- Capital One (Mclean, VA)
- Senior Investigator II-TMO Fraud **The Anti-Money Laundering (AML) Sr. Investigator II -TMO Fraud ** supervises various AML processes, which might include ... for planning and conducting processes related to anti-money laundering, fraud and global sanction activities as well as managing...the workflow of the AML analysts. The AML Sr Investigator II coaches their team and teaches others about… more
- City of New York (New York, NY)
- …ASSOCIATE FRAUD INVESTGATOR TITLE OR PROVIDE PROOF OF FILING FOR ASSOCIATE FRAUD INVESTIGATOR EXAM 4013 WILL BE CONSIDERED FOR AN INTERVIEW. PLEASE INCLUDE ... (EIN) WHEN APPLYING AND INDICATE IN YOUR COVER LETTER IF YOU ARE A PERMANENT ASSOCIATE FRAUD INVESTIGATOR OR FILED FOR ASSOCIATE FRAUD INVESTIGATOR EXAM… more
- Molina Healthcare (Milwaukee, WI)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- City of Detroit (Detroit, MI)
- Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply Fraud Investigator Salary $63,359.00 - $95,039.00 ... Visa at this time. Examples of Duties SUMMARY: The Fraud Investigator performs complex investigative tasks relating...areas such as billing trends, financial relationships, and regulatory compliance procedures + Recommend actions in fraud … more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve...and will oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Guardian Life (New York, NY)
- …best-in-class Law Department. We drive a high-performance culture across our Legal, Compliance , and Government Affairs functions, aligned to "what" we deliver (ie, ... spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and...but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
- Humana (Oklahoma City, OK)
- …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Capital One (Mclean, VA)
- …Diploma, GED or equivalent certification + At least 1 year of leadership experience in Fraud , AML investigations or a Compliance role + At least 2 years of ... AML Senior Investigator II-SIU **The Anti-Money Laundering (AML) Supervisor** **supervises...+ 2 + years of people leader experience in Fraud , AML investigations, or Compliance role +… more
- Capital One (Richmond, VA)
- …-High School Diploma, GED or equivalent certification -At least 1 year of fraud experience, or investigative experience, or compliance experience. -At least 1 ... Anti-Money Laundering Sr. Investigator Job Description **Anti-Money Laundering (AML) Sr ...Microsoft Office or Google Suite **Preferred Qualifications:** -2 years fraud experience, or investigative experience, or compliance … more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... duties and group benefit contracts to identify control deficiencies and non- compliance . Investigator will develop documentation to substantiate findings… more
- State of Colorado (Denver, CO)
- Compliance Investigator I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5040595) Apply Compliance Investigator I Salary ... application. Class Code & Classification Description: (New) H6K2TX COMPLIANCE INVESTIGATOR I (https://drive.google.com/file/d/0BwUD9Bt4G-21NXZoa043Z0ZGZ0U/view?usp=sharing&resourcekey=0-mqGJFqkwaZOSHC2cbc1l4w) MINIMUM QUALIFICATIONS:… more
- Allied Universal (Charlottesville, VA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... or adjusting complex insurance claims + Proficient understanding and application of anti- fraud laws, insurance regulations, and compliance standards within their… more
- Capital One (Wilmington, DE)
- …Research + Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or ... Anti-Money Laundering Investigator The qualified candidate will support various Anti-Money...+ 1+ years of experience in Anti-Money Laundering (AML), Fraud , Investigations, or as an Analyst + 6+ months… more
- Allied Universal (Billings, MT)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
- Nordstrom (Seattle, WA)
- Job Description The purpose of the Regional External Investigator role is to oversee and execute Organized Retail Crime strategies for their assigned region. The ... Regional Investigator will peruse high impact cases that negatively affect...all field investigative matters of customer, seller and vendor fraud leveraging various data points and analytics across the… more
- MyFlorida (Miami, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD DETECTIVE) DIVISION: ... LAW ENFORCEMENT INVESTIGATOR II - 43001780 Date: Jul 25, 2025...Diploma or its equivalent. + ACTIVE Florida Law Enforcement Compliance /Certification of Equivalency of Training from the Florida Department… more
- Aflac (GA)
- …Law Specialist (FCLS), Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in Spanish Travel + Less than or ... Investigator I The Company: Aflac Columbus The Location: GA, US, 31999 The Division: Compliance Job Id: 8129 Salary Range: $50,000 - $70,000 Job Posting End… more
- State of Colorado (CO)
- CRIMINAL INVESTIGATOR IV - (Cyber/Financial Crimes) - Division of Gaming Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5038367) Apply ... CRIMINAL INVESTIGATOR IV - (Cyber/Financial Crimes) - Division of Gaming...such crimes are money laundering, theft, forgery, identity theft, fraud , and computer crime. No other State agency besides… more
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