Fraud & Claims Operations Associate Manager Job at Wells Fargo (Taguig City)

Executive Director, Claims

Lead the Life & Health (L&H) claims function for the local reinsurance office in...

Location

Malaysia , Bangsar, Wilayah Persekutuan Kuala Lumpur

Salary:

Not provided

Reinsurance Group of America

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Arts/Sciences (BA/BS) in vocational rehabilitation or health-related field required
Master’s degree in Arts/Sciences (MA/MS) preferably in a field associated with medicine or law preferred
10+ Years of experience in life and health insurance/reinsurance claims, with at least 3 years in a leadership role required
Familiarity with SEA regulatory frameworks and cross-border operations required
Proven experience in managing complex claims and client negotiations required
Strong technical knowledge of mortality, morbidity, medical, and disability products required
Excellent leadership, communication, and stakeholder management skills required
Strategic thinking and decision-making required
Strong analytical and problem-solving skills required
High integrity and professional ethics required

Job Responsibility

Claims Leadership & Strategy: Define and execute claims strategy aligned with SEA business objectives
Operational Excellence: Oversee end-to-end claims handling for life and health treaties and facultative business
Regulatory & Governance: Ensure compliance with local regulations across SEA jurisdictions
Client & Market Engagement: Act as the primary claims contact for cedents, and internal stakeholders
Data Analytics & Insights: Analyze claims experience and trends to support pricing, underwriting, and product development
Team Leadership: Lead and develop a high-performing claims team with expertise in life and health

What we offer

Gain valuable knowledge from and experience with diverse, caring colleagues around the world
Enjoy a respectful, welcoming environment that fosters individuality and encourages pioneering thought
Join the bright and creative minds of RGA, and experience vast, endless career potential

Fulltime

New

Ascent Banking Associate

The Ascent Banking Associate plays a critical role within the National Ascent Se...

Location

United States , Minneapolis; Denver

Salary:

71400.00 - 84000.00 USD / Year

U.S. Bank National Association

Expiration Date

March 06, 2026

Requirements

Bachelor's degree, or equivalent work experience
One to three years of relevant experience
Strong attention to detail and accuracy
Excellent organizational, follow‑through, and prioritization skills
Ability to manage multi‑step workflows over extended timeframes
Strong relationship‑building skills with national and regional partners
Professional communication and client service orientation

Job Responsibility

Process high‑volume transactional requests including domestic and international wires, internal transfers, loan advances and payments, teller transactions
Facilitate the opening of consumer, business, and trust accounts
Execute account updates including signer changes, address modifications, and ownership updates
Provide guidance and issue resolution for online banking enrollment, access, and troubleshooting
Assist with fraud monitoring, dispute claims, and documentation needs

What we offer

Healthcare (medical, dental, vision)
Basic term and optional term life insurance
Short-term and long-term disability
Pregnancy disability and parental leave
401(k) and employer-funded retirement plan
Paid vacation (from two to five weeks depending on salary grade and tenure)
Up to 11 paid holiday opportunities
Adoption assistance
Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year

Fulltime

Bpo transaction quality assurance analyst

The BPO Transaction Quality Assurance Analyst will play a vital role in reviewin...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Any Bachelor’s degree
A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements
Experience with Life Insurance Claims and Policy Administration
Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management
Ability to collate data/information from different sources and work on Management Reports without any error
Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams
Knowledge of process mapping tools – MS Visio and Lucid Charts, Excel and Power Point
Lean Six Sigma
Experience working in an Agile environment
Experience with Salesforce or other case management systems' modernization

Job Responsibility

Review claims transactions and provide feedback to claims processors
Improve process efficiency & quality for existing and new processes through analysis and design of workflows and business processes
Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
Perform functional analysis of the current business process and supporting documentation
Identify process improvements and facilitate reengineering of business processes
Create process and value stream map for existing and new business processes
Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities
Be a team player and work seamlessly with other team members on meeting customer goals

Fulltime

Bpo transaction quality assurance analyst

The BPO Transaction Quality Assurance Analyst is responsible for reviewing claim...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Any Bachelor’s degree
A minimum of 3 years of experience as a Transactional Quality Auditor/MIS specialist/Quality associate involved in implementation of basic Quality framework elements
Experience with Life Insurance Claims and Policy Administration
Demonstrates a strong understanding of claims business process redesign/reengineering, gap analysis, functional vs technical specifications, and change management
Ability to collate data/information from different sources and work on Management Reports without any error
Excellent communication skills (written and verbal) to clearly articulate business requirements to technical & development teams
Knowledge of process mapping tools – MS Visio and Lucid Charts, Excel and Power Point
Lean Six Sigma
Experience working in an Agile environment
Experience with Salesforce or other case management systems' modernization

Job Responsibility

Review medical documents, policy documents, policy history, claims history, system notes and apply the trained client level business rules to ensure that processors make appropriate Claims decisions, call out claims trends and flag fraud activities
Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function
Perform functional analysis of the current business process and supporting documentation
Identify process improvements and facilitate reengineering of business processes
Create process and value stream map for existing and new business processes
Assist in establishing and maintaining standard operating procedures and knowledge transfer documentation on various functionalities
Be a team player and work seamlessly with other team members on meeting customer goals

Fulltime

Associate Counsel

Help drive Big Health’s growth by providing practical, business-minded legal sup...

Location

United States

Salary:

125000.00 - 145000.00 USD / Year

Big Health

Expiration Date

Until further notice

Requirements

J.D. from an accredited U.S. law school and active membership in good standing with at least one U.S. state bar (California, Massachusetts, or Delaware preferred)
3–5 years of relevant legal experience, ideally with a mix of law firm and in-house in healthcare, digital health, or life sciences
Strong experience drafting, reviewing, and negotiating a wide range of commercial contracts
Working knowledge of healthcare regulatory frameworks, including FDA regulations for software-based medical devices, HIPAA, and federal and state fraud and abuse laws
Familiarity with data privacy and security laws (e.g., HIPAA, GDPR, CCPA) and experience operationalizing privacy compliance
Ability to interpret and apply healthcare and data protection regulations in a practical, business-enabling manner
Strong written and verbal communication skills, with the ability to translate complex legal concepts and tailor messaging for varied, cross-functional audiences
Excellent organizational skills, attention to detail, and ability to manage multiple priorities in a fast-paced, high-growth environment
Comfort working cross-functionally with product, compliance, commercial, and regulatory teams
Proactive, solutions-oriented, and comfortable exercising sound judgment in ambiguous situations

Job Responsibility

Draft, review, and negotiate a variety of commercial and clinical contracts, including licensing, collaboration, research, and vendor agreements
Manage redlines, coordinate with internal stakeholders, and ensure alignment with regulatory, privacy, market access, sales, and other departments’ requirements
Maintain and improve contract templates and related policies and procedures to support deal cycles
Advise on compliance regarding healthcare regulations (e.g., Anti-Kickback, Sunshine Act, etc.), product claims and advertising, and data privacy laws (US and global)
Act as the first point of contact for day-to-day legal questions and translate complex laws into practical guardrails for business teams
Contribute to the development of scalable legal workflows and policies

What we offer

generous vacation policy
professional development fund
flexible working arrangements
stock options

Fulltime

New

In-home physician

We’re building a world of health around every individual — shaping a more connec...

Location

United States

Salary:

100.00 USD / Hour

CVS Health

Expiration Date

December 31, 2026

Requirements

Active, unrestricted license(s) in coverage area(s)
Multi-state licenses (preferred)

Job Responsibility

Provide In-Home Health Evaluations
Engage with people in their homes
Help bridge gaps in care
Build trusted relationships
Conduct visits lasting about 45 minutes
Connect one-on-one and answer health questions
Perform medication and medical history review
Perform physical evaluation
Perform additional diagnostic tests if ordered (i.e., diabetic eye exams, spirometry, etc.)
Use an iPad and intuitive clinical workflow

What we offer

Select benefits
Malpractice insurance coverage (during Signify Health-related activities)
Supplies and other perks
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave

Parttime

New

Nurse Practitioner

We’re building a world of health around every individual — shaping a more connec...

Location

United States , North Attleboro

Salary:

46.03 - 99.14 USD / Hour

CVS Health

Expiration Date

February 26, 2026

Requirements

Minimum of two years of medically relevant experience or equivalent
Complete the DOT certification exam within 30 days of employment
Depending on the market, the ability to be proficient in both speaking and writing in additional languages not limited to but including Spanish
Basic Life Support (BLS) certification, including but not limited to performing CPR and operating an Automated External Defibrillator (AED)
Pass a FIT test and wear the provided respirator mask when protocol requires
Master's Degree level Family Nurse Practitioner program with current National Board Certification and State of Employment license to practice in the Advanced Practice Nurse role

Job Responsibility

Provide Primary and Family evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients
Provide administrative duties to include but not limited to opening/closing the clinic, inventory, patient follow up, verifying insurance and collecting payment, maintaining a clean environment
Be responsible for handling patient appointments and performing routine examinations to ensure positive patient health outcomes
Perform duties including speaking with patients about healthy lifestyle choices, completing diagnostic tests to help diagnose and treat patients for injuries or illnesses and coordinating with other healthcare professionals to maintain a comprehensive plan of care
Encourage patients to become active participants in their own healthcare and well-being through services such as health screenings, behavioral health and wellness, chronic condition management
Provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients. This includes education and treatment for pregnancy prevention, sexually transmitted infection (STI) Prevention and safer sex practices
Order and administer immunizations and injections (to include but not limited to COVID19, influenza, TB, Depo) and provides evidence-based patient/parent vaccine counseling and education

What we offer

Comprehensive benefits
CME allowance
401(k) plan
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave

Fulltime

!

New

In-home nurse practitioner or physician assistant

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Staunton

Salary:

41.85 - 90.13 USD / Hour

CVS Health

Expiration Date

December 31, 2026

Requirements

Active, unrestricted license(s) in coverage area(s)
Board certification (required)
Multi-state licenses (preferred)

Job Responsibility

Provide In-Home Health Evaluations
Engage with people in the comfort of their own homes
Help bridge gaps in care
Build trusted relationships to make people healthier
Bring flexible, comprehensive and personalized health evaluations right to people’s front doors
Conduct visits lasting about 45 minutes
Connect one-on-one and answer health questions
Perform medication and medical history review
Perform a physical evaluation
Perform additional diagnostic tests if ordered (i.e., diabetic eye exams, spirometry, etc.)

What we offer

Select benefits
Malpractice insurance coverage (during Signify Health-related activities)
Supplies and other perks
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave

Parttime

Fraud & Claims Operations Associate Manager

Wells Fargo

Location:
Philippines , Taguig City

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 23, 2026

Expiration:
February 26, 2026

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Location:Philippines , Taguig City

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