- Humana (Indianapolis, IN)
- **Become 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 ... areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities...bordering Indiana. + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge… more
- Bank OZK (Little Rock, AR)
- …described within the Bank's Fraud Risk Management Program. + Performs complex fraud investigations derived from escalated fraud alerts and other various ... sources, such as branch personnel or law enforcement. + Conducts complex fraud investigations and link analysis that may include multiple subjects, incidents,… more
- Bank of America (Pennington, NJ)
- …or Global Wealth and Investment Management. In the investigative role, the Investigator conducts complex investigations , including fraud committed by ... GFC Investigator (Brokerage - AML/ Fraud ) Phoenix, Arizona;Pennington,...impact. Join us! The Global Financial Crimes Compliance (GFCC) Investigator performs end-to-end investigations across one or… more
- Guardian Life (Bethlehem, PA)
- …trainings. **You have** + Minimum 3-5 years' recent experience in financial services fraud investigations + Series 7 and CAMS and/or CFE designation strongly ... of financial services products. + Experience performing complex financial crimes fraud investigations and building robust anti-financial crimes programs. +… more
- New York State Civil Service (Albany, NY)
- …and monitoring operations. The Investigator will report directly to a Senior Investigator within the assigned division, with additional supervision by the ... NY HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or… 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...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more
- Capital One (Mclean, VA)
- AML Senior Investigator II-SIU **The Anti-Money Laundering (AML) Supervisor** **supervises various AML processes, which might include suspicious activity ... managing the workflow of the AML analysis. The AML Investigator II coaches their team and teaches others about...+ At least 1 year of leadership experience in Fraud , AML investigations or a Compliance role… more
- New York State Civil Service (Albany, NY)
- …superiors, peers, subordinates, facility staff, and all others. A Senior Investigator will ensure that OSI investigations are thorough, timely, and fair, ... NY HELP No Agency Corrections and Community Supervision, Department of Title Senior Investigator - All Divisions Occupational Category Enforcement or Protective… more
- CVS Health (WV)
- …day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations ). **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay… more
- City of New York (New York, NY)
- …of this mission, the BXDA seeks experienced and enthusiastic Senior Rackets Investigator . The Senior Investigator is responsible for conducting a wide ... variety of investigations . Job Responsibilities: - Conduct thorough and professional ...pass a mandatory background check to carry a firearm. SENIOR RACKETS INVESTIGATOR - 30831 Qualifications 1.… more
- EFI Global (Los Angeles, CA)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... leader in engineering failure analysis, origin-and-cause investigations , environmental consulting, laboratory testing and specialty consulting. Our forensic… more
- Bank of America (Phoenix, AZ)
- …In the investigative role, the Investigator conducts routine to complex investigations , including fraud committed by external parties, money laundering, or ... lines of business. Key responsibilities include conducting routine to complex investigations , including fraud committed by external parties, money laundering,… more
- EFI Global (Detroit, MI)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... leader in engineering failure analysis, origin-and-cause investigations , environmental consulting, laboratory testing and specialty consulting. Our forensic… more
- Aramco Services Company (Houston, TX)
- …Audit on special assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of ... conflict of interest, insider trading & anti-trust violations, procurement schemes and fraud . Involves in special inquiry investigations , that require a high… more
- Experian (Costa Mesa, CA)
- …are in Dublin, Ireland. Learn more at experianplc.com. We are looking for a Senior Cyber Forensic Investigator to join our Cyber Fusion Centre. Our Cyber ... the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare, create marketing solutions, and gain deeper insights into the… more
- ManTech (Herndon, VA)
- …Collaborate with the investigations team, including providing support to the Senior Corporate Investigator , the Executive Director of Investigations , and ... distance to Herndon, VA** to allow for periodic on-site collaboration. The Investigator will conduct thorough investigations of alleged or suspected potential… more
- Elevance Health (Latham, NY)
- ** Investigator Senior ** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** is responsible for the independent identification,… 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:...other indications of problems + Receives referrals of suspected fraud ; conducts preliminary investigations to determine if… 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 ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud . + Assist in monitoring business processes and systems to assure… more
- Comcast (South Boston, MA)
- …suspected violations of laws and regulations concerning criminal and general investigations , fraud and computer crimes and provides technical investigative ... your career at Comcast. **Job Summary** Responsible for performing investigations of alleged criminal or other activity that has...Company as well as activity that violates company policy. Investigations involve, but are not limited to; theft of… more
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