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Tracking and confirming accuracy of all recoveries on LPT claims including excess, second injury fund, and subrogation recoveries. In the role of Loss Portfolio Transfer Claims Manager, you will be responsible for handling assigned claims from initial assignment to closure as well as provide assistance in various administrative functions associated with the LPT Workers' Compensation line of business.
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Oversee and manage compliance, Community Reinvestment Act (CRA), information security, fraud prevention, and risk management. Strong knowledge of audit practices, compliance frameworks, CRA regulations, information security standards, fraud prevention techniques, and risk assessment methodologies.
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Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues & possess an SIP certificate.
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Required Qualifications:Bachelor’s degree in Computer Science, Counterintelligence, Criminal Justice, Engineering, Fraud Investigations, Information Technology, or other related scientific field.
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Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. Knowledge of medical terminology for claim evaluation and Medicare compliance. Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
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Debit Card Fraud Analyst (Hybrid Eligible: AZ, KS, NM, NV, TX, MO) Analyze data derived from various alert and non-alert based sources to minimize fraud impacts and set controls for fraud prevention.
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Monitors and tracks fraud prevention for effectiveness and makes recommendations for changes to the controls. Analyze data to determine trends and set controls for fraud prevention. Provide fraud and loss prevention, investigation, recovery and restitution on external fraud, including but not limited to debit card and checks.
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The primary use of Dash Cams is to assist in the protection and safety of employees and property, prevention, and detection of criminal offenses such as vehicle vandalism and break-ins and staged-accident fraud, defense of legal claims, driver exoneration, and driver training and improvement.
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Product Marketing Manager , you will be responsible for developing marketing content and executing product marketing initiatives to drive revenue growth for BRG’s health plan subrogation business.
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Conducting surveillance: Observes customer's and contractor's (CCTV/floor) activities to detect theft, fraud or suspicious activity, collects investigative intelligence related to ORC activity and fraud, takes direction from AP management to monitor team member activity as needed, reports infractions of company policy to AP and/or store management.
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As an LP Agent in our stores, your primary focus is to provide undercover, plain clothes surveillance in order to identify and apprehend shoplifters, deter shoplifting, and detect fraud. As an LP Agent in our stores, your primary focus is to provide undercover, plain clothes surveillance in order to identify and apprehend shoplifters, deter shoplifting, and detect fraud.
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They utilize tools to minimize loss to the Company, including but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security, auditing the Electronic Article Surveillance and driving a shrink elimination culture in the store.
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Comprehensive understanding of Accounting, Sarbanes-Oxley (SOX), Fraud Management, and Internal Control concepts. Prefer CPA, CIA, CISA certification. Communicates professionally both in person and writing, including clear and concise communication with the engagement manager and client management.
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Fraud Detection and Prevention - Knowledge of and ability to utilize processes, tools, and techniques for detecting, addressing and preventing fraudulent situations. Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework.
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Internal Controls and Compliance : Establish and maintain robust internal controls to safeguard assets, prevent fraud, and ensure the accuracy and integrity of financial records. Ideal candidates will have experience with financial planning, analysis, reporting, and compliance within the context of manufacturing processes.
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subrogation fraud jobs in St Louis, MO
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