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Warwick, RI
... Audit Studio, with its integrated Case Management capability, supports the overall fraud and abuse lifecycle from detection of potential fraud and abuse to creation of fraud cases to recoupment of excess payments. It also produces visualizations ...
- Apr 18
Somerset, MA, 02726
... Performed random spot checks of employees, contractors, vendors for fraud waste and abuse. Proficient in performing inventories. Accomplishments: Best small store and largest sales increase 3 times Newport Commissary. Hold SECRET CLEARANCE August ...
- Apr 13
Fall River, MA, 02720
... Guarded against fraud and abuse by verifying coded data accurately reflected services provided. Reviewing, analyzing and managing coding of diagnostic and treatment procedures contained in outpatient/inpatient medical records. Utilizing active ...
- Apr 12
Warwick, RI
... FRAUD ANALYST III — Risk Management Warwick, RI, August 2019 - June 2020 • Works primarily with Personal Loan Unsecured Lending as well as the Student Loan Division • Investigate all provided documents as well as use inside and outside resources to ...
- 2023 Jul 28
Cranston, RI
... historical illustrations Operational excellence-ensure execution and compliance of Deposit Management, overdraft management, fraud management and exception wire process Follow up with sales development managers and leads generated Resolve problems ...
- 2023 Jul 21
New Bedford, MA
... in processing and reconciling invoices, fostering vendor relationships, as well as identifying discrepancies to prevent errors or fraud while seeking ways to streamline processes and improve efficiency through automation along with technology. ...
- 2023 Mar 14
West Warwick, RI
... Fraudulent Claims Prediction Used the Healthcare Insurance Fraud dataset to predict the fraudulent claims using machine learning models such as, Logistic regression, K-nearest Neighbor, Extreme Gradient Boosting, Random Forest and Neural Network. ...
- 2022 Sep 26
West Warwick, RI
... Identified suspected fraud based on behavioral and transaction markers. Maintained strict compliance with banking standards, regulations, and laws. Prepared official checks, money orders, and certified checks. Delivered exceptional service with ...
- 2022 Mar 13
East Providence, RI
... skills Compliance Business Assurance Audits in Commercial Lending, Commercial Loan Servicing, Residential Mortgage, Internal Fraud, Technology, DFS, RBS Asset Finance, On-Line Banking Business Units Risk Management /Operational expertise primarily ...
- 2021 Nov 27
East Greenwich, RI
... Implemented a corporate compliance software tool that includes polices for compliance, privacy, security, fraud, waste & abuse and email security. Additionally, risk assessment and annual required training tools for monitoring and tracking. Oversee ...
- 2021 Apr 23