- 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 ... Officer, who will oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities… more
- Bank OZK (Little Rock, AR)
- …related cases + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external… more
- Guardian Life (Bethlehem, PA)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... filings, including, but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business partners. Assists in… more
- Bank of America (Pennington, NJ)
- GFC Investigator (Brokerage - AML/ Fraud ) Phoenix, Arizona;Pennington, New Jersey; Plano, Texas; Dallas, Texas; Tampa, Florida; Jersey City, New Jersey; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/GFC- Investigator --Brokerage AML- Fraud -\_25035332) **Job Description:** At Bank of… more
- State of Massachusetts (Boston, MA)
- …or are redirected to the appropriate agency if it falls outside our jurisdiction. * Senior Investigator : Position Overview* The Senior Investigator ... closing reports, and administrative document requests and summonses. Additionally, the Senior Investigator will provide administrative, grand jury and courtroom… 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 + At… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Senior Investigator - All Divisions Occupational Category Enforcement or Protective ... seeking qualified candidates for consideration to serve as a Senior Investigator in one of its five...various forms of harassment or other misconduct; theft and fraud ; and escape plots. The Criminal Investigations Division (CID)… more
- CVS Health (Charleston, WV)
- …each and every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of ... known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive...business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent… 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 ... Special assignments include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or calls and manages… 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 ... areas is preferred: homicides, robberies, grand larceny, financial crimes, fraud , and identity theft. - As per NY Public...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 ... Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY… 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 ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire loss, and multiple… 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
- 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
- Bank of America (Phoenix, AZ)
- …Investigators specific area of responsibility. In the investigative role, the Investigator conducts routine to complex investigations, including fraud committed ... GFC Investigator Charlotte, North Carolina;Jersey City, New Jersey; Tampa,...Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or terrorist… 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 ... HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or… 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...claims payment + Investigate possible waste , abuse and fraud leads and document activity on each lead and… 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:...written, and interpersonal communications skills to effectively interact with senior management, internal and external customers, and agency representatives… more
- ManTech (Herndon, VA)
- …+ Collaborate with the investigations team, including providing support to the Senior Corporate Investigator , the Executive Director of Investigations, and the ... MANTECH seeks a motivated, career and customer-oriented Investigator to join our Regulatory Affairs and Compliance team. The candidate must be **located within a… 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 The...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more