Claims Audit & Fraud Prevention Specialist
Qlarant
Qlarant in California is seeking a skilled audit investigator to ensure the integrity of claims processes. The role involves conducting audits and investigations into claims, addressing customer inquiries, and implementing strategies to prevent fraud. A Bachelor's Degree and 2 - 4 years of experience are required, with a preference for 5 - 7 years of experience. Apply your analytical skills and attention to detail to provide accurate recommendations, document findings, and support other auditors. This position is crucial for safeguarding the claims process. #J-18808-Ljbffr Qlarant
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Claims Audit & Fraud Prevention Specialist in California, MO vacancy
- The Home Depot in California is looking for an Asset Protection Specialist to prevent financial loss due to theft and fraud. This role involves monitoring store security, reviewing CCTV footage, and preparing detailed incident reports. The specialist will also interact...Fraud
- ...also a national leader in fighting fraud, waste and abuse for large... ...ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims,... ...implement strategies to identify and prevent fraudulent activities, safeguarding...ClaimsFraudWork experience placement
Qlarant
California, MO2 days ago - Sprouts Farmers Market in California is looking for a Loss Prevention Specialist responsible for preventing financial loss due to theft and fraud. This role includes conducting investigations, preparing reports, and providing training on loss prevention. The ideal candidate...Fraud
$62k - $90.7k
Overview The Loss Prevention Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in... ...the store’s physical security, auditing safety processes and driving a shrink elimination...FraudTemporary workWork at officeImmediate startFlexible hours3 days per week$43 - $52 per hour
...subordinate professional technical staff in the Claims Processing and Benefit Payment Control activities that include fraud prevention and detection, establishment of... ...-time Job function Job function Accounting/Auditing and Finance Industries Government Administration...ClaimsFraudPermanent employmentFull timeWork at officeRemote workMonday to FridayShift work- Eagle Community Credit Union is seeking an experienced Electronic Services Specialist II to manage electronic services processing and fraud-related claims. This role plays a key part in ensuring compliance and operational integrity while protecting the organization from...ClaimsFraudWork at office
- ...full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree and at least one year of relevant...ClaimsFraudRemote jobFull time
$21.5 - $23.5 per hour
...have. We are currently looking for a Learning Specialist III to join our team. The Learning Specialist... ...or one of our business units. This type of fraud can be carried out through false websites, through fake e‑mails claiming to be from the company or through social media...ClaimsFraudHourly payFull timeTemporary workTraineeshipWork experience placementWork at officeRemote workWorldwideMonday to FridayFlexible hoursShift workCollectors
California, MO1 day ago- ...DescriptionPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental... ...monitoring the store's physical security, auditing the Electronic Article Surveillance and...Fraud
The Home Depot
California, MO3 days ago - ...the consumers we serve. (learn more at SummaryThe Enrollment Specialist guides individuals through the participant-directed services... ...on program requirements, financial management systems, and fraud prevention to promote successful self-direction.Duties &...FraudContract workWork at officeLocal area
Public Partnerships
California, MO2 days ago $80k - $90k
...operations through innovative insurance strategies and claims management. We’re looking for a detail-oriented and... ...and participate in special projects such as loss prevention, contract reviews, and compliance audits* Drive continuous improvement efforts within the Risk...ClaimsContract workRemote workDeckers Brands
California, MO4 days ago$58.8k - $122.5k
...are seeking Senior Metrology Specialist to join IQVIA Laboratories at... ...Perform calibration, verification, preventative maintenance, and lifecycle... ...subject matter expert during audits and inspections and support... ...policy for candidate fraud. All information and credentials...FraudFull timePart timeWork at officeImmediate startWork from homeWorldwideIQVIA
California, MO5 days ago$25 - $27 per hour
...They protect profitable sales by mitigating shortage risks, preventing theft and fraud to ensure product is available for our guest. They also... ...develop skills for a career. The role of an Assets Protection Specialist can provide you with the skills and experience of:***...FraudHourly payTemporary workWork experience placementLocal areaFlexible hoursShift workNight shiftDay shiftRoundel
California, MO2 days ago- ...business functions. Key Responsibilities Conduct internal audits across all departments, plants, and business functions. Evaluate... ...alignment with business priorities. Support management in fraud detection, prevention, and forensic reviews (if required). Partner with cross‑...Fraud
W3villa Technologies Pvt. Ltd.
California, MO1 day ago $50k - $65k
...ethically, and have fun Position Overview The Fraud Analyst will monitor and investigate... ...review new and existing MSX/check fraud claims/disputes in the WTFC Case Management System... ..., fraud claims, fraud disputes, loss prevention, BSA-AML, banking operations, retail, compliance...ClaimsFraudTemporary workWork at officeMonday to FridayFlexible hours3 days per weekDormont Manufacturing Company
California, MO3 days ago- ...to work on an as-needed basis. This role involves conducting various types of investigations related to insurance claims, including surveillance and fraud detection. The ideal candidate will need to possess strong communication skills and be dependable. Additional requirements...ClaimsFraudFlexible hours
- Area Asset Protection Specialist - SAC‑Rancho Cordova, CA The Area Asset... ...related to theft, fraud, and safety incidents. The Specialist... ...compliance. Safety and Incident Prevention Support stores in... .... Assist with safety walks, audits, and follow‑up on accident prevention...FraudWork at officeLocal areaWeekend workAfternoon shift
$139.64k - $200.71k
Head of Fraud Operations The Head of Fraud Operations runs the operational engine of fraud prevention across Collectors’ Marketplace, Power Packs, and... ...documentation to AML and audit standards. Tools, Vendors &... ...fraudulent offers that falsely claim to be from Collectors. We...ClaimsFraudFlexible hours$25 - $27 per hour
...They protect profitable sales by mitigating shortage risks, preventing theft and fraud to ensure product is available for our guest. They also... ...develop skills for a career. The role of an Assets Protection Specialist can provide you with the skills and experience of:***...FraudHourly payTemporary workWork experience placementLocal areaFlexible hoursShift workNight shiftDay shift$100k - $150k
...replacement planning, and disposal. Drive preventive maintenance programs to reduce... ...and Risk teams on accident response, claims, and reporting. Financial & Vendor... ...Oversee fuel card programs, including auditing, reporting, and fraud mitigation. Leadership &...ClaimsFraudFor contractorsWork at officeMurray Company Mechanical Contractors
California, MO4 days ago$23 - $27 per hour
...for an accommodation or an alternative application process. Specialist, Claims & Export Documentation Regular Full Time Valencia - Corporate... ...rated seaway bills to Finance for timely payment and preventing cargo release delays. Support claims and pricing adjustments...ClaimsHourly payFull timeLocal area- ...replacements, and RMAs Coordinate shipments and monitor tracking updates Handle UPS claims and call tag requests Import and maintain purchase orders Review and process Shopify orders, including fraud review Respond to replacement and order-related emails Maintain order...ClaimsFraudFull timeMonday to Friday
Spyder Auto
California, MO3 days ago - ...operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming... ...‑driven strategies. Lead daily safety audits, incident investigations, and risk... ...implementing innovative solutions to prevent injuries. Deliver engaging safety training...Local areaFlexible hoursShift workNight shiftWeekend work
Amazon
California, MO3 days ago $57.5k - $76.44k
...celebrations, holiday events, and team‑building activities. Fraud Prevention Collectors uses e‑Verify to validate your ability to work legally... ...be carried out through false websites, through fake e‑mails claiming to be from the company or through social media. We never ask...ClaimsFraudFull timeWork at officeRemote workFlexible hoursShift workCollectors Universe
California, MO4 days ago- Title: Electronic Services Specialist II FLSA Status: Non-Exempt... ...account activity, and processes fraud-related claims of moderate complexity. The... ...with policies and audit requirementsí Identify trends... ...job seekers who disability prevents them from being able to apply...ClaimsFraudWork at officeLocal areaMonday to Friday
- Qlarant is seeking an entry-level professional for a claims auditor role in California, Missouri. The position involves conducting audits and investigations related to health care claims, with a focus on identifying fraud and ensuring compliance with regulations. The...ClaimsFraud
- ...position responsible for investigating advanced automobile accident claims, determining coverage and adjusting claims. The ideal candidate... ...investigations, identifying customer needs, and determining fraud potential. Join a dynamic team where you can make a meaningful impact...ClaimsFraudRemote job
$21.82 - $42.55 per hour
...Healthcare is seeking candidates for a role focused on investigating medical provider coding fraud, waste, and abuse (FWA). The position requires independent assessment of medical claims, adherence to regulatory standards, and effective communication within teams. With at...ClaimsFraudHourly pay- ...will be assisting with the implementation, rollout, and ongoing Audit of company processes and procedures for compliance with... ...operational, financial and information management controls to prevent fraud and maximize operational efficiency. Coordinates and manages internal...FraudWork at officeLocal area
Pailin Group Psc
California, MO3 days ago - ...Infection Prevention Specialist - Full Time The Infection Prevention Specialist working with direction of an Infection Preventionist is responsible for implementing and maintaining a system for prevention, surveillance, investigation and control of infection within Martin...Full timeLocal area
Ocean State Job Lot
California, MO5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Audit & Fraud Prevention Specialist. Be the first to apply!
Related searches
- insurance claims processor California, MO
- claims consultant California, MO
- remote medical claims processor California, MO
- medical claims analyst California, MO
- claims analyst California, MO
- claims assistant California, MO
- senior claims specialist California, MO
- claims assistant workers compensation California, MO
- medical insurance claims specialist California, MO
- claims specialist remote California, MO