- Citizens (Riverside, RI)
- Description As a Fraud Claims Sr. Specialist , you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical ... + Review Claims - Responsible for reviewing claims filed by customers for fraud and risk activity and analyzing information across multiple applications… more
- Santander US (East Providence, RI)
- Specialist , Claims & Fraud Operations East Providence, United States of America USA Job Family Description: Responsible for the day-to-day operations of the ... other documentation as needed. Completes governmental reports such as SAR. Investigates fraud claims involving ACH, Pre-authorized drafts, altered check, forged… more
- City National Bank (Newark, DE)
- …+ Demonstrate resiliency and adaptability in a fast-paced contact center environment + The Fraud Specialist is responsible for reviewing fraud alerts and ... ** FRAUD DETECTION SPECIALIST I** **Hybrid Schedule:...** FRAUD DETECTION SPECIALIST I** **Hybrid Schedule: 2 Days in office...outbound and/or inbound call, in addition to initiating dispute claims . This position will play a key role in… more
- Citizens (Riverside, RI)
- …and seek opportunities to continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial ... service experience in one of our most critical departments at Citizens. Our Fraud Customer Support colleagues acquire the training, and assistance needed to grow… more
- State of Massachusetts (MA)
- …available for work and looking for a job. The Program Data Analyst and Fraud Investigation Specialist will oversee and manage staff associated with funding ... **Department of Workforce Development* **Title:** *Program Data Analyst & Fraud Investigation Specialist * **Location:** *Massachusetts-CPC - Boston 100… more
- Citizens (Glen Allen, VA)
- …Speaks clearly, listens actively, and takes notes to understand the customer's fraud claims . Handles routine customer fraud inquiries promptly ... Description The Fraud Customer Service Center requires the delivery of...customers' expectations while simultaneously independently creating a claim. Processed claims requires accurate and complete documentation and records management… more
- Banco Popular Puerto Rico (San Juan, PR)
- …Description The Fraud Recovery Claim Specialist is responsible of the fraud claims resolution for Credit Cards, Debit Cards, Checks and ACH. Essential ... 20, 2024 Location: San Juan-Cupey, PR Company: Popular Workplace Type: On-site Seasonal Claims Specialist AtPopular,we offer a wide variety of services and… more
- MetLife (Tampa, FL)
- …impact in the lives of our customers and our communities. The Lead LTD Claims Specialist manages a caseload of long term disability insurance claims ... time service standards. In this role, the Lead LTD Claims Specialist will be a technical expert...when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed and addresses/resolves… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex nature and/or...for our clients. + Identifies and investigates for possible fraud , subrogation, contribution, recovery, and case management opportunities to… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Lincoln Financial Group (Columbus, OH)
- …73278 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... administering, processing, and adjudicating Accident, Critical Illness, and Hospital Indemnity claims for our members. You'll complete a thorough training to develop… more
- Crawford & Company (Seattle, WA)
- …but not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- Bank OZK (Clearwater, FL)
- …competitive insights and best practices. + Responds to moderately complex fraud claims /inquiries, service requests, suggestions, and complaints received from ... and fraud models. + Collaborates with the Fraud Investigations team to identify analyst and specialist coaching opportunities and engages the fraud team… more
- Allied Universal (Boise, ID)
- …red flags that suggest fraudulent behavior In relation to an Insurance claim. The Claims / SIU Specialist must use their extensive knowledge of Insurance ... policies and the components of fraud to determine If claims warrant reporting...+ Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified… more
- Allied Universal (Charleston, WV)
- …demonstrated experience conducting insurance claims investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, ... compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss...+ Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified… more
- AIG (Cincinnati, OH)
- …insurance experience and to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist , etc. You must have a strong ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- National General Insurance Company (LA)
- National General is seeking a Casualty Claims Adjuster who has experience handling both Bodily Injury and Material Damage insurance claims for the state of ... 140 - 150 pending coverages, and ~ 2-5 new claims a week (this is subject to change). A...within the company and department + Determines subrogation or fraud potential and how to handle for the most… more
- National General Insurance Company (OH)
- …Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: + Handles investigation ... regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion...within the company and department + Determines subrogation or fraud potential and how to handle + Identifies customer… more
- MetLife (Tampa, FL)
- …impact in the lives of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance claims and makes ... time service standards. In this role, the IDI Senior Claims Specialist is required to exercise discretion...information during claim evaluations and collaborates with underwriting and Fraud Waste and Abuse resources as needed. * Identifies… more
- MyFlorida (West Palm Beach, FL)
- INVESTIGATION SPECIALIST II - 60039315 Date: Jun 19, 2024 Location: WEST PALM BEACH, FL, US, 33401 MIAMI, FL, US, 33147 GAINESVILLE, FL, US, 32601 ORLANDO, FL, US, ... . Requisition No: 831668 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST II - 60039315 Pay Plan: Career Service Position Number: 60039315… more