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BAO COC INSURANCE SPECIALIST - CLAIMS FRAUD

Job Field: Legal Jobs
Location: San Francisco, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>BAO CoC Insurance Specialist - Claims Fraud Job ID GBS-0470888 Job type Full-time RegularWork country USA Posted 07-Nov-2012Work city - Any, Job area Consulting & ServicesTravel Up to 4 days a week (home on weekends-based on project requirements) Job category ConsultantBusiness unit ConServ Job role Business Design Consultant Job role skillset GeneralCommissionable/Sales-Incentive jobs only No Job descriptionThis role is in the world-wide Business Analytics & Optimization (BAO) Center of Competency (CoC), for Insurance Consultants with in-depth knowledge of the end-to-end Claims process. This knowledge will be used with Insurance Fraud specialists to outline Claims Fraud Prevention strategies.Candidates will: Participate in account consulting and integrated services opportunity identification; Lead workshops and briefings; Participate in initial engagements as a Delivery resource; Build strong relationships and drive interactions between Software Group (SWG) and GBS sellers. Develops the interaction with practitioners in GBS, SWG and Industry Partners.This position will require extensive travel globally.It is also expected that new hires live within a reasonable commuting distance (generally 50 mi or less) of the following cities: Atlanta, GA; Boston, MA; Charlotte, NC; Chicago, IL; Cincinnati, OH; Columbus, OH; Cleveland, OH; Dallas, TX; Denver, CO; Detroit, MI; Hartford, CT; Houston, TX; Kansas City, MO; Los Angeles, CA; Miami, FL; Minneapolis, MN; New York City, NY and surrounding areas; Philadelphia, PA; San Francisco, CA; Tulsa, OK; and Washington, DC.IBM Global Business ServicesHelp Make the World Work SmarterThe world is getting smarter, triggering unprecedented change. IBM''s unparalleled ability to bring together deep business insight, advanced research, analytics, and technology enables IBM Global Business Services to help position its clients for the future. We leverage the proven roadmaps and frameworks that have been developed across 17 industries and the unique combination of skills and experiences of our teams in over 170 countries - unmatched capabilities. When you join IBM, you''ll partner with our clients, and leverage these capabilities to deliver real business value.As a member of the world''s leading and largest consulting organization, you''ll tap into resources that only a global leader like IBM can provide: access to a vast and diverse network of talented professionals; enjoy unparalleled career opportunities; be provided with ongoing training and education that you''ll need to succeed; and work on some of the most interesting projects on the planet, helping everyone from organizations to local governments, work smarter.Required* Bachelor''s Degree* At least 5 years experience in one or more of the Insurance industry&#39;s business lines* At least 4 years experience in Insurance Claims processing* Basic knowledge in fraud and abuse detection/ management* At least 3 years experience in effective presentation and powerpoint skills* At least 4 years experience in formal requirements definition methods, mapping and gap analysis* Basic knowledge in defining Business Intelligence solutions to address Fraud activities in those Insurance lines of business. Full end-to-end view, data warehoursing, analtyics, reporting ....* Readiness to travel Up to 4 days a week (home on weekends-based on project requirements)* English: FluentPreferred* Master''s Degree* At least 8 years experience in one or more of the Insurance industry&#39;s business lines* At least 8 years experience in Insurance Claims processing* At least 2 years experience in fraud and abuse detection/ management* At least 4 years experience in effective presentation and powerpoint skills* At least 5 years experience in formal requirements definition methods, mapping and gap analysis* At least 2 years experience in defining Business Intelligence solutions to address Fraud activities in those Insurance lines of business. Full end-to-end view, data warehou

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