CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "FRAUD"

Contract Administrator - 2 Years of Experience - Near 07107

Summary of general experience, skills and expertise * Investigational experience including fraud detection and prevention * Experienced in reviewing client cases and interpreting laws and reports. * Strong verbal and written communication skills allowing effective interactions * Works well in fast paced environment * Ability to multitask between systems and functions. * An effective team player with the leadership necessary...

Tags for this Online Resume: Drafting, Management, Aml (Macro Lang), Communication Skills, Customer Relationship Management, Due Diligence, Fraud, Fraud Detection, Front Office, Intellectual Property Law, drafting, Due Diligence, Fraud Detection, Intellectual Property Law, Communication Skills

Claims Examiner

Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...

Tags for this Online Resume: Complaints, Documentation, Management, Quality Assurance, Test, Customer Service, customer service skills, Process Improvement, Fraud, Policies and Procedures

Not Listed - 20 Years of Experience

QUALIFICATIONS: A proven leader with over 20 years in the Mortgage and Consumer Banking and Financial Industry, with targeted emphasis in all areas of Risk Management, including but not limited to: * Multi-State and Federal Regulatory Compliance * Consumer Loans/Banking - Auto, Credit Cards, and Personal * Operational Risk Management * Vendor Management - Assessment & Due Diligence * SOX Minimum Capital Requirements (Addres...

Tags for this Online Resume: Internal audit, Quality Assurance, Test, Audit, Bankruptcy, Fraud, Management, Underwriting, Vendor Management, Litigation

Manager

Ideal Companies: Restaurants, Food and Beverage

Tags for this Online Resume: Audit, Inventory, Management, Payroll, Scheduling, Accruals, Fraud, Internal audit, Policies and Procedures, Accounting

Quality Assurance Director

SUMMARY Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in compliance and in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through ...

Tags for this Online Resume: Billing, Coding, Management, Audit, Quality, Documentation, Policies and Procedures, Medicare, Cms, Health Insurance Portability And Accountability Act

Project Manager

SUMMARY * Certified PM with over 15+ years of experience providing concurrent full life cycle project management over large-scale IT implementations from cradle to grave. * Experience managing projects ranging in size and scope from $55K to $50M+ with active team resources of 300+. Extensive experience interfacing with customers, vendors, contractors, senior stakeholders and internal/external project teams. * Successful pla...

Ideal Companies: Amazon

Tags for this Online Resume: Active Server Pages, Agile, Jad, Services, Planning, Agile Methodologies, Agile methodology, Business Requirements, PeopleSoft, SalesForce

Lawyer

Tags for this Online Resume: Litigation, Bankruptcy, Financial, Financial Services, Securities, Series 6, Services, Securitization, Drafting, Fraud

Lawyer - 15 Years of Experience

QUALIFICATIONS SUMMARY Highly qualified, results-driven, articulate professional with 20+- years' experience and recognized expertise in regulatory compliance, criminal investigations, program management, interviewing, training, and strategic planning. Significant skills in risk management, financial investigations, problem resolution, leadership coaching, threat identification, reputation and brand protection. * Relationsh...

Tags for this Online Resume: Aml (Macro Lang), Compliance, Internal Controls, Risk Assessment, Financial, Financial Industry, Fraud, Securities, Training, Accounting

Sales Representative

Areas of Expertise - Territory Management & Expansion Account Development & Growth Ongoing Needs Assessment Consultative & Solution Selling Exceeding Revenue Goals Long & Complex Sales Cycles Hard-Hitting Negotiations Client Satisfaction & Retention New Product & Services Launches Full Service Training Customer Service Support Relationship Building Business Development Microsoft Office Salesforce Client Relationship Managem...

Tags for this Online Resume: Fraud, Management, Project Management, Project Manager, Services, Telecommunications, First Aid, Cardiopulmonary resuscitation (CPR), Hub, Sales

Chief Operations Officer - 20 Years of Experience - Near 44256

Ideal Companies: Eaton

Tags for this Online Resume: Public Relations, Support, Logistics, Insurance, Arbitration, Fraud, Litigation, Product Liability, SEC, Securities

Business Analyst

SUMMARY: Strong Senior Business Analyst, with 10 years' experience in banking, healthcare, and insurance. Daily Agile activities including Scrum Ceremony, extensive User Story Creation and Acceptance Criteria Facilitated Design Sessions, Technical Liaison among Business, Architect and Development Extensive Background in Requirements Gathering, Grooming and Estimation Sessions Weekly Implementation Activities including Go/No...

Tags for this Online Resume: Insurance, Test, Agile, Aml (Macro Lang), Business Analysis, Business Analyst, Credit Card, Documentation, FileNet, Fraud

Coding Educator

Tags for this Online Resume: Documentation, Audit, Fraud, Medical, Medical Records, Coding, Billing, ICD-9, Certified Pension Consultant, DRESSING CHANGES