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Online Resumes with "FRAUD"



Director - 20 Years of Experience - Near 22079

Summary Retired FBI Special Agent with extensive experience in investigating and directing complex criminal and national security investigations seeks a position in the private sector. Proven leadership record with strong analytical, problem solving, and administration skills. Received several commendations over a twenty-four year career. Proficient with Microsoft Suite. Maintains a Clearance with a Polygraph. Extensive exp...

Tags for this Online Resume: Fraud, National Security, Program Manager, Security, Assessments, Physical Security, Planning, Policies and Procedures, Investigations, Consulting

Environmental Scientist - 20 Years of Experience - Near 27560

Preferred Record Management Specialist Positions in Biotechnology organisations.

Tags for this Online Resume: Manufacturing, Complaints, Corrective Actions, Commodities, Fraud, Marketing Management, Administrative Tasks, Applications, Billing, Data Entry

Fraud /SIU experience

To Run a SIU unit

Tags for this Online Resume: Fraud Investigation, Supervising field Investigations, Advising legal , Pip teaching, Local Federal investigation

Pharmacist - 18 Years of Experience - Near 11370

Experienced with readjusting and correcting cutbacks (cutback reports), and reimbursement amounts on submitted claims Experienced with Third Party and Medicaid Audit requirements * Adjusting for audited rejected claims and correcting them for resubmission * Very Experienced with OPUS-ISM Experienced with billing for time on compounded medications (i.e., legend drugs on insurances) with OPUS- ISM * Adding new insurance plans...

Tags for this Online Resume: Compliance, Inventory, Inventory management, Management, Pharmaceutical, Toxicology, Audit, Billing

Claims Adjuster - 2 Years of Experience - Near 94565

QUALIFICATIONS & SKILLS: ? Over 22 years in workers' compensation insurance experience and over 18 years as a Senior Claims Examiner. ? Experienced with complex self-insured and public entity claims. ? Knowledge and experienced in lost time/medical only claims. ? Excellent management within company standards and best practices. ? Excellent negation skills to settle and bring files to early resolution/settlement and/or closu...

Tags for this Online Resume: Compensation, Fraud, Management, Risk Management, Settlements, Statutory, Audit, Benefits, Best Practices, Foundry

Director - 8 1/2 Years of Experience - Orlando, FL

Highly accomplished professional with 16+ years of e-Commerce experience developing and implementing innovative strategies that drive revenue growth and customer satisfaction. Proven track record in leading large-scale technology solutions and products, creating process and workflow improvements, managing strategic partnerships, and fostering strong vendor and client relationships, resulting in positive impacts on revenue a...

Tags for this Online Resume: e-Commerce, Product Development, User Experience, Agile/Scrum, Digital, Mobile apps, Orlando, Strategic Partnerships, Website, Large-scale technology, Leads Cross-functional teams

Lawyer, Orlando

As an Associate Attorney for a Plaintiffs law firm, Ronald R. Wolfe & Associates, P.L., I handled and argued a large volume of hearings in foreclosure matters such as Motions to Compel, Motions to Dismiss, and Motions for Summary Judgment in the counties of Orange, Osceola, Seminole, Brevard, and Volusia. I have been an Assistant State Attorney for sixteen years in Orange and Os...

Featured Profile

Senior Vice President/ Executive with over 15 Years of Experience

Assist companies with implementing successful solutions within budget while leveraging a risk mitigation approach to improve the business posture and achieve their strategic vision.

Ideal Companies: Mid-size to large companies; Astra Zeneca, IBM, CSC, SAE, FED, SEC, Government, SAIC, Banking: PNC, Wilmington Trust, Citi, BofA, Chase, DuPont.

Tags for this Online Resume: Enterprise Risk Management, Global Risk Management, Risk and Control Assessment, RCSA, Quality Reviews, Vendor Management, Chief Information Officer, Chief Security Officer, Executive Vice President, Managing Director, Chief Operations Officer, Chief Technology Officer, Senior Vice President, Big Data Governance, Governance and Oversight, Regulatory Audit Engagement

Paralegal - 15 Years of Experience - Near 06784

Tags for this Online Resume: Documentation, PWC, Aml (Macro Lang), Audit, Equities, Filing, Futures, IDS, ISDA, KYC

Law Enforcement - 20 Years of Experience - Near 32693

AREAS OF EXPERTISE * Commander/Counter Intelligence, Personnel Security Vetting and Screening + 32 (Staff/SAPS) * Commander/SAPS Criminal Record Center Staff + 132 Adjudication of Records * Commander/SAPS Local Criminal Record Center Staff + 18 KEY ACHIEVEMENTS * Assisting with the security/risk management planning and screening for the hosting of both the Confederation and FIFA 2010 World Cup Soccer games and the recently ...

Tags for this Online Resume: Fraud, Research, Research and Development, Security, English Language, French Language, Management, Risk Management

Senior Vice President of Fraud Detection- 20 Years of Experience - Near 02905

Tags for this Online Resume: Fraud, Investigations, Credit Cards, Manager, Operations, Rhode Island, Risk, Relocate, Management, Distribution, Expert Systems, Quality, Fraud Prevention, Quality Control, Retail, Debit Cards

Recruiter - 10 Years of Experience - Near 33897

Summary of Qualifications * Accomplished management leader with a strong background of consistently exceeding performance goals. * Experienced communicating effectively to build and maintain customer relationships. * Self-starter who proactively addresses problems and implements solutions. * Solid time management, organizational and attention to detail skills.

Tags for this Online Resume: Recruiting, Recruiter, Customer Service, Fraud, Management, Time Management, Attention to Detail, Compensation