- ADP (San Dimas, CA)
- **ADP is hiring a SR. Director, Compliance Design ( Fraud Investigations ) in our Employee Financial Solutions organization.** This role is a pivotal and critical ... Chargeback management: experience managing programs, disputes, regulatory compliance. + Investigations : experience conducting fraud investigations leveraging… more
- BlueCross BlueShield of North Carolina (NC)
- …Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. ... $62,100.00 - $111,800.00 **Skills** Depositions, Evidence Collection, Forensic Accounting, Fraud Investigations , Investigation Techniques, Investigative Analysis, Job… more
- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential ... document and escalate such matters. The responsibilities of the Fraud Investigations Analyst will include, but are...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
- New York State Civil Service (New York, NY)
- …and support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more
- American Express (Phoenix, AZ)
- …+ 3 years of combined experience in corporate investigation services performing forensic/ fraud investigations and/or relevant audit experience + BA, BS, or ... as needed. One of the internal investigation teams includes the AEO Special Investigations Group (SIG). The AEO SIG plays a meaningful role in ensuring that… more
- Elevance Health (Norfolk, VA)
- …Certificate or Registered Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… 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 days ... considered. **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined… more
- Conduent (San Antonio, TX)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... investigators, and internal stakeholders to ensure timely and effective fraud prevention. **Key Responsibilities** + Lead investigations ...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
- Zions Bancorporation (Midvale, UT)
- …. Requires a Bachelor's and 2+ years of loss prevention, fraud investigations , prevention, regulatory, compliance functions and/or security area ... of loss and fraud detection/prevention principals, multiple fraud areas, fraud investigations , compliance...Insurance , Paid Parental Leave and Adoption Assistance . Health Savings (HSA), Flexible Spending (FSA) and dependent care… more
- American Airlines (Dallas, TX)
- …business objectives and minimize impact to legitimate members while still maximizing fraud prevention efforts + Conduct in-depth investigations of suspected ... suspected fraudulent activities using the American Airlines Credit Union's fraud analytics tools and to identify emerging fraud...than 6,800 daily flights across our global network. + Health Benefits: On day one, you'll have access to… more
- Conduent (San Antonio, TX)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... part of a culture where individuality is noticed and valued every day. ** Fraud Investigation Services Associate III** **Onsite - San Antonio, TX** **$21.00 per… more
- BMO Financial Group (Brookfield, WI)
- …discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance , tuition reimbursement, accident and life insurance , and ... We are seeking an experienced manager to handle our fraud & non- fraud Reg E disputes. In...but this may increase based on BMO's direction.** Conducts investigations to identify, assess, decision and report on activity… more
- Conduent (Guaynabo, PR)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... part of a culture where individuality is noticed and valued every day. **Remote Fraud Call Center Representative - Puerto Rico** **Must reside in Puerto Rico to be… more
- Centene Corporation (Austin, TX)
- …per year. Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, ... Centene is transforming the health of our communities one person at a...of integrity and accountability. Provide strategic oversight of ethics investigations related to fraud , waste, abuse, and… more
- DriveTime (Mesa, AZ)
- …our customers. **That's Nice, But What's the Job?** In short, as the Fraud Coordinator (Loan Review), you will critically review customer documents, data, and ... investigation tools to assess potential fraud exposure and communicate with our Retail stores on...+ Consistently hitting productivity targets with pre-sale and post-sale investigations while maintaining high quality metrics. **So What Kind… more
- JPMorgan Chase (Lakewood, CA)
- …information. Required qualifications, capabilities and skills + Experience in financial fraud investigations , related Law Enforcement or Retail Banking ... a team of investigators handling complex and sensitive employee investigations related to fraud and Code of...CFE, PCI, etc. + Prior management experience, preferably involving investigations or bank operations. FEDERAL DEPOSIT INSURANCE … more
- CNO Financial Group (Carmel, IN)
- …be performed from outside of the United States. CNO provides life and health insurance , annuities, financial services, and workforce benefits solutions through ... **CNO Financial Group** is hiring a **Business Analyst Corporate Investigations and Support** to work Fraud , Waste,...and analysis. **What you'll need:** + Associate's Degree in Fraud Risk, Insurance , Financial Services, or four… more
- WK Kellogg Co (Battle Creek, MI)
- …be doing: + Lead Investigations : Oversee and conduct comprehensive investigations into compliance and misconduct violations, including fraud , corruption, ... effort. Join our Legal team as The Manager of Investigations . This is a Hybrid role that requires the...with this position: + Incentive Plan bonus eligibility + Health , dental and vision insurance + Savings… more
- CVS Health (Oklahoma City, OK)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential… more
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