- United States Customs and Border Protection (Phillips, TX)
- …utilizing intelligence information to track illegal operations and/or contraband. Leading investigations of fraud , contraband, and/or illegal operations to ... determine sources and patterns. Utilizing various forms of complex technology that includes surveillance, detection, situation awareness systems, and communications equipment to aid in the apprehension of violators of state, federal, or immigration laws.… more
- CVS Health (Wellesley, MA)
- …fraudulent activities. ** Investigation Management:** + Direct and oversee complex investigations into suspected healthcare fraud , waste, and abuse. + Ensure ... investigations when necessary. + Prepare comprehensive reports summarizing investigation outcomes, risk assessments, and fraud trends. **Compliance and… more
- USAA (San Antonio, TX)
- … Unit (SIU),** you will be responsible for Life, Annuity & Health claims and fraud investigation programs and management of the Life Special Investigation ... Identifies emerging fraud trends and develops new fraud investigation programs and processes. + Responsible...to include broad understanding of procedures related to SIU investigations . + Knowledge and experience in fraud … more
- Vanguard (Malvern, PA)
- …and an investment in your future at its core. The Fraud Investigation and Prevention Analyst will: + Conduct investigations of allegations of fraudulent ... controls within business systems and processes. + Conduct investigations according to Global Security policy and procedures consistent...security and fraud unit in relation on fraud control methods and investigation standards and… more
- Vanguard (Malvern, PA)
- …care, work-life balance, and an investment in your future at its core. The Fraud Investigation and Prevention Analyst will: + Manage and lead incident process ... and handling of fraud investigations ,...and handling of fraud investigations , which includes reviewing and investigating fraud ...Security and Fraud team in relation on fraud control methods and investigation standards and… more
- SMBC (Phoenix, AZ)
- …an exciting concept of evolved banking. **JOB SUMMARY:** As the Vice President, Fraud Investigations and Support, you are responsible for building and developing ... with other financial institutions to recover funds. The Vice President, Fraud Investigations and Support will also provide customer service for escalated … more
- Amazon (Arlington, VA)
- …writing through clear, concise and persuasive narrative creation that documents complex fraud investigations , new program ideas, and periodic senior leadership ... nested logical/IF formulas, data cleansing, array formulas, etc.) - Experience in fraud prevention and investigations - 2+ years of operating in a fraud … more
- Amazon (Arlington, VA)
- …hiring a Senior Product Manager for the product team within the Vendor Investigations & Transaction Accuracy (VITA) organization to accelerate some of our top ... initiatives in our anti- fraud product suite. You... product suite. You will support the development of fraud detection and prevention prototypes across Non-Inventory, Transportation, Retail,… more
- New York State Civil Service (New York, NY)
- …Attorney General, Office of the Title Lateral Attorney: Lead Complex Civil Fraud Investigations (3723) Occupational Category Legal Salary Grade NS Bargaining Unit ... Unit's New York City office. The selected attorneys will lead complex civil fraud investigations in the healthcare industry, as well as litigate such matters in… more
- MUFG (Tempe, AZ)
- …(Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ensure that potentially suspicious transactions are ... Minimum of three years of investigative related experience with specific emphasis on fraud investigations related to payment processing (ACH, Checks & Wires) at… more
- Humana (Indianapolis, IN)
- …**Required Qualifications** + Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment ... 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… more
- Guidehouse (Richardson, TX)
- …such as OFAC Sanctions, Anti-Money Laundering, KYC, CDD, EDD and/or Financial Fraud Investigations . + Understanding of the legal, corporate governance, and ... None **What You Will Do** **:** Guidehouse is seeking experienced Farud Investigations Analysts to conduct, identify and monitor financial crime risk and report… more
- CIBC (Chicago, IL)
- …learn more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **Responsibilities** The Fraud Analyst will report to the Fraud Operations ... of the Fraud Management US Region. The Fraud Analyst is responsible for completing moderate to complex...of account activity to assess levels of risk and fraud type, making a fraud determination, and… more
- Walmart (Bentonville, AR)
- …E2E Delivery Platform, you will be responsible for overseeing all aspects of Fraud Prevention, Policy, Investigations , and related Data Analytics within our ... fraud , on-trip or delivery fraud , platform abuse, compliance fraud , PII compliance, and investigations . You will bring industry hands-on subject… more
- MyFlorida (Miami, FL)
- …or university and two (2) years of experience in law enforcement, civil investigations , fraud or white-collar investigations , or any financial related ... testify relating to activity performed while assisting in the development of an investigation . + May be co-assigned to specific investigations with an… more
- USAA (Atlanta, GA)
- … fraud industry investigation experience. + Expert knowledge and understanding of fraud investigations as well as application of case law and state laws ... protect USAA and our members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact to USAA. This may… more
- Sharp HealthCare (San Diego, CA)
- …criminal justice, finance, business or related field. + 5 Years in healthcare fraud investigation , preferably in a health plan, health insurance or managed ... Plan is a critical role responsible for overseeing the entire lifecycle of fraud , waste, and abuse (FWA) investigations . This position involves triaging… more
- Fallon Health (Worcester, MA)
- …the healthcare industry. **Experience:** + Advanced knowledge of FWA operations, fraud investigation and/or detection and analysis, and laws/regulations related ... clinical background. + Strong attention to detail with the ability to identify fraud , assess the impact, resolve investigations , mitigate risk, and capture… more
- Citizens (Johnston, RI)
- …role you will help to hire, grow and develop a high-quality team of fraud investigation investigators ensuring proper training and procedures are in place. You ... performance. + Become the subject matter expert on the fraud Investigation processes for all Private Bank...degree required; bachelor's degree preferred. + 5+ year of Fraud investigations experience. + 7+ years required… more
- Capital One (New York, NY)
- …closely with the Law Enforcement Community, Industry Peers and internally with the Investigations team, Management, Internal Fraud Production Teams and the Legal ... for this position will bring with them a working knowledge of Fraud Processes, investigation experience, corporate initiative, experience working with Law… more
