- AAOS (Rosemont, IL)
- …outside counsel on compliance with HIPAA/HITECH/CARES Act. Assists Compliance Specialist with processing trademark, copyright, and permissions requests. Prepares and ... of Directors. Collaborating on the day-to-day work of the Compliance Specialist , including: Conducting administrative review of all submitted grievances. Reviewing… more
- Citizens (Medford, MA)
- 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
- Aflac (GA)
- …Preferred + Beginning progress toward one or more of the following designations/certifications: Fraud Claims Law Specialist (FCLS), Health Care Anti- Fraud ... & Responsibilities * Assists business units in recognizing and identifying indicators of fraud as a part of the normal business process; actively participates in… 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
- TEKsystems (Livermore, CA)
- Description: As a Fraud Specialist you will be responsible for enterprise-level fraud risk management including detection, analysis, investigation, ... on-line/mobile banking fraud . + Coordinate the processing of fraud claims with members, other departments, vendors, merchants, financial institutions and law… more
- Citizens (Pittsburgh, PA)
- …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
- Regions Bank (Hoover, AL)
- …At Regions, the Financial Crimes Fraud Specialist monitors fraud prevention reports and/or reviews and resolves claims to address potentially ... or other bank products + Identifies valid and fraudulent charges, sets up fraud files, uses multiple research techniques to resolve issues, reconciles and summarizes… 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 (Medford, MA)
- …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
- Woodforest National Bank (The Woodlands, TX)
- …a part of one of the largest employee-owned banks in the country! The Specialist , Debit Card Fraud Services I - is responsible for providing administrative ... center, assisting with questions and issues resolution. . Processing debit card dispute claims initiated by customers. . Review fraud trends and complete common… more
- MetLife (Oriskany, NY)
- Long Term Disability Claims Specialist II Location(s) + Posting Location:Tampa, Florida + Posting Location:Oriskany, New York Country United States Working ... Posted Date 10-May-2024 Job ID 2617 **Description and Requirements** **Long Term Disability Claims Specialist II** **Job Title: Long Term Disability Claims … more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...work / return to work efforts + Investigate potential fraud indicators in collaboration with the SIU team +… more
- Kelly Services (Mason, OH)
- …a great, new opportunity. Join the Kelly(R) Professional & Industrial team as a ** Claims Specialist ** with one of the world's largest eyewear company. **Why you ... should apply to be a** ** Claims Specialist ** **:** + Pay Rate: $18...2 for HiTrust / Security requirements:1. General Compliance2. HIPAA3. Fraud , Waste, and Abuse4. Security Essentials5. Introduction to Phishing… 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
- Lincoln Financial Group (Columbus, OH)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...phone, live video or in-person interview. Please contact Lincoln's fraud team at ###@lfg.com if you encounter a recruiter… 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
- Crawford & Company (Hauppauge, NY)
- …and/or clients. + Approves payments within scope of payment authority. + Evaluates claims for potential fraud issues, loss control and recovery in accordance ... Bonus Program! + Multiple Employee Discounts! Administers and resolves non-complex short term claims of low monetary amounts, including Fast Track and Incident Only … more
- Crawford & Company (Brea, CA)
- …but not exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss control and recovery in ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
- Lincoln Financial Group (Columbus, OH)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...phone, live video or in-person interview. Please contact Lincoln's fraud team at ###@lfg.com if you encounter a recruiter… more