- Ally (Columbus, OH)
- …raised to the appropriate channels to ensure reasonable resolution. The Auto Fraud Investigator is responsible for conducting sophisticated investigations and ... across Ally's Consumer Auto portfolio. **The Work Itself** * Provide investigative and fraud risk services in support of the Automotive Finance Line of Business.… more
- Insight Global (Blue Ash, OH)
- …in the Blue Ash/Cincinnati, Ohio area is seeking a detail-oriented and analytical Fraud Investigator to join it's retail grocery Asset Protection team. This ... activity. Using data from the MAX Asset Protection system, the Fraud Investigator will identify suspicious patterns and investigate potential internal fraud… more
- Elevance Health (Mason, OH)
- **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
- Humana (Columbus, OH)
- …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
- Molina Healthcare (Dayton, OH)
- …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
- Highmark Health (Columbus, OH)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- ICF (Columbus, OH)
- …+ Credentials such as: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AFHI), or similar. + Proficiency in MS Office Applications ... for a federal health agency. Under this program, ICF will investigate potential fraud , waste, and abuse in Medicare and Medicaid programs. The Program Director will… more
- US Bank (Cincinnati, OH)
- …are being adhered to during case investigations Serve as a resource for Fraud Investigator and Reviewer questions or issues regarding feedback Assisting in ... As a member of the Enterprise Financial Crimes Compliance Fraud Investigations division, you will be part of the...Review Team (CRT) Reviewer, you will analyze and interpret Fraud cases and Suspicious Activity Reports (SARs) using sound… more
- Elevance Health (Mason, OH)
- ** Investigator II - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** will be responsible for the identification, investigation and… more
- Huntington National Bank (Columbus, OH)
- …Specialty Investigator - Internal Investigations will investigate suspected internal fraud /financial crimes and all reported occurrences of internal fraud ... with internal and external partners to identify and communicate organized crime or fraud trends. Represent the bank in criminal or conciliation court matters as… more
- Elevance Health (Mason, OH)
- ** Investigator Assistant - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** will be responsible for providing administrative support to… more
- Elevance Health (Columbus, OH)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Elevance Health (Mason, OH)
- …the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent ... background. **Preferred Qualifications:** + Healthcare experience strongly preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred… more
- The Goodyear Tire & Rubber Company (Akron, OH)
- …plus. + Additional training or certifications in behavioral interviewing, surveillance, fraud examination, or private investigation are a plus. + Strong ... investigative and behavioral interviewing skills. + Analytical mindset with excellent problem-solving abilities. + Effective communicator with strong writing and presentation skills. + Skilled in conflict resolution and crisis management. + Collaborative team… more
- KeyBank (Brooklyn, OH)
- …(ie Certified Anti Money Laundering Specialist - CAMS certification, Certified Fraud Examiner - CFE or other accredited related industry certification) Key ... has implemented a role-based Mobile by Design approach to our employee workspaces, dedicating space to those whose roles require specific workspaces, while providing flexible options for roles which are less dependent on assigned workspaces and can be… more
- KeyBank (Brooklyn, OH)
- …Anti Money Laundering Specialist - CAMS certification, CFCS - Certified Financial Crimes Investigator , Certified Fraud Examiner - CFE or other accredited related ... industry certification)Key has implemented a role-based Mobile by Design approach to our employee workspaces, dedicating space to those whose roles require specific workspaces, while providing flexible options for roles which are less dependent on assigned… more
- KeyBank (Brooklyn, OH)
- …and the positions will report to various managers on the team. The **EDD Investigator ** is a role within the Bank's BSA/AML Customer Due Diligence Unit. This role ... required account documentation is current, and analyzing account activity. The EDD Investigator will also be required to interface with relationship managers, as… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …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