- Guardian Life Insurance Company (Bethlehem, PA)
- …best-in-class Law Department. We drive a high-performance culture across our Legal, Compliance , and Government Affairs functions, aligned to "what" we deliver (ie, ... Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports… more
- Koalafi (Richmond, VA)
- …customer care and risk mitigation. Collaborate closely with partners across Sales, Operations, Fraud Analytics, and Compliance to build a cohesive and informed ... financing experience and joining our team? What You'll Do: Fraud is a fast-evolving challenge in the financial industry-identity...protecting the integrity of our platform. As a Risk Investigator , you'll be at the heart of that… more
- Northwest Bank (Buffalo, NY)
- …The Fraud Client Services Manager is a subject matter expert in fraud management, risk mitigation, and regulatory compliance . They will lead the team ... and implementation of policies and procedures aimed at minimizing fraud losses. *Maintain compliance with all related...or related Certification upon hire or Certified Financial Crimes Investigator upon hire The pay range for this position… more
- Marshall Investigative Group (Salt Lake City, UT)
- …investigations, military, or police officer backgrounds to assist in insurance fraud claim's research involving monetary, bodily injury, theft, and property damage. ... We are hiring a Surveillance Investigator (SI) to conduct mobile surveillance for legal documentation purposes. Maybe local or regional. This is an excellent way for… more
- Pinal County, AZ (Florence, AZ)
- …may delay in the testing process If all criteria are met, the Background Investigator will notify Human Resources to submit your personal information into ESOPH. 4. ... Background Review - You will meet with a Background Investigator and answer a short questionnaire. You will need...Felony/Misdemeanor in the State of Arizona, at any time. Fraud or Misrepresentation: 1. Any intentional attempt to practice… more
- Capital One (Mclean, VA)
- Senior Investigator II-TMO Fraud **The Anti-Money Laundering (AML) Sr. Investigator II -TMO Fraud ** supervises various AML processes, which might include ... for planning and conducting processes related to anti-money laundering, fraud and global sanction activities as well as managing...the workflow of the AML analysts. The AML Sr Investigator II coaches their team and teaches others about… more
- Bank of America (Pennington, NJ)
- GFCC Investigator (Brokerage) - Specialized AML & Fraud Charlotte, North Carolina;Jersey City, New Jersey; Pennington, New Jersey; Dallas, Texas; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/GFCC- Investigator --Brokerage Specialized-AML Fraud \_25031328) **Job Description:** At Bank… more
- USAA (San Antonio, TX)
- …part of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Fraud Investigator II** , you will conduct internal or external fraud ... measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's...you apart:** + 2 years of experience as a fraud investigator , handling matters involving common bank… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve...and will oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or… more
- Elevance Health (Gilbert, MN)
- **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
- KeyBank (Albany, NY)
- …a motivated and experienced individual for the role of Senior Financial Crimes Investigator (Internal Fraud ), within our Fraud Investigations Team. This ... or Albany campuses)._** **About the Business:** Located within Enterprise Fraud Services, our Internal Fraud team investigates...Key needs to file a Suspicious Activity Report in compliance with the Bank Secrecy Act. + Demonstrate strong… more
- Amazon (Goodyear, AZ)
- …data savvy investigations manager to initiate and support high scale customer return fraud & abuse investigations, as well as drive loss avoidance initiatives in ... product, and data by developing a comprehensive understanding of the drivers of complex fraud schemes, and possess the ability to conduct large scale deep dives to… more
- Guardian Life (New York, NY)
- …best-in-class Law Department. We drive a high-performance culture across our Legal, Compliance , and Government Affairs functions, aligned to "what" we deliver (ie, ... spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and...but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business… more
- Ally (Raleigh, NC)
- …so shouldn't your opportunities be, too? **The Opportunity** As an Analyst I - Compliance ; you'll be part of the EFSI Team, developing a fraud prevention, ... that encourages inclusivity and collaboration, while contributing to outstanding compliance initiatives and a perfect finance/insurance landscape. Your role will… more
- US Bank (Knoxville, TN)
- …**Job Description** Partners with their assigned Line of Business, other Risk/ Compliance /Audit (RCA) professionals, and RCA Managers to, depending on their function, ... risk management framework. Participates in projects and/or activities that ensure compliance with applicable federal, state, and local laws and regulations.… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …1, Compliance Investigator 2, or Compliance Investigator 3. Location:Office of Insurance Fraud /Investigations Division. Compensation: The salary ... Compliance Investigator 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5005013) Apply Compliance Investigator 1/2/3 Salary… more
- Capital One (Richmond, VA)
- …-High School Diploma, GED or equivalent certification -At least 1 year of fraud experience, or investigative experience, or compliance experience. -At least 1 ... AML Sr. Investigator , Transaction Monitoring Operations **Anti-Money Laundering (AML) Sr...Microsoft Office or Google Suite **Preferred Qualifications:** -2 years fraud experience, or investigative experience, or compliance … more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... duties and group benefit contracts to identify control deficiencies and non- compliance . Investigator will develop documentation to substantiate findings… more
- MyFlorida (Tallahassee, FL)
- …in either administrative, civil or criminal judicial proceedings. This position requires compliance with Florida Medicaid Fraud Control Unit Standard Operating ... LAW ENFORCEMENT INVESTIGATOR II - 41000710 Date: Jul 10, 2025...the Office of the Attorney General within the Medicaid Fraud Control Unit in Tallahassee, Florida. This position is… more
