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29 fraud specialist ii jobs

Compliance and Privacy Specialist/Staff Counsel

The University of Vermont Medical Center 5 Reviews Burlington, VT

The Compliance and Privacy Specialist assists the Chief Compliance Officer in implementing The University of Vermont Medical Center compliance plan… The University of Vermont Medical Center

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Fraud Detection Specialist II

Vantiv 100+ Reviews Cincinnati, OH

(Depending on team assigned)* Analyze system data to identify fraudulent transactions/accounts on retail lines of business.* Verify legitimacy of… CareerBuilder

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Fraud Prevention Specialist II

Bank of the West 100+ Reviews Omaha, NE

What sets Bank of the West apart from other banks is our team members–they embody the optimistic spirit of the West. There is a spirit here that… Bank of the West

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Loss Prevention (Fraud) Specialist II

Texans Credit Union 18 Reviews Richardson, TX

would include monitoring the fraud alert system, reviewing and processing fraud alerts on member accounts. Works closely with other Loss Prevention… Texans Credit Union

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Compliance and Privacy Specialist/Staff Counsel

Fletcher Allen Health Care 5 Reviews Burlington, VT

The Compliance and Privacy Specialist assists the Chief Compliance Officer in implementing The University of Vermont Medical Center compliance plan… Fletcher Allen Health Care

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Medical Review Clinical Information Specialist, Home Health and Hospice – new

NCI 83 Reviews Omaha, NE

Conduct complex clinical or coding (CPT-4 and ICD-9-CM) reviews of medical records during the course of fraud investigations or other program… Percipio Media

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Global Payments Specialist II

Fifth Third Bank 100+ Reviews Cincinnati, OH

*Processes international and domestic inbound/outbound payments via internal payment origination networks and/or incoming customer calls including… CareerBuilder

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Auditor II – new

BNY Mellon 100+ Reviews Pittsburgh, PA

Performs high quality, risk-focused fieldwork, in accordance with Internal Audit policies, methodologies, and standards in order to identify… BNY Mellon

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External Audit Investigative Specialist

Cambia Health Solutions 53 Reviews Tacoma, WA

• Receive, screen and analyze complaints of potential fraud and abuse, and prepare synopses of potential cases to the SIU Data Base for triage as… CareerBuilder

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Default Specialist II

Fifth Third Bank 100+ Reviews Cincinnati, OH

* Prepare and file insurance claims with Old Republic Insurance Company (ORIC), First American (FACT) or other insurance companies. * Monitor the… CareerBuilder

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External Audit Investigative Specialist

Regence BlueCross BlueShield of Oregon 39 Reviews Tacoma, WA

• Receive, screen and analyze complaints of potential fraud and abuse, and prepare synopses of potential cases to the SIU Data Base for triage as… Regence BlueCross BlueShield of Oregon

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RAD Specialist II

HMS Holdings 76 Reviews New Jersey

• Researches local billing and reimbursement policies, client reimbursement practices (through review of manuals/regulations and meetings with stake… HMS Holdings

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PROGRAM SPECIALIST II, A-C

Los Angeles County Department of Public Health 20 Reviews Los Angeles, CA

• Plan and conduct highly technical or complex reviews to investigate fraud schemes. • Plan and conduct investigations of criminal and… Los Angeles County Department of Public Health

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PROGRAM SPECIALIST II, A-C

United States

• Plan and conduct highly technical or complex reviews to investigate fraud schemes. • Plan and conduct investigations of criminal and…

PROGRAM SPECIALIST II, A-C

Los Angeles County 65 Reviews Los Angeles, CA

• Plan and conduct highly technical or complex reviews to investigate fraud schemes. • Plan and conduct investigations of criminal and… Los Angeles County

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ENVIRONMENTAL HEALTH SPECIALIST II

Los Angeles County Department of Public Health 20 Reviews Los Angeles, CA

Conducts periodic inspections of food establishments; reviews and observes utensil washing and sanitizing procedures; ensures that food equipment and… Los Angeles County Department of Public Health

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