- Zurich NA (Austin, TX)
- Claims Fraud Investigator 123957 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... and with moderate limits and authority conducts the investigation of suspected fraud and varying degrees of complex cases within an assigned geographic region.… more
- Molina Healthcare (TX)
- …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 (Austin, TX)
- …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
- USAA (San Antonio, TX)
- …law enforcement, and other agencies as appropriate. As a Mid-Level Life SIU Investigator for **Medicare Supplement Fraud , Waste, and Abuse** you will support ... SIU Life & Health is seeking a talented **Life Special Investigations Unit Investigator I (Mid-Level)** to review, analyze, and investigate life, health, and annuity… more
- Sedgwick (Fort Worth, TX)
- …or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud Examiner (CFE) strong ... **:** To be responsible for managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys and others; to strategically partner… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
- CBRE (Richardson, TX)
- Employee Relations Investigator Job ID 221805 Posted 28-May-2025 Service line Advisory Segment Role type Full-time Areas of Interest People/Human Resources ... United States of America **About the Role:** As a CBRE Employee Relations Investigator , you will take the lead in the end-to-end investigative process, including… more
- Texas A&M University System (Lufkin, TX)
- Job Title TFS Law Enforcement Investigator I Agency Texas A&M Forest Service Department Law Enforcement Department Proposed Minimum Salary $21.45 hourly Job Location ... Job Type Staff Job Description The TFS Law Enforcement Investigator I will serve as a TCOLE licensed peace...licensed peace officer and is responsible for investigating timber theft/ fraud and wildland arson cases across the state. This… more
- MUFG (Irving, TX)
- …your next opportunity with us! **Job Description Summary** The AML Investigator would be responsible for conducting extensive, complex investigations to identify ... financial and/or fraudulent activity, to include money laundering, terrorist financing, fraud and/or any other financial risk or crime. The Investigator… more
- Command Investigations (Houston, TX)
- …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 + Hold a valid Private Investigator … more
- TEKsystems (San Antonio, TX)
- …monitoring system or branch referrals that they are required to investigate. The investigator reviews the customer and activity to determine if they can justify why ... alerts that can't be justified as "not risky", the investigator writes a Suspicious Activity Report (SAR) which is...and execute on tactical strategies for goal attainment Skills Fraud , compliance, Ms office suite, excel pivot tables Preferred:… more
- Elevance Health (Grand Prairie, TX)
- ** 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 (Houston, TX)
- ** Investigator Senior** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office)._ _Alternate ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The responsibilities of the Analyst ... for potential financial crime, including money laundering, terrorism financing activities and fraud , as it appears in transactional data. + Solid Excel Skills **What… more
- Meta (Austin, TX)
- …to protect Meta users from harm. **Required Skills:** Technical Investigator , Integrity Operations Responsibilities: 1. Apply quantitative skills and incorporate ... in an online operations or trust & safety organization, preferably in the fraud domain 15. Advanced degree with a quantitative focus (Computer Science, Statistics,… more
- TEKsystems (San Antonio, TX)
- …Whether you're newly graduated or someone with hands-on experience in banking, fraud , AML, or compliance-lets connect. looking for someone with: ✅ Strong written ... communication skills ✅prior work history in banking, fraud , AML, compliance, or related fields ✅ Comfortable in...VLOOKUP-start brushing up if needed!) + Retail banking or fraud exp + Investigative mindset and analytical thinking +… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Conduct quality assurance reviews of ... fraud recovery cases handled by analysts to ensure accuracy,...analyze points of compromise, and communicate potential risk to Fraud leadership. + Determine action required based on established… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Guidehouse is interested in independent ... employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Recovery Investigations Analyst's to conduct, identify, and investigate potential … more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** + Manage the Fraud Recovery ... and efficient processing of cases. + Conduct quality assurance reviews of fraud recovery cases to ensure accuracy, completeness, and adherence to established… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Oversee the daily operations of a ... team of 10+ Fraud Recovery Analysts, ensuring that all team members are...and productivity goals. + Conduct quality assurance reviews of fraud recovery cases handled by analysts to ensure accuracy,… more