Fraud & Claims Call Quality & Compliance Analyst
Citizens Bank
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 will possess strong analytical skills and 3-5 years of experience in operations, with a focus on fraud management. Proficiency in tools such as Excel and communication skills are essential. Join us to maintain positive customer experiences while identifying operational improvements! #J-18808-Ljbffr Citizens Bank
- 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
- 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... ...center colleagues, ensuring accuracy, compliance, and operational adherence during... ...team success through consistent, high-quality output Communication &...ClaimsFraudWork at officeLocal areaMonday to Friday
- Citizens Bank seeks a Fraud & Claims Call Monitoring Lead to oversee quality assurance and control efforts while influencing business processes. This leadership role requires strong analytical and communication skills to support business outcomes and enhance team performance...ClaimsFraud
- ...Job Description Job Description Queue Manager in the Fraud Department Manager Call Notes ~ Looking for a Queue Manager in the Fraud Department... ...different streams through fraud detection systems and claims systems ~ they manage an email inbox ~ they've...ClaimsFraudInternshipWork at office
$19.01 - $23.72 per hour
...A health services organization is seeking a Pharmacy Call Center Technician to ensure effective delivery of pharmacy services. This... ...guidance to front line staff, responding to inquiries regarding drug claims and authorizations. The position needs someone experienced in...ClaimsHourly pay$209.6k - $313.38k
...Prepare and present decision-quality data packages for internal governance... ...Regarding Job Recruiting Fraud Scams At Otsuka we take... ...application processing fee, even if claimed you will be reimbursed, this... ..., please contact Otsuka’s call center at: (***) ***-****. If you...ClaimsFraudTemporary workLocal areaFlexible hours$186.49k - $278.88k
...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... ...position is fraudulent, please contact Otsuka's call center at: (***) ***-****. If you believe...ClaimsFraudContract workTemporary workLocal areaFlexible hours$249.97k - $388.13k
...industry consortia. Ensure compliance with global regulatory and ethical... ...Regarding Job Recruiting Fraud Scams At Otsuka we take security... ...processing fee, even if claimed you will be reimbursed, this is... ...fraudulent, please contact Otsuka's call center at: (***) ***-****. If...ClaimsFraudTemporary workLocal areaFlexible hours$209.6k - $313.38k
...conduct their work activities in compliance with all Otsuka internal... ...Statement Regarding Job Recruiting Fraud Scams At Otsuka we take... ...application processing fee, even if claimed you will be reimbursed, this... ..., please contact Otsuka's call center at: (***) ***-****. If you...ClaimsFraudTemporary workLocal areaFlexible hours$186.49k - $278.88k
.... 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... ...position is fraudulent, please contact Otsuka's call center at: (***) ***-****. If you believe...ClaimsFraudTemporary workLocal areaFlexible hoursShift work$230.72k - $345k
...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... ...fraudulent, please contact Otsuka's call center at: (***) ***-****. If...ClaimsFraudTemporary workLocal areaFlexible hours$116k - $166.75k
...enhance customer engagement quality, accountability, and... ...business activities in compliance with Company policies... ...during the total office call. Identifies territory... ...Regarding Job Recruiting Fraud Scams At Otsuka we take... ...fee, even if claimed you will be reimbursed,...ClaimsFraudTemporary workWork at officeLocal areaWorldwideFlexible hours- Carrington is seeking a FHA Claims QA Analyst II to work remotely. You will be responsible for reviewing FHA mortgage... ...insurance claims for accuracy and ensuring compliance with all regulations. The role also involves quality checks, documentation management, and...ClaimsRemote job
$71k - $74k
...Role Purpose Responsible for assisting the AML Compliance Manager in implementing and carrying out general companywide operational policies... ...Prepare and deliver training materials and policies on fraud prevention Ensure that employees are aware of these policies and...FraudPermanent employmentFull time- Citizens Bank is looking for a Senior Manager, Fraud & Claims Quality Control to lead the Fraud & Claims QC program. The role focuses on strategic oversight and execution, ensuring compliance with regulations and enhancing operational effectiveness. The ideal candidate...ClaimsFraud
- ...A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in... ...report to client Maintain acceptable product quality through compliance with established best practices of client #J-18808-Ljbffr...ClaimsImmediate startRemote work
- ...accelerating frontier research with high-quality data, advanced training pipelines, plus top... ...the P&L. Role Overview As an AI Quality Analyst, you will evaluate a new personalization... ...responses for Grounding issues, ensuring claims about you are supported by evidence and...ClaimsRemote jobFull timeFor contractorsLocal area
$169.22k - $253k
...analyze common pharmaceuticals data (e.g., claims) as well as novel data sets based on lab... ...medical texts, such as clinical notes or call center transcripts. Identifying relevant data... ...Request (****@*****.***). Fraud Warning Statement Regarding Job Recruiting...ClaimsFraudTemporary workLocal areaRemote workFlexible hours- ...Call Center Representative Coastal1 Credit Union is seeking to... ...Our Call Center Reps provide quality service to members by providing... ...to include account activity, fraud disputes, debit card issues and... ...policies, and procedures. # Ensure compliance with Coastal1's Bank Secrecy...FraudWork experience placement
$169.22k - $253k
...providers, delivering a higher quality experience that... ...legal, regulatory, and compliance landscape • Ability to... ...Regarding Job Recruiting Fraud Scams At Otsuka we... ...processing fee, even if claimed you will be reimbursed,... ...please contact Otsuka’s call center at: (***) ***-****...ClaimsFraudTemporary workWork at officeLocal areaFlexible hours- ...Claims Examiner Location: Johnston, RI. Posted 30+ days ago. Requisition... ...Best Practices. Provides quality claim handling and superior... ...such as Subro, Fire or Fraud investigators and to other experts... ...information confidential. Maintains compliance with Claim Department's Best...ClaimsFraudWork at officeNight shift
$86k - $101k
Description Payment Network Compliance Analyst (Visa/Mastercard/Discover) About This Role Citizens is seeking a Payment Network Compliance Analyst... ...Data Compromise) Background in: Payments operations Fraud / Rules in payments context (not required but helpful) Experience...FraudWork at officeLocal areaRemote workMonday to FridayFlexible hours$26 - $30 per hour
Overview Claims Investigator - Part Time Providence, RI Uncover the Truth... ...reports that meet CoventBridge’s quality standards. Perform scene investigations... ...providing: Surveillance, SIU and Compliance, Claims Investigation, Counter‑Fraud Programs, Desktop Investigations,...ClaimsFraudHourly payPart timeH1bH2bWork from homeWorldwideFlexible hoursNight shift$86.3k - $118.7k
...Within this position the Dental Fraud and Waste Lead for the Humana... ...experience of dental related claims ~ Knowledge of Medicare... ...efforts are leading to a better quality of life for people with... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...ClaimsFraudFull timeTemporary workFor contractorsRemote workWork from homeHome officeMonday 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
- Description The Senior Manager, Fraud & Claims Quality Control (QC) is responsible for the end-to... ...and develop a team of QC Managers and analysts, building a high‑performing,... ...discipline across the team Risk, Control & Compliance Leadership Act as a senior leader responsible...ClaimsFraudWork at officeLocal areaMonday to Friday
- ...financial operations, ensuring accuracy, compliance, and strategic alignment with organizational... ...standards, budgeting cycles, and claims‑related financial processes will be a distinct... ...Identifies procedural gaps that could lead to fraud and recommends safeguards. Proposes...ClaimsFraudFull timeWork at officeRemote work
$100k - $125k
...Financial Services & Insurance Sr. Claims Specialist, Professional... ...; monitors counsel for compliance with client guidelines. Uses... ...and investigates for possible fraud, subrogation, contribution, recovery... ...Supports the organization\'s quality program(s). Qualifications...ClaimsFraudWork at officeLocal areaRemote workFlexible hours$132.8k - $219.1k
...you do it. Job Category Claim Compensation Overview... ...with Best Practices. Provide quality claim handling and superior customer... ...consultants and fire or fraud investigators and other experts... ...Collaborate with the severity unit in compliance with company claim policies,...ClaimsFraudLocal area
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