- Citizens (Pittsburgh, PA)
- 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
- Citizens (Johnston, RI)
- Description The Consumer QA QC Fraud & Claims Sr Specialist will be part of the Colleague Coaching and Development (CCAD) team and will be responsible ... for quality assurance oversight for the Fraud & Claims phone colleagues. The QA QC Sr specialist will be responsible for driving a differentiated… 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 ... 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
- Sedgwick (Juneau, AK)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- Sedgwick (Baton Rouge, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Medical Malpractice (Professional Liability) ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature… more
- Travelers Insurance Company (St. Paul, MN)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature… more
- Wells Fargo (Charlotte, NC)
- …with various stakeholders to include, but not limited to, other areas of Fraud and Claims Management, Independent Risk Management, and Business Control ... role:** Wells Fargo is seeking a Lead Business Accountability Specialist , who will report directly to the Head of...who will report directly to the Head of Internal Fraud Strategy & Governance. The position is responsible to… more
- AmeriHealth Caritas (Philadelphia, PA)
- …to affected associates + Researches CMS Medicare Physician Fee Schedule, Medicare Claims Processing Manual, NCCI and/or OCE communications to define policy changes ... medical coders functioning in various roles + Mentors/trains Medial Policy Specialist . **Education/Experience:** + Associate's Degree preferred but not required +… more
- USAA (Phoenix, AZ)
- …makes us special and impactful. **The Opportunity** As a dedicated **Bank Disputes Specialist Senior ** , you will within defined guidelines and framework, ... system defects. + 2 years of experience collaborating with Senior Leadership such as providing trend insights and/or recommendations...breach of warranty for fraud . + Check fraud breach of warranty claims (Evaluation, Decision,… more