- SMBC (NC)
- …the journey to deliver an exciting concept of evolved banking. **SUMMARY:** As a Fraud Investigator , you will investigate and research cases of identified ... claims identified as false through investigation. A primary responsibility of a fraud investigator at Jenius Bank is recovery of lost funds via third party… more
- SMBC (Sacramento, CA)
- …similar in accordance with applicable regulatory requirements preferred. + Certified Fraud Examiner (CFE) or Certified Financial Crimes Investigator preferred. ... Estate Loans, Cash Management Services, International Services **JOB SUMMARY:** The Sr. Fraud Analyst will be responsible for managing daily tasks associated with … more
- Amazon (Arlington, VA)
- Description Amazon is seeking a data-driven, highly motivated and organized Investigator and Risk Manager of Corporate Fraud Prevention, to support ... investigations into Vendor & Transaction Accuracy's (VITA) growth into Corporate Fraud detection. The team is responsible for detecting and preventing fraudulent… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...Biweekly Location Various, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 4301-22-OIG-039-FILL Department Health and… more
- Elevance Health (Las Vegas, NV)
- …a check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time ... + RI, Providence **Description** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one… more
- Humana (Oklahoma City, OK)
- …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied...to make an impact** **WORK STYLE:** Primarily work at home/ remote with 5-10% travel. Employees are welcome to work… more
- CVS Health (Columbus, OH)
- …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
- Magellan Health Services (Boise, ID)
- …Knowledge of HIPAA. Healthcare experience. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 23 Work Experience - ... as well as complying with state and federal regulatory compliance and fraud reporting requirements. + Conducts reviews of behavioral health consumers' medical record… more
- Allied Universal (Lincoln, NE)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator - Part-Time. Special Investigations Unit (SIU) Specialists investigate claims… more
- The Hartford (NJ)
- …able to effectively communicate investigative findings orally and in writing. + The Investigator will also be responsible for understanding fraud trends within ... SIU is to contribute to claims accuracy by building fraud awareness and investigating questionable claims. This position will...WHAT ELSE CAN YOU TELL ME? + The SIU Investigator is a remote position and will… more
- SMBC (Sacramento, CA)
- …Real Estate Loans, Cash Management Services, International Services **JOB SUMMARY:** The Fraud Investigator Team Lead is responsible for the delegation and ... oversight of day-to-day fraud investigations. This may include the supervision and quality...are performed timely and in accordance with AML and Fraud policy and procedures. **PRINCIPAL DUTIES & RESPONSIBILITIES:** +… more
- AmeriHealth Caritas (Washington, DC)
- **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will work ... as a remote employee but must reside in DC or surrounding...services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported,… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Fraud Investigator role is responsible for the development, investigation, and presentation of complex fraud and/or abuse cases. ... in an in-depth referral to impacted clients. **ESSENTIAL FUNCTIONS** + Perform fraud , waste, and abuse virtual investigations of members identified with potential… more
- NANA Regional Corporation (Washington, DC)
- …15,000 Inupiat shareholders, a group of Alaska natives from one of the most remote and harshest environments in the United States. **For our shareholders** , SAVA ... join our team in Washington, DC, as a Field Investigator , working in support of a Law Enforcement Agency....Reid School). + Must be knowledgeable about all applicable fraud statutes, local, state and federal, to ensure duties… more
- Elevance Health (Norfolk, VA)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date ... Maine, South Portland + New Hampshire, Manchester + Georgia, Atlanta **Description** ** Investigator II** _Location: This position will work a hybrid model ( remote… more
- EFI Global (Edina, MN)
- …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 ... determining the cause of fires in commercial buildings or residences.** **This is a remote role working from a home office, requires working in a variety of… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …par with crimes such as homicide, involve an extensive supply chain fraud network, large scale drug diversion, prostitution rings requiring surveillance, and/or ... or working at a VA property. Responsibilities The Criminal Investigator reports to the Chief of Police. Major duties...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
- Elevance Health (Iselin, NJ)
- …check, or ask you for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... Hampshire, Manchester + Georgia, Atlanta + New Jersey, Morristown **Description** **Senior Investigator ( Investigator Sr)** _Location: This position will work a… more
- National Science Foundation (IN)
- Summary This position is that of a Criminal Investigator in the Office of Investigations (OI), Office of Inspector General (OIG). The incumbent of this position is ... Special Agent in Charge. This position is designated as Remote Eligible. This position requires travel up to 50%...up to 50% to Antarctica. Responsibilities As a Criminal Investigator , you will perform the following duties: Plan, implement,… more
- EFI Global (Chantilly, VA)
- …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 ... determining the cause of fires in residential or commercial buildings.** **This is a remote role working from a home office, requires working in a variety of… more