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Fraud or Hotline or Agent resumes in Columbus, OH, 43215

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Medical Billing Accounts Receivable

Whitehall, OH, 43213
... personally responsible for processing thousands appeals in less than 5 months resulting in hundreds of thousands in cost savings, cost reimbursement, shorter processing times, faster claims payouts and with less fraud. ● Determined whether documents ... - Sep 24

Customer Service Experience

Reynoldsburg, OH
... Discover Financial Services, New Albany, Ohio — Senior Fraud Investigator April 2018 - July 2020 Identified fraud patterns and anomalies through analysis of large quantities of data. Completed required investigations on referred files ahead of ... - Sep 16

Supply Chain Site Manager

Westerville, OH
... Assist billing department and closing agent open invoices by working with the customer to obtain the payments. Coordinate cross-functionally with internal partners to ensure the timely response and delivery of orders. •Execute a number of end to end ... - Sep 15

Data Analyst Power Bi

Orange Township, OH, 43035
... • Automated threshold-based churn alerts via SQL Server Agent & Power BI subscriptions, cutting detection delays. Liberty ... • Collaborated with finance and risk teams on predictive Tableau models, detecting fraud patterns and reducing losses 9%. • ... - Sep 10

Custodian

Columbus, OH, 43229
... At West Virginia Manufacturing-Alloy, WV June 2016 to March 2017 Responsible for cleaning of offices, restrooms, Steam Plant, and labs at WV Manufacturing for employment agent. Also responsible for stripping, waxing and buffing floors, carpet ... - Sep 06

Call Center Service Representative

Canal Winchester, OH
... Systems/Remote/part time/Columbus, OH 2/2021 – 11/2023 Customer Service Representative at The Ohio Medicaid Consumer Hotline Enrolled and changed consumers managed care plan in a call center Completed yearly Medicaid renewals Educated consumers ... - Sep 05

Work Home, customer service, medical, and administrative duties

Columbus, OH
... Education ●Nashville School of the Arts- High School 2010' ●Bradford School- Medical Assistant 2013' ●Ohio Licensed Insurance Agent - Sep 03

Project Manager Technical

Dublin, OH, 43017
... ●Oversaw the integration of LexisNexis Threat Metrix for fraud detection and identity verification, resulting in reduction ... ●Worked with team members to perform Independent Verification and Validation (IV&V) or new fiscal agent contract. ●Hands-on ... - Aug 28

Power Bi Data Analyst

Hilliard, OH
... WORK EXPERIENCE Data Analyst Nationwide Insurance Columbus, OH Jul 2023 – Aug 2025 Cleaned and transformed complex datasets using SQL, SAS, and Python to ensure data integrity and consistency across fraud prevention programs. Applied data validation ... - Aug 26

Supply Chain Business Process, Contract Administration

Pickerington, OH, 43147
... Department of Defense - Defense Logistics Agency (Apr 2015 - Feb 2016) 1105 - GS 7 (LAND – POST AWARD PURCHASING AGENT) Schd M-F 40 hrs per wk. • Evaluated Post Award requests; reviewed and routed procurement actions for approval. • Coordinated ... - Aug 21
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