- SMBC (Sacramento, CA)
- …banking where smarter banking translates to a richer life. **Role Description** The Fraud Investigator plays a critical role in the bank's Financial Intelligence ... focusing on identifying, analyzing, and mitigating fraudulent activities escalated from the Fraud Operations and first-line fraud teams. The individual will… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is looking for a Fraud Investigator to work fully remote in Florida. The Fraud Investigator will be on a 3 month ... of mostly fraudulent checks through mobile apps, tellers, ATMs, etc. The Fraud Investigator will have a work flow document to help determine the repercussions… more
- City National Bank (Los Angeles, CA)
- * FRAUD INVESTIGATOR SPECIALIST* WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions ... that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and...including but not limited to credit, cash, wire transfers, remote deposit capture and loans. * Conduct and document,… more
- Kelly Services (Farmington, MI)
- ** Fraud Prevention Investigator - (Hybrid: 2 Days Onsite / 3 Days Remote )** **Location:** Farmington Hills, MI 48331 **Pay Rate:** $27.02/hr **Contract ... help protect our customers and minimize financial losses. As a Fraud Prevention Investigator , you will: + Investigate claims of unauthorized activity, identity… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- Providence (Oakland, CA)
- …software/tools. **Preferred Qualifications:** + Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an ... **Description** ** Investigator External Audit Special Investigations Unit \* Remote...to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan staff, vendors… more
- State of Massachusetts (Boston, MA)
- …. ** INVESTIGATOR I, INVESTIGATOR II, and INVESTIGATOR III ** ** HEALTHCARE&FAIRCOMPETITIONBUREAU MEDICAID FRAUD DIVISION AttorneyGeneralAndrea ... Joy Campbell isseekinghighlymotivatedcandidatestojoinherteamintheroleof Investigator in the Medicaid Fraud Division.We are currently seeking candidates with a range… more
- Molina Healthcare (Nampa, ID)
- …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
- CVS Health (OK)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and… more
- JPMorgan Chase (Tempe, AZ)
- …community at various levels. You will assist in and perform investigations of fraud activities that involve remote channels and various electronic payment ... assets on a global scale. As a Global Security Investigator within our Global Security team, you will report...Investigations Manager. You will need a basic understanding of fraud and technology risk, and will work extensively with… more
- Command Investigations (Little Rock, AR)
- …investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a limited part-time basis (on-call). + A steppingstone into the ... + Approximately 1 year of experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Able to obtain a...and Stationary surveillance + Able to obtain a Private Investigator license. + Possession of a high school diploma… more
- Command Investigations (Minneapolis, MN)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... need to apply: + Approximately 1 year of experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Able to obtain Private Investigator … more
- Command Investigations (Washington, DC)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... need to apply: + Approximately 1 years experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Hold a valid Private Investigator … more
- Command Investigations (TN)
- …setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, with multi-lines ... our website and find out why at www.GoCommand.com . The Claims/Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Experian (Allen, TX)
- …the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare, create marketing solutions, and gain deeper insights into the ... Learn more at experianplc.com. Overview We are looking for a Senior Cyber Forensic Investigator to join our Cyber Fusion Centre. Our Cyber Fusion Center (CFC) uses… more
- Centene Corporation (Frankfort, KY)
- …the state of Kentucky. **Position Purpose:** Investigate allegations of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special ... or audits that identify, evaluate and measure potential healthcare fraud . + Assist in monitoring business processes and systems...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Sacramento, CA)
- …workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing ... or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- KeyBank (Amherst, NY)
- …(ie Certified Anti Money Laundering Specialist - CAMS certification, Certified Fraud Examiner - CFE or other accredited related industry certification) Key ... from a Key facility. If not located near a Key facility, team will consider remote workers. COMPENSATION AND BENEFITS This position is eligible to earn a base salary… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …and its interests. This position is based in Princeton, New Jersey and may be Remote . Otsuka maintains a hybrid work policy and travel is expected ~15% of the time ... the company's overall goals and values. The individual must also be a skilled investigator , both in conducting investigations and being able to lead a team of… more