Senior Fraud Claims Analyst Jobs | Glassdoor

Senior Fraud Claims Analyst Jobs

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  • 3.5
    Wells Fargo – San Francisco, CA
    Est. Salary $84k-$144k
    5 days ago 5d
    new fraud detection and tracking processes and capabilities. Analyzing large quantity of transactions and fraud claims from… debit card fraud risk management initiatives. Responsibilities include: Collaborate with internal and external analyst / partners…
  • 3.7
    Disney – Lake Buena Vista, FL
    Est. Salary $33k-$49k
    12 days ago 12d
    union assets. The Operational Risk Analyst supports operational risk functions; including fraud prevention and detection, tracking… Manager of Operational Risk, the Operational Risk Analyst is a senior level risk analyst role and is responsible for identifying and…
  • 4.3
    Stout Risius Ross, Inc. – Washington, DC
    1 days ago 1d
    healthcare fraud investigations supporting the Federal Government’s enforcement of the False Claims Act. An Analyst may also assist… numerous industries. Assignments will include forensic accounting, fraud investigations, damages calculations, and litigation-related…
  • Commonwealth Medicine | Office of Clinical Affairs – North Quincy, MA
    1 days ago 19hr
    associated with the program. Work with data analysts to extract data from claims and other data sources to describe the population… patterns to inform policy development and to detect possible fraud, waste, or abuse; and formulation of responses to inquiries.…
  • 2.8
    Santander Bank – Framingham, MA
    Est. Salary $33k-$49k
    4 days ago 4d
    research, fraud detection, or prevention role. Ability to ensure Regulatory compliance in the disposition of fraud claims. Ability… branches.Provide quick decisioning of alerts and/or claims to mitigate fraud losses.,Research and analyze high risk transactions…
  • 3.0
    NCI, Inc. – Sacramento, CA
    Est. Salary $45k-$70k
    6 days ago 6d
    Job Description NCI: As the Senior Healthcare Fraud Investigator ( Program Integrity Analyst ), you will perform in-depth evaluation… potentially involve fraud or abuse. Utilizes data analysis techniques to detect aberrancies in Medicare claims data and proactively…
  • York Claims Service – Lubbock, TX
    Est. Salary $39k-$59k
    12 days ago 12d
    learn. The Senior Casualty Claims Analyst is to investigate, evaluate and adjust all types of Liability claims. Although assigned… the claims Be alert to insurance fraud and implement special procedures if possible fraud is detected. Settle claims within…
  • 4.9
    Marlette Funding – Wilmington, DE
    28 days ago 28d
    mitigate fraud losses Assist in researching various degrees of fraud threats Coach and train less tenured fraud analysts Fraud… applications as well as investigating fraud claims for eventual recovery. Job Responsibilities Fraud Detection Review loan applications…
  • 2.9
    York Risk Services Group – Parsippany, NJ
    Est. Salary $58k-$89k
    5 days ago 5d
    Description The Senior Complex Claims Analyst is a highly experienced claims analyst who specializes in handling claims involving extremely… provide claim-specific guidance to Field Adjusters Be alert to insurance fraud and implement special procedures if fraud is suspected…
  • 3.3
    Aetna – New York, NY
    Est. Salary $87k-$131k
    11 days ago 11d
    data analytics related experience related to healthcare claims fraud or overpayments. Payment integrity experience preferred.… Solves complex analytical and claims processing problems. Will lead a matrix team of 2-4 analysts. This position is vital for the…
  • York Claims Service – Parsippany, NJ
    Est. Salary $54k-$82k
    5 days ago 5d
    Description The Senior Complex Claims Analyst is a highly experienced claims analyst who specializes in handling claims involving extremely… provide claim-specific guidance to Field Adjusters Be alert to insurance fraud and implement special procedures if fraud is suspected…
  • 3.5
    Liberty Mutual – Boston, MA
    Est. Salary $49k-$75k
    15 days ago 15d
    all the lines of Claims (Auto Physical Damage, Bodily Injury, Property, & No Fault) to vet allegations of fraud, identify fraudulent… the Claims Product and Analytic Organization of US Consumer Markets, is currently looking to hire an Intelligence Analyst to join…
  • UnitedHealthcare – Eden Prairie, MN
    Est. Salary $38k-$58k
    30+ days ago 30d+
    Health Care Fraud investigative experience or AHFI, CFE certification 3+ year of experience in health care related claim and trending… Business Fraud Analyst, you will grow and develop as you conduct and manage outcomes of various studies. You will be challenged to…
  • 4.3
    Stout Risius Ross, Inc. – Washington, DC
    22 days ago 22d
    member firm. Description General Purpose: A Senior Analyst within our Dispute Advisory & Forensic Services Group is… Performance of data analytics on large health care claims datasets Extract health care claims data from databases Research medical billing…
  • York Claims Service – Roseville, CA
    Est. Salary $44k-$67k
    7 days ago 7d
    The Senior Commercial Auto Claims Analyst will investigate, evaluate and adjust Commercial Automobile Liability Claims, Inland… provide claim-specific guidance to Field Adjusters Be alert to insurance fraud and implement special procedures if fraud is suspected…
  • 2.9
    York Risk Services Group – Roseville, CA
    Est. Salary $47k-$72k
    14 days ago 14d
    The Senior Complex Claims Analyst is a highly experienced claims analyst who specializes in handling claims involving extremely… experience and technical knowledge than a complex claims analyst. The analyst is responsible for coverage analysis, drafting coverage…
  • 2.9
    York Risk Services Group Inc. – Lubbock, TX
    Est. Salary $41k-$63k
    18 days ago 18d
    learn. The Senior Casualty Claims Analyst is to investigate, evaluate and adjust all types of Liability claims. Although assigned… the claims Be alert to insurance fraud and implement special procedures if possible fraud is detected. Settle claims within…
  • 3.8
    Arvest Bank – Norman, OK
    Est. Salary $20k-$29k
    1 days ago 17hr
    of the assigned supervisor, the Customer Loss Prevention Senior Analyst is responsible for identifying, assessing, mitigating, resolving… of detection to completion. The Customer Loss Prevention Senior Analyst is the subject matter expert on deposit and electronic risk…
  • 2.8
    Santander Bank – Framingham, MA
    9 days ago 9d
    branches. Provide quick decisioning of alerts and/or claims to mitigate fraud losses. Research and analyze high risk transactions… Ability to ensure Regulatory compliance in the disposition of fraud claims. Ability to multi-task as required. Ability to work…
  • 3.2
    UnitedHealth Group – Minnetonka, MN
    Est. Salary $48k-$76k
    5 days ago 5d
    UHC, Optum as well members of the Fraud Prevention Team (Business Process Analyst, Data Analyst). Primary Responsibilities… with core UHC claims processing systems/platforms (UNET COSMOS, NICE, etc.) Experience with or knowledge of Fraud/Abuse/Waste/…
  • 2.9
    York Risk Services Group Inc. – Roseville, CA
    Est. Salary $47k-$72k
    24 days ago 24d
    The Senior Commercial Auto Claims Analyst will investigate, evaluate and adjust Commercial Automobile Liability Claims, Inland… provide claim-specific guidance to Field Adjusters Be alert to insurance fraud and implement special procedures if fraud is suspected…
  • York Claims Service – Napa, CA
    Est. Salary $46k-$71k
    3 days ago 3d
    The Senior Casualty Claims Analyst is a highly experienced claims analyst who specializes in handling claims involving extremely… with respect to claims; set case reserves for use by clients and regulatory authorities Be alert to insurance fraud and implement…
  • 3.2
    UnitedHealth Group Inc. – Minnetonka, MN
    Est. Salary $48k-$76k
    5 days ago 5d
    UHC, Optum as well members of the Fraud Prevention Team (Business Process Analyst, Data Analyst). Primary Responsibilities:… with core UHC claims processing systems/platforms (UNET COSMOS, NICE, etc.) * Experience with or knowledge of Fraud/Abuse/Waste…
  • 3.8
    Northwell Health – Greenvale, NY
    13 days ago 13d
    , preferred. * Proficiency in Fraud, Waste and Abuse Auditing * Previous Fraud, Waste and Abuse/ Special Investigations… requirements 4. Performs reimbursement and billing review of claims processing system and provider billing 5. Confirmation of…
  • 2.9
    York Risk Services Group Inc. – Napa, CA
    Est. Salary $50k-$76k
    13 days ago 13d
    The Senior Casualty Claims Analyst is a highly experienced claims analyst who specializes in handling claims involving extremely… with respect to claims; set case reserves for use by clients and regulatory authorities Be alert to insurance fraud and implement…
  • 3.7
    Alignment Healthcare – Orange, CA
    30 days ago 30d+
    department management. * Finalizes claims for denial of payment. * Review claims for fraud, waste or abuse and notifies management… Position Title:Sr. Claims Auditor External Description: Position Summary: The Senior Claims Auditor reports directly…
  • 3.3
    Aetna – High Point, NC
    Est. Salary $42k-$60k
    1 days ago 17hr
    POSITION SUMMARY This Operational Accounting (OA) Senior Analyst Position will support the Federal Tax/Escheat Reporting/… exception processing. Fundamental Components of the OA Senior Analyst position include, but are not limited to: Responsible…
  • First Health Group – Arlington, TX
    Est. Salary $48k-$69k
    1 days ago 16hr
    POSITION SUMMARY This Operational Accounting (OA) Senior Analyst Position will support the Federal Tax/Escheat Reporting/… exception processing. Fundamental Components of the OA Senior Analyst position include, but are not limited to: Responsible…
  • 3.0
    First Data – Atlanta, GA
    7 days ago 7d
    experience as an analyst or investigator and a background working with analytics and third party data in eligibility or claims validation… initiatives, including Medicare/Medicaid Fraud? Let’s talk. As a professional in the government consulting field, you understand…
  • 3.4
    San Francisco Public Utilities Commission – San Francisco, CA
    Est. Salary $51k-$77k
    13 days ago 13d
    including investigations of welfare fraud, theft of governmental property, embezzlement, claims against the department, threats against… assigns investigative referrals regarding welfare fraud, administrative claims against the City of San Francisco, child deaths,…
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