Fraud & Claims Quality Assurance Lead
Citizens Bank
Citizens Bank is seeking a Fraud & Claims Call Monitoring Lead in Johnston, Rhode Island. This position involves leading quality assurance activities and ensuring alignment with business outcomes while supporting team performance. The ideal candidate will have strong leadership skills, expertise in QC methodologies, and the ability to analyze and present data-driven insights. This is a hybrid role requiring 40 hours per week, focusing on both oversight and educational initiatives. #J-18808-Ljbffr Citizens Bank
- ...Job Title: Fraud operations specialist Location: Johnston, RI Duration: 6 Months Contract Pay Rate: $23/hr W2 Job Description... ...consists of 16 members handling multiple fraud detection and claims processing streams, email inbox management, and fraud case...ClaimsFraudContract workMonday to FridayFlexible hours
- ...investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are seeking a detail-oriented and proactive investigator...ClaimsFraudFlexible hours
- Citizens Bank is looking for a Fraud & Claims Call Monitoring analyst to conduct independent monitoring reviews in a hybrid work environment. This role requires attention to detail to ensure compliance and operational effectiveness during customer interactions. Ideal candidates...ClaimsFraud
- Citizens Bank seeks a Fraud & Claims Call Monitoring analyst to ensure accuracy and compliance in customer interactions. This role requires strong analytical and communication skills, with a focus on process improvement. The ideal candidate will have 3-5 years of operations...ClaimsFraud
$209.6k - $313.38k
...The Director will lead activities related to Early Clinical Development... ...Prepare and present decision-quality data packages for internal... ...Regarding Job Recruiting Fraud Scams At Otsuka we take security... ...processing fee, even if claimed you will be reimbursed, this is...ClaimsFraudTemporary workLocal areaFlexible hours$23 per hour
Fraud Operations Specialist Looking for a Queue Manager in the Fraud Department. They have a team of 16 people currently managing different streams through fraud detection systems and claims systems. They manage an email inbox and have recently started using Salesforce...ClaimsFraudInternshipWork at office$100k - $125k
...Financial Services & Insurance Sr. Claims Specialist, Professional... ...and investigates for possible fraud, subrogation, contribution, recovery... ...Supports the organization\'s quality program(s). Qualifications... ...roles. Sedgwick is the world\’s leading risk and claims administration...ClaimsFraudWork at officeLocal areaRemote workFlexible hours$86.3k - $118.7k
...cases. Within this position the Dental Fraud and Waste Lead for the Humana Dental SIU Team will complete... ...auditing experience of dental related claims ~ Knowledge of Medicare regulations... ...These efforts are leading to a better quality of life for people with Medicare and...ClaimsFraudFull timeTemporary workFor contractorsRemote workWork from homeHome officeMonday to Friday- Claims Examiner Investigates, evaluates, reserves, negotiates and settles assigned claims... ...accordance with Best Practices. Provides quality claim handling and superior customer service... ...claims such as Subro, Fire or Fraud investigators and to other experts. Requests...ClaimsFraudWork at officeNight shift
- ...strong Senior QA Tester with extensive experience in QA testing and the Facets claims processing system. The ideal candidate has over 7 years in quality assurance, including at least 3 years in a lead role. This position requires strong healthcare experience and familiarity...Claims
$186.49k - $278.88k
...and indications. This role will lead statistical innovation and... ...Consistent with FDA Label" (CFL) claims are scientifically appropriate... ...to ensure the timely, high-quality delivery of statistical analyses... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take...ClaimsFraudTemporary workLocal areaFlexible hours- ...standards and Club values. The Finance Manager leads the preparation and analysis of financial... ...standards, budgeting cycles, and claims‑related financial processes will be a distinct... ...procedural gaps that could lead to fraud and recommends safeguards. Proposes improvements...ClaimsFraudFull timeWork at officeRemote work
- Description The Fraud & Claims Call Monitoring Lead is responsible for leading quality assurance and control activities while driving business outcomes, supporting team performance, and acting as a key liaison between frontline QC staff and leadership. This role requires...ClaimsFraudWork at officeLocal areaMonday to Friday
- Description The Fraud & Claims Call Monitoring analyst independently executes call monitoring reviews across the fraud & claims call center... ...Contribute to team success through consistent, high-quality output Communication & Interpersonal Skills Communicate findings...ClaimsFraudWork at officeLocal areaMonday to Friday
- ...assembling a next-generation AI engineering team to reimagine the claims lifecycle with AI and Generative AI. This early-stage, high-... ...you have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...ClaimsFraudHourly payContract workLocal areaRemote work
$92.7k - $203.94k
...accountable and prioritize safety and quality in everything we do. Join us... ...opportunities and risks Lead a cross-functional squad of... ...Payment Integrity, with a focus on Fraud, Waste, & Abuse (FWA) Strong... ...knowledge of healthcare claims processing, including end‑to‑end...ClaimsFraudHourly payFull timeTemporary workWork experience placementLocal areaShift work$249.97k - $388.13k
...Executive Director, Global Value Evidence Lead, is a strategic leader responsible for... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and protection... ...application processing fee, even if claimed you will be reimbursed, this is not...ClaimsFraudTemporary workLocal areaFlexible hours$186.49k - $278.88k
...-functional roles/experience ~3+ years leading and translating an integrated product strategy... .... Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... ...application processing fee, even if claimed you will be reimbursed, this is not Otsuka...ClaimsFraudTemporary workLocal areaFlexible hoursShift work$186.49k - $278.88k
...3, PK, PK/PD and regulatory submissions. Leads study design, execution and reporting of... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take security and... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...ClaimsFraudContract workTemporary workLocal areaFlexible hours$25 - $33 per hour
...products are shipped and received under stringent quality standards to ensure. What You'll Do... ...clicking on links. What to Do If You Suspect Fraud: Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...ClaimsFraudHourly payFull timeWork experience placementWork at officeImmediate startFlexible hours$230.72k - $345k
...therapeutic areas. This role leads and develops a high-performing... ...compromising scientific rigor or quality. The Senior Director directly... ...Regarding Job Recruiting Fraud Scams At Otsuka we take security... ...processing fee, even if claimed you will be reimbursed, this is...ClaimsFraudTemporary workLocal areaFlexible hours$116k - $166.75k
...ecosystems are led by Area Business Leads and are organized into... ...to enhance customer engagement quality, accountability, and cohesion... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take... ...application processing fee, even if claimed you will be reimbursed, this...ClaimsFraudTemporary workWork at officeLocal areaWorldwideFlexible hours$71.2k - $166.1k
...pertaining to the member, provider, and claim Create novel and standard insightful and... ...models for financial evaluations and fraud vulnerabilities Communicate with internal... ...all. Discover your potential at a company leading the way in AI and cloud solutions that...ClaimsFraudTemporary workWork experience placementFlexible hours$186.49k - $278.88k
...contributes to the MLTP. • Leads program level teams as... ...to optimize scientific quality/innovation of clinical... ...and processes. • Assuring compliance with departmental... ...Job Recruiting Fraud Scams At Otsuka we take... ...processing fee, even if claimed you will be reimbursed,...ClaimsFraudContract workTemporary workLocal areaFlexible hours$209.6k - $313.38k
...physicians and scientists who lead clinical development activities... ..., on budget and with superior quality. An ability to communicate... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take... ...processing fee, even if claimed you will be reimbursed, this is...ClaimsFraudTemporary workLocal areaFlexible hoursWeekend work$126.3k - $173.7k
...strategic and execution-focused Lead Product Manager to drive initiatives within the Claims Administration and Payment Integrity... ...postpay strategies to identify fraud, waste, and abuse (FWA) Ensure... ...efforts are leading to a better quality of life for people with Medicare...ClaimsFraudFull timeTemporary workWork at officeRemote workWork from homeHome office$169.22k - $253k
...analyze common pharmaceuticals data (e.g., claims) as well as novel data sets based on lab... ...interpersonal, technical, and communication skills to lead cross-functional teams. Profound grasp of... ...Request (****@*****.***). Fraud Warning Statement Regarding Job Recruiting...ClaimsFraudTemporary workLocal areaRemote workFlexible hours- ...workflows involving cases, documents, and claims. Due to client requirements, applicants... ...releases using Git and GitHub or Bitbucket. Lead deployments across Development, Test,... ...of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group:...ClaimsFraudHourly payContract workLocal areaRemote work
$107.72k - $161k
...Center of Excellence within Global Quality. This role will play a pivotal... ..., and take an active role in leading change. Strategic Thinking &... ...Regarding Job Recruiting Fraud Scams At Otsuka we take security... ...application processing fee, even if claimed you will be reimbursed, this...ClaimsFraudTemporary workLocal areaFlexible hours$133.54k - $152.07k
...compensation insurance for State Employees, including claims management, risk management and fraud prevention.* As assigned, to execute a centralized and... ...successful candidate must possess substantial experience leading complex employee benefits programs and demonstrate the...ClaimsFraudWork at officeMonday to FridayFlexible hours
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