
- Citizens (Pittsburgh, PA)
- …Citizens Fraud & Claims Organization is seeking a dynamic and experienced Senior Fraud Operations Manager to lead our OLB and Mobile Fraud Detection ... Description Job Title: Senior Fraud Operations Manager - OLB...fraud operations teams. Key Responsibilities: + Leadership and Management : Lead and manage a multi-state workforce of colleagues,… more
- PenFed Credit Union (Alexandria, VA)
- … Specialist at our Alexandria, Virginia service center. The primary responsibility of the Senior Fraud Specialist (SFS) will be to use sound reasoning and good ... irregularities to verify the accuracy of information. + Resolve fraud claims in accordance with government regulations...writing skills to interact and communicate with coworkers, members, senior management and the general public with… more
- Bank of America (Plano, TX)
- …process gaps and deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing ... + Advanced degree in Computer Science, Data Science, Statistics, or related field + Fraud or Claims background with focus on Online Banking, Account Takeover,… more
- City National Bank (Los Angeles, CA)
- …issues that may require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other ... * FRAUD TEAM SUPPORT ANALYST* WHAT IS THE OPPORTUNITY?...support activities defined by management . This position requires subject matter expertise on all… more
- Cambridge Savings Bank (Waltham, MA)
- …audits, process improvement reviews, training events, and preparation for audits or senior management reports. Perform additional duties as required. + Perform ... and external contacts including law enforcement + Experience in investigative tactics, fraud analysis, claims , and recovery process + Experience with gathering,… more
- Southern California Edison (Rosemead, CA)
- …programs, and 3rd Party Recovery. + Demonstrated proficiency in a variety of Claims Management computer programs and systems. Strong oral and written ... Join the Clean Energy Revolution Become a Senior Workers' Compensation Claims Adjuster at...assigned + May conduct initial/formal investigations with organizational unit management , medical providers, injured workers, and witnesses on complex… more
- Kemper (Chesterfield, MO)
- …Operations team that helps support this strategic intent with a direct focus on risk, fraud , and field support management . This role is a great opportunity for ... in Growing for LIFE. **POSITION SUMMARY** : Kemper is seeking a Senior Accident & Health Claims Adjuster to support our organization's Health Claims team. As… more
