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Resumes 31 - 40 of 99 |
Nashville, TN
... • Led continuous improvement efforts to mitigate risk and prevent potential fraud by conducting timely audits on claims adjudication processes and implementing best-practices to ensure full compliance with insurance regulators and underwriters. • ...
- 2020 Oct 15
Nashville, TN
... -Provided leadership to a team of six agents who were responsible for daily payment reviews, fraud detection reports and other daily appointment reviews. -Handled outside communication, in the form of emails, texts, and chats, from customers and ...
- 2020 Jun 28
Franklin, TN
... Deployed and continue to monitor fraud prevention controls including the increase in usage of cash management online function, positive pay, ach debit block, and dual administrative controls. Developed and revised accounting procedures for the ...
- 2020 May 28
Antioch, TN
... organize and provide constructive feedback to employees, stakeholders and clients Knowledge of HIPAA guidelines, Fraud Waste and Abuse programs, State Law rules and regulations, OSHA rules and regulations for labs Worked with all insurance ...
- 2020 Mar 27
Franklin, TN
... 37064 National Director of Performance Management- AT&T Wireless Services (1995-2004) Directed the integration of new national policies and procedures for billing, fraud, legal, and customer service department issues. Utilized measurements for ...
- 2019 Dec 28
Nashville, TN
... Creating commission structures, Fraud management and Anti money laundering policy, analysis of Anti money laundering policy according to DAB. Linking Mwallets to bank accounts and creating Mwallets, MM Agents, Assigning a Sim card and its ...
- 2019 Apr 17
Nashville, TN
... • Successfully Flagged of the Project on Reduction of Fraud Claims. Fraudulent Claims Reduction by 8%, Repudiation Increased by 14% in its First year of Inception • Successfully launched National Tie Up’s with OEM’s (Chevrolet, Bharat Benz, Mercedes ...
- 2019 Apr 15
Brentwood, TN
... ● Successfully defended builder/developer in lawsuit brought by municipality, alleging fraud and misfeasance in construction of “town hall” project (Town of Pegram v. Cornerstone Development, LLC (2012 WL 2127231 ; Tenn. Ct. App. 2012). ● Researched ...
- 2019 Mar 06
Franklin, TN
... Selected Contributions: Leveraged industry expertise to provide consultation on waste, fraud, and abuse compliance. Spearheaded research into census demographic tracking to create targeted healthcare recommendations and write grants. Guided team ...
- 2019 Jan 26
Brentwood, TN
... Performed background research on claimants using Navilink database and fraud prevention websites. EDUCATION The University of Tennessee at Chattanooga GPA: 3.7/4.0 Bachelor’s of Science with honors Concentration: Investment Finance Minor: Computer ...
- 2018 Oct 22