Title: Complex Claims Consultant - Aging Services/Medical Malpractice Job Responsibilities: The Complex Claims Consultant is responsible for managing an inventory of highly complex commercial claims, particularly in the Aging Services segment. This role involves: - Managing claims with large exposures that require specialized...
Title: Complex Claims Consultant - EPL, Private D&O, Fiduciary Job Responsibilities: The Complex Claims Consultant is responsible for managing an inventory of highly complex Financial Lines claims, specifically focusing on Private Directors & Officers (D&O), Fiduciary, and Employment Practices Liability (EPL) claims....
Title: Senior Professional Liability Claims (Attorney), Claims Construction Job Responsibilities: 1. Claims Handling & Investigation: - Manage a portfolio of highly complex, litigated claims with significant exposures, requiring advanced technical expertise and strategic coordination. - Accurately update and document...
and reporting, data analysis, and assisting leadership with overall strategy. Focus on recording and analysing financial transactions, paying and receiving invoices, maintaining financial statement ledger accounts, and preparing analysis and reconciliations of bills to detect fraud. Help the team provi......
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
Director of Fraud Investigations The candidate will... lead a large investigative function that is charged with conducting complex and often sensitive internal, external, and credit card investigations for the Bank while assuring all required regulatory reports (., Suspicious Activity Reports (SAR)), which result from these investigations, are filed in adherence with all regulatory requirements. Will manage a staff of approximately 150 FTE, to include 12 first-line managers... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Director of External Fraud Investigations The candidate will... lead a large and complex investigative division focused on external persons committing illegal acts without the knowledge or assistance of Bank employees. Actions may be in-person or digital and may be targeted at compromising Bank systems or defrauding Bank customers. Will ensure all external fraud investigative teams comply with... internal standards and regulatory requirements. Manage a remote staff of approximatel... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Legal Fraud Paralegal Duties: Reviewing... and assessing all incoming document requests to ensure format and content meet standards; communicating by telephone with law enforcement, and state insurance fraud bureaus in all .... states to clarify and, where applicable, negotiate the scope of document productions, and (b) manage requesting parties’ expectations on productions; working with GIS fraud investigators and GIS legal... staff regarding setting priorities and addressing... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Director of Fraud Investigations The candidate will... lead a large investigative function that is charged with conducting complex and often sensitive internal, external, and credit card investigations for the Bank while assuring all required regulatory reports (., Suspicious Activity Reports (SAR)), which result from these investigations, are filed in adherence with all regulatory requirements. Will manage a staff of approximately 150 FTE, to include 12 first-line managers... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Director of External Fraud Investigations The candidate will... lead a large and complex investigative division focused on external persons committing illegal acts without the knowledge or assistance of Bank employees. Actions may be in-person or digital and may be targeted at compromising Bank systems or defrauding Bank customers. Will ensure all external fraud investigative teams comply with... internal standards and regulatory requirements. Manage a remote staff of approximatel... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
SIU Pharmacy Investigator The candidate will manage a load of cases and provide expertise as it relates to pharmacy fraud, waste and abuse. Will... manage a caseload of pharmacy fraud investigations. Identify fraud schemes... and trends within the Pharmacy line of business, geographic region, or across specialties. Develop and maintain strong working relationships with the business and market offices in their assigned regions. Collaborate with investigative researchers and other i... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Fraud and Waste Investigator, Special... Investigations Unit The candidate coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. May conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Fraud and Waste Investigator, Commercial... The candidate conducts healthcare fraud investigations of moderate complexity.... Traditional investigative methodologies will apply to include evidence collection, site surveys, data analysis, and interviews of individuals related to the case. Assembles evidence and documentation to support successful adjudication, where appropriate. May conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepares c... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Compliance Officer Responsibilities : Will report directly to Plan Leadership and indirectly to PSMG Corporate Responsibility and Compliance. Will monitor changes to laws and regulations to ensure compliance with State and Federal laws, regulations and mandates. Establish and implement standard policies, procedures, processes and best practices across. Collaborate with health plan attorney to conduct state-specific legal research and monitor changes to requirements... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
General Counsel - Community and State The candidate will be responsible for the legal affairs for the Kansas plan, serving as the primary legal resource for the Health Plan President. Will be serving as a key strategic and legal advisor for critical Community and State business functions. Working closely with health plan operations and the compliance department. Providing guidance for the following: claims administration; clinical services; quality assurance; audit... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here