- Highmark Health (Tallahassee, FL)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
- USAA (San Antonio, TX)
- …**What you'll do:** + Conducts moderately complex investigations for life, health , and annuity products for potential claims fraud . + Gathers evidence ... fraud detection and deterrence, as well as, investigate fraud investigations that may have significant financial...other related agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established… more
- Zions Bancorporation (Midvale, UT)
- …are endless - come for a job, stay for a career. We are currently seeking a Fraud Investigations Manager to join our team. This position will be full time work ... requirements, Suspicious Activity Report (SAR) review and filings for Fraud investigations teams. . Manage, lead and...Insurance , Paid Parental Leave and Adoption Assistance . Health Savings (HSA), Flexible Spending (FSA) and dependent care… more
- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Recovery Investigations Analyst's to conduct, identify, and investigate ... document and escalate such matters. The responsibilities of the Fraud Recovery Investigations Analyst will include, but...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Guidehouse (Richardson, TX)
- …None **What You Will Do** **:** + Conduct quality assurance reviews of fraud recovery cases handled by analysts to ensure accuracy, completeness, and adherence to ... analyze points of compromise, and communicate potential risk to Fraud leadership. + Determine action required based on established...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Guidehouse (Richardson, TX)
- …Required** **:** None **What You Will Do** **:** + Manage the Fraud Recovery function, including personnel management, queue management, quality assurance, and ... procedure training. + Oversee queue assignments, case aging, and overall queue health to ensure timely and efficient processing of cases. + Conduct quality assurance… more
- Guidehouse (Richardson, TX)
- …Will Do** **:** + Oversee the daily operations of a team of 10+ Fraud Recovery Analysts, ensuring that all team members are meeting performance and productivity ... goals. + Conduct quality assurance reviews of fraud recovery cases handled by analysts to ensure accuracy,...+ Manage queue assignments, case aging, and overall queue health to ensure timely and efficient processing of cases.… more
- MyFlorida (Tampa, FL)
- …the three (3) years of required experience. + Investigative experience in fraud or white-collar crimes, financial investigations , cybercrime investigations , ... limited to, the following: + Perform analysis and conduct investigations in the Cyber Fraud area which...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- State of Montana (Helena, MT)
- …prosecution of civil and criminal violations. The Bureau conducts criminal and administrative investigations of theft, insurance fraud , and other violations ... insurance activities. Duties include coordinating and conducting statewide fraud investigations and compliance audits; coordinating various aspects of… more
- State of Colorado (Denver, CO)
- …units and groups, specifically focusing on program integrity, provider payment reviews, fraud investigations , waste and abuse reviews and recoveries, RAC, FWA ... Full Time Job Number UHA01380 03/08/2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office...areas of FWA, such as program integrity, RAC, and fraud investigations . How did you ensure cohesion… more
- TEKsystems (Honolulu, HI)
- … trends. Required Qualifications + Minimum 3 years of experience in digital fraud investigations , risk management, or business analysis within the financial ... to detect suspicious activity. + Set up and document fraud cases, conducting in-depth investigations using internal...Plan - Pre-tax and Roth post-tax contributions available* Life Insurance (Voluntary Life & AD&D for the employee and… more
- State of Michigan (Detroit, MI)
- …+ Yes + No 02 Please select your level of experience conducting identity theft and/or fraud investigations . + Less than one year + One to two years + Two ... state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health ,...03 Please describe your experience conducting identity theft and/or fraud investigations . 04 Please select all areas… more
- RELX INC (Washington, DC)
- …not limited to analysis of call detail record data provided by the customer, fraud investigations , etc Requirements: + Bachelor's or Master's degree in a ... and recovering revenue, and making timely and informed decisions to enhance investigations . About the Team: The Public Safety Special Investigative Unit (SIU) is… more
- PNC (Louisville, KY)
- …and have an opportunity to contribute to the company's success. As a Fraud Strategy & Analytics Manager within PNC's Technology organization, you will be based ... As Manager of Incident Response team in the Adapt fraud pillar, primary responsibilities include managing a team of...followed. In addition, Incident Response Managers also aid in investigations and data analysis to help identify impacted customer… more
- CBRE (Los Angeles, CA)
- …CBRE's applicable benefit program. This role will provide the following benefits: 401(K), Dental insurance , Health insurance , Life insurance , and Vision ... ethical excellence, accountability, and continuous development. - Oversee complex internal investigations into allegations of serious misconduct including fraud ,… more
- Aston Carter (Rochester, NY)
- …Investigation, Finance, Business - Required. + 1 year of experience in fraud , investigations , banking, compliance, business, finance. Work Environment The role ... Fraud Specialist Job Description As a Fraud...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- TEKsystems (Austin, TX)
- …management. * Collects, processes, preserves, and analyzes digital-related evidence to support fraud investigations . * Responds to crises or urgent situations to ... Our client is searching for an IT Risk and Security/ Fraud Prevention Specialist for a position that can be...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Zions Bancorporation (Midvale, UT)
- …and Disability Insurance , Paid Parental Leave and Adoption Assistance . Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts . Paid ... we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will...Arizona area. What you'll do: . Conducts financial crimes investigations of external and customer activity. . Writes clear… more
- BMO Financial Group (Tempe, AZ)
- …discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance , tuition reimbursement, accident and life insurance , and ... analytics requests from Fraud Strategy and Operations, Fraud Intake & Investigations and other stakeholders which might involve creating datasets, performing… more
- The Cigna Group (St. Louis, MO)
- We are looking for an experienced attorney skilled in compliance investigations to be part of the Legal Department's Enterprise Investigations unit. Our team of ... responsible for assessing and investigating reports and allegations of healthcare fraud (including False Claims Act, Anti-Kickback statutes, and Stark Law),… more