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Fraud resumes in The Colony, TX

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Customer Service Claims Adjuster

Dallas, TX
... Working closely with the SIU contact to determine possible medical fraud and/or billing of claims by providers Following the policy guidelines and issuing coverage to the correct injured parties, including obtaining any required forms Taking ... - Jan 15

Accounts Payable Quality Assurance

Dallas, TX
... • Senior Investigator August 2008 - December 2010 FDIC/Stone Advisor (Contractor), Dallas, Texas Conducted complex investigations into loan fraud with a focus on monitoring for evidence of maleficence, policies, and procedures. • Coordinated ... - Jan 14

Claims adjuster

Plano, TX
... Reviewed and analyzed suspicious and potentially fraud claims. Evaluated all evidence with the goal in results of built several positive relationships for policyholders and agent office. Negotiated and settled moderate complex claim in accordance ... - Jan 13

Account Manager Mortgage Loan

Denton, TX
... Provided training for processors regarding analyzing tax returns, appraisals, income and asset documentation, and fraud. GSB Mortgage – Grapevine, Tx. Underwriting Manager May 2017 – May 2019 Reviewed all loans for underwriting approval. Provided ... - Jan 12

Machine Learning Data Scientist

Frisco, TX
... Proven track record of delivering successful machine learning projects, including customer segmentation, churn prediction, and fraud detection. Excellent communication skills, with the ability to convey complex technical concepts to both technical ... - Jan 11

Insurance Verification Health Services

Dallas, TX
... 10/2014 – 03/2015 Medical Case Manager (Contract Assignments) Responsibilities Auditing medical records cases for Medicare Fraud. Producing specific Date of Services request per Medicare Audits for DOS verification. Accomplishments Top medical ... - Jan 09

Administrative Assistant Specialist

Dallas, TX
... training and performance evaluations Provided customer services by resolving customer bank issues Responsible for detecting fraud on customer accounts Provided IT support for web banking Developed conflict resolution skills and the ability to work ... - Jan 08

Customer Service Collections Representative

Dallas, TX
... • Filed fraud and dispute claims. • Processed limit increases, funds transfers, and account closures. Collections Senior Representative Delinquent Recovery Associates - Shreveport, La January 2019 to February 2020 • Collected on outstanding ... - Jan 05

Field Service Engineer

Sachse, TX
... • Book and manage HVHR (high value high risk) shipments with proven policies and procedures to mitigate theft and fraud Raytheon Technologies, Dallas, Texas September 2019 – Feburary 2022 Production Specialist • Additive Manufacturing • AMC ... - Jan 05

Customer Service Experience

Little Elm, TX
... recognize indicators of fraud; determines whether the organization’s purposes, as stated in the organizing document are within the scope of the code section under which exemption was claimed. I have worked with exempt organizations in maintaining ... - Jan 03
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