Senior Claims Examiner, Professional Lines Coaction Specialty Insurance Group IncSenior Claims Examiner, Professional LinesMorristown, NJLeveraging deep technical expertise and a strategic mindset, you will oversee the full claims lifecycle-ensuring high-quality investigations, timely resolution, and alignment with corporate objectives, regulatory requirements, and Coaction's claim handling guidelines. Salary range specific to for this role: $103,000-$168,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance.
Senior Claims Examiner, Professional Lines Coaction Specialty Insurance GroupSenior Claims Examiner, Professional LinesMorristown, New JerseyLeveraging deep technical expertise and a strategic mindset, you will oversee the full claims lifecycle—ensuring high-quality investigations, timely resolution, and alignment with corporate objectives, regulatory requirements, and Coaction’s claim handling guidelines. Salary range specific to for this role: $103,000-$168,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance.
Claims Examiner - Workers Compensation -| Brea, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation -| Brea, CABrea, CA$80,000–$100,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Administrative Law Examiner 17 State of MichiganAdministrative Law Examiner 17MIRemote$55.64–$76.59 / hourGreat Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park-just for starters. The majority of the employees assignments involve the adjudication of highly complex and sensitive cases in which the decisions rendered have substantial economic and financial impacts across the state including beneficial or adverse impacts on Michigan residents, businesses, and units of government, may involve millions of dollars, and may result in media or legislative interest.
Fraud Investigator - Federal Healthcare DeloitteFraud Investigator - Federal HealthcareRosslyn, VA$76,600–$127,600 / yearAs a Project - Consultant, Forensics and Investigations on the project, you will address the threats that perpetuate fraud, waste, and abuse, our clients look to our team to provide the guidance and solutions required to help them stay ahead of emerging issues and protect the integrity of their programs. This compensation range is specific to Arlington, Virginia and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Corporate Security Investigator Advanced Micro Devices, IncCorporate Security InvestigatorAustin, TexasEstablish effective working relationships and collaborate with business functions and stakeholders, including Internal Audit, Legal, Human Resources, Employee Relations, Ethics and Compliance, Procurement, Global Operations, Information Security, and other relevant business groups. Practical familiarity with generative AI, data analytics, or other AI-assisted productivity tools, including the ability to formulate effective queries or prompts, evaluate results for accuracy and bias, and apply outputs appropriately within a controlled professional workflow.
26-27 Workforce Program Administrator Somerville Public Schools26-27 Workforce Program AdministratorSomerville, MACoordinates directly with SCALE leadership (ELL and ABE Program Administrators, HiSET Chief Examiner) and Somerville High School Guidance for interdepartmental student referrals and integrated education initiatives. This position requires excellent communication skills and the ability to build consensus, work collaboratively with other administrators and staff, students and the community-at-large.
Data Analyst - Forensics, Technology, Investigations & Discovery Berkeley Research GroupData Analyst - Forensics, Technology, Investigations & DiscoveryChicago, New York$90,000–$150,000 / yearOur FTID (Forensics, Technology, Investigations & Discovery) practice is rapidly growing, and we are seeking aSenior Associatewho can demonstrate a thorough level of knowledge and/or a proven record of success as an individual contributor or team leader involving fraud risk, fraud prevention and detection, and/or data analytics, preferably within a global network of professional services firms in the following areas: Leveraging thorough knowledge of SQL, Python or R, data science skills, supervised and unsupervised machine learning, and social network analysis; Demonstrating considerable experience with big data tools such as Hadoop and PySpark, cloud computing, and cloud machine learning tools; Knowledge of the anti-fraud business domain in the e-commerce, payments, healthcare, and banking industries; Demonstrating considerable ability to develop fraud detection rules and/or models deployed in systems such as Actimize, FICO Falcon, SAS Fraud Management, or other platforms; Leveraging considerable experience with data visualization tools such as Tableau, Spotfire, or QlikView; and. The ideal candidate will also demonstrate a thorough level of ability with, and/or a proven record of success in, identifying and addressing client needs by: Applying considerable knowledge of the subject matter to the development and prioritization of anti-fraud strategies, analytics, models, and operations; Managing engagement teams and competing priorities in a rapidly growing, cross-functional, fast-paced, interactive, results-based team environment; Communicating with business, risk, compliance, operations, technology, and analytics stakeholders on client engagements; Fostering positive working relationships with clients and working effectively with client management and staff at all levels to gather information and perform services; Using presentation materials to convey complex ideas to clients and internal staff; Managing engagements, including preparing concise and accurate documents and maintaining project economics while remaining flexible for unanticipated issues; Providing candid, meaningful feedback in a timely manner; and.
Senior Investigator Pre Pay (Healthcare FWA) Cotiviti Holdings Inc. (Inactive)Senior Investigator Pre Pay (Healthcare FWA)Remote$70,000–$90,000 / yearPreferred certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE), Certified Forensic Interviewer (CFI), or. Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse.
Senior Internal Auditor Colonial Williamsburg FoundationSenior Internal AuditorWilliamsburg, VA$75,000–$112,000 / yearBachelor's degree in Accounting, Finance, Business, or a related field · Five years' experience in internal audit or the attest function · Audit Certification - Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), Certified Fraud Examiner (CFE), or Certification in Risk Management Assurance (CRMA) Preferred Qualifications · One of the above audit certifications plus a Certified Public Accountant (CPA) · Experience auditing Workday system Physical and Environmental Demands. Today, Colonial Williamsburg is the largest living history museum in the U.S. The Historic Area is the 301-acre restored colonial capital with 89 original buildings and 525 buildings reconstructed to how they appeared in the 18th century through extensive archaeological, architectural, and documentary research.
Assistant Vice President for Compliance Texas A&M UniversityAssistant Vice President for ComplianceTitle IX/Clery: Oversees the university’s Title IX compliance program, ensuring the requirements identified in Title IX of the Education Amendments of 1972, and the relevant provisions of the Violence Against Women Act 2013 (VAWA) and the Jeanne Clery Disclosure of Campus Security Policies and Crime Statistics Act (Clery Act) are being followed; certifies institutional accountability in responding to reported concerns and complaints. Formulates and maintains a database of all university rules and procedures required by the TAMUS System and any additional rules and procedures needed for university operations as determined by university administration; monitors the information within the database to ensure rules and procedures are reviewed by the responsible party or department in a timely manner, when new or reviewed documents are submitted to legal counsel for review, and follow-up with legal counsel when needed.
Security Officer-casual Children's MinnesotaSecurity Officer-casualSt. Paul, MNAn independent, not-for-profit health care provider, Children's has 319 staffed hospital beds and services available in all major pediatric specialties: emergency care; newborn and pediatric intensive care; outpatient and inpatient surgery; diagnostic services, including radiology and laboratory; and special programs in the areas of respiratory, cardiology, cancer, premature birth, adolescent development, child abuse, and epilepsy. In addition to our Minneapolis and St. Paul Campuses, Children's also includes Children's West, a pediatric care center in Minnetonka offering same-day surgery as well as diagnostic, rehabilitative, and developmental outpatient services; Children's - Roseville, an outpatient pediatric rehabilitation center; and Children's Clinics - Woodwinds, pediatric specialty clinics at the Woodwinds Health Campus in Woodbury.
Senior Investigator Lead Validation (Healthcare FWA) Cotiviti Holdings Inc. (Inactive)Senior Investigator Lead Validation (Healthcare FWA)Remote$70,000–$90,000 / yearPreferred certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE), Certified Forensic Interviewer (CFI), or. Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse.
FNE SANE (Sexual Assault Nurse Examiner) - Registry Advocate Health and Hospitals CorporationFNE SANE (Sexual Assault Nurse Examiner) - RegistryMust demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Enterprise Compliance and Operational Risk Analyst - Risk Assessment Regions Financial CorpEnterprise Compliance and Operational Risk Analyst - Risk AssessmentCharlotte, NCThe information that you submit will be collected and reviewed by associates, consultants, and vendors of Regions in order to evaluate your qualifications and experience for job opportunities and will not be used for marketing purposes, sold, or shared outside of Regions unless required by law. Knowledge of key federal acts and associated banking regulations (e.g., Dodd-Frank Act, Electronic Fund Transfer Act, Expedited Funds Availability Act, Truth in Lending).
Internal Audit, Senior Director Feed The ChildrenInternal Audit, Senior DirectorArlington, VA$155,000–$170,000 / yearThis position will be responsible for creating a scalable structure that supports long-term organizational needs and will serve as a key leader to help strengthen governance, risk management, internal controls, and donor compliance functions across our diverse global operations. Champion the responsible adoption of AI and emerging technologies across audit functions, including fraud detection, risk assessment, report generation, and establish metrics to measure their effectiveness and efficiency gains.
Auditor I City of Colorado SpringsAuditor IColorado Springs, CO$29.13–$34.97 / hourThe City of Colorado Springs offers additional compensation depending on the position, area of assignment, and specific job assignments, including shift differential, pay differential, acting or lead, special assignment, hazard pay, longevity, cell phone allowance, uniform allowance, relocation, awards, standby, call out, compensatory time off, tuition, overtime, extra duty, incentive, holiday premium, proficiency, and vacation sell back. Interest in pursuing a professional certification such as CIA (Certified Internal Auditor), CPA (Certified Public Accountant), CFE (Certified Fraud Examiner), PMP (Project Management Professional), or advanced degree.
Portfolio Manager - Wholesale Credit Delivery Truist Financial CorpPortfolio Manager - Wholesale Credit DeliveryMcLean, VA$115,000–$130,000 / yearSpan of Control: no direct reports, but encompasses regular communication with Clients and Prospects, Portfolio Management teammates, Relationship Managers, Credit Risk Managers, Credit Review partners, Technology, and other internal and external audit and examiner functions. General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position.
Franchise Development Manager El Pollo Loco HoldingsFranchise Development ManagerCosta Mesa, CAThe VP of Franchise Growth owns overall growth strategy and is accountable for candidate progression through the pipeline; the Franchise Development Manager exercises independent judgment and discretion in qualifying candidates, evaluating risk, managing marketing and outreach strategy, and advancing candidates through each stage of the path-to-ownership journey. Own lead targeting strategy and lead nurturing email campaigns, including audience segmentation, content creation, and message positioning, exercising judgment on cadence, targeting priority, and messaging approach based on candidate tier and performance data; analyze campaign results and adjust strategy accordingly.
NewFinancial Examiner Banking and Finance, Department ofFinancial ExaminerAtlanta, GeorgiaPerforms operations examination duties, including financial statement analysis; analysis of earnings, capital, liquidity, asset/liability management, and securities; classification of other real estate and assets other than loans, review and analysis of Call Reports, internal controls, audit oversight, and policies and procedures to ensure compliance with laws, rules, and regulations. --Note: An equivalent combination of knowledge, education, job or intern experience, training, or certifications that provides the necessary knowledge and skills to successfully perform the job at the level listed may be substituted year-over-year.