| Resume alert | Resumes 1 - 10 of 67 |
Operations Manager Data Science
Elm Grove, WI
... I refer suspected fraud cases for review and investigation. • I serve as a liaison with staff and management concerning error trends and problem areas. • I prepare audit program to ensure analysis repeatability & analysis reliability in all group ... - Apr 20
... I refer suspected fraud cases for review and investigation. • I serve as a liaison with staff and management concerning error trends and problem areas. • I prepare audit program to ensure analysis repeatability & analysis reliability in all group ... - Apr 20
Internal Audit, Compliance, External Audit, and Forensics
Oak Creek, WI
... Moss, CPA Email: ad411s@r.postjobfree.com Mobile: 414-***-**** QUALIFICATIONS Internal Audit, Compliance, External Audit, Financial Reporting and Fraud Investigations Regulatory Compliance Enterprise Risk Management IT General Controls Due Diligence ... - Apr 16
... Moss, CPA Email: ad411s@r.postjobfree.com Mobile: 414-***-**** QUALIFICATIONS Internal Audit, Compliance, External Audit, Financial Reporting and Fraud Investigations Regulatory Compliance Enterprise Risk Management IT General Controls Due Diligence ... - Apr 16
Call Center Data Processing
Milwaukee, WI
... improve efficiency, quality and service Communication Skills Remote Fraud Investigations Analyst DiSys Temp Service /Wells Fargo - Remote April 2022 to August 2023 Conducting extensive and confidential investigations of suspected fraud allegations. ... - Mar 27
... improve efficiency, quality and service Communication Skills Remote Fraud Investigations Analyst DiSys Temp Service /Wells Fargo - Remote April 2022 to August 2023 Conducting extensive and confidential investigations of suspected fraud allegations. ... - Mar 27
Truck Driver Semi
Milwaukee, WI
Qualifications Class A CDL Law Enforcement Training Merchandising Training Die Cast Machine Operation Safe Driver Security/Fraud Training Engineering Knowledge Press Operation Employment History Owner Operator June 2022 – July 2023 Chuckstar ... - Feb 17
Qualifications Class A CDL Law Enforcement Training Merchandising Training Die Cast Machine Operation Safe Driver Security/Fraud Training Engineering Knowledge Press Operation Employment History Owner Operator June 2022 – July 2023 Chuckstar ... - Feb 17
Real Estate Corporate Accounting
Milwaukee, WI
... after preparing and arriving at amounts for Collection, tenant billing, credit, 30% electricity project, monthly bank reconciliation, maintaining and analysis of monthly employee expense report as part of fraud prevention and unauthorized usage. ... - 2023 Dec 21
... after preparing and arriving at amounts for Collection, tenant billing, credit, 30% electricity project, monthly bank reconciliation, maintaining and analysis of monthly employee expense report as part of fraud prevention and unauthorized usage. ... - 2023 Dec 21
Utilization Management Prior Authorization
Milwaukee, WI
... Utilizing clinical Interqual, evidence based criteria, Centene is able to monitor and manage fraud, waste and abuse of medical services. I work directly with the Medical Director to manage and review Physician to Physician discussions for possible ... - 2023 Nov 16
... Utilizing clinical Interqual, evidence based criteria, Centene is able to monitor and manage fraud, waste and abuse of medical services. I work directly with the Medical Director to manage and review Physician to Physician discussions for possible ... - 2023 Nov 16
Customer Service Nursing Assistant
Menomonee Falls, WI
... Modifiers NCCI Edits Medicare Parts A, B, C, D Coding Payment Policies Place of Service Compliance NCD and LCD Edits Fraud/Waste/Abuse Resolution Advance Beneficiary Notice Microsoft Office Suite PROFESSIONAL EXPERIENCE Funeral Home Associate, ... - 2023 Nov 09
... Modifiers NCCI Edits Medicare Parts A, B, C, D Coding Payment Policies Place of Service Compliance NCD and LCD Edits Fraud/Waste/Abuse Resolution Advance Beneficiary Notice Microsoft Office Suite PROFESSIONAL EXPERIENCE Funeral Home Associate, ... - 2023 Nov 09
Security Officer Customer Service
Milwaukee, WI
... Investigated suspected incidents of external fraud, employee theft and embezzlement. Inspected parking lot to verify vehicles were properly parked and displayed parking permits. Protected vessels, passengers and crew by testing items and individuals ... - 2023 Aug 09
... Investigated suspected incidents of external fraud, employee theft and embezzlement. Inspected parking lot to verify vehicles were properly parked and displayed parking permits. Protected vessels, passengers and crew by testing items and individuals ... - 2023 Aug 09
Experienced Professional
Milwaukee, WI
... Forward Health and other regulating agencies, in regards to claim submission •Processing timely filing of ICD-9 and CPT codes/ UB-04 and HCFA forms Perform •secondary audits on claims, reporting fraud and inaccurate claims to senior management. ... - 2023 Jul 18
... Forward Health and other regulating agencies, in regards to claim submission •Processing timely filing of ICD-9 and CPT codes/ UB-04 and HCFA forms Perform •secondary audits on claims, reporting fraud and inaccurate claims to senior management. ... - 2023 Jul 18
Business data analyst
Milwaukee, WI
... 8.Credit Card Fraud A huge dataset that contains transactions made by credit cards in September 2013 by European cardholders given and it presents transactions that occurred in two days, where we have only 0.172% positive class (fraud). The rest are ... - 2023 Jun 03
... 8.Credit Card Fraud A huge dataset that contains transactions made by credit cards in September 2013 by European cardholders given and it presents transactions that occurred in two days, where we have only 0.172% positive class (fraud). The rest are ... - 2023 Jun 03