- US Bank (Columbus, OH)
- …new skills and discover what you excel at-all from Day One. **Job Description** The ** External Fraud Investigator Team Lead** partners with leaders in their ... assigned Line of Business, Risk/Compliance/Audit (RCA) Consultants, and other RCA Managers to, depending on the function, oversee the successful creation, implementation, and maintenance of an effective risk management framework. Lead projects and/or… more
- TD Bank (Mount Laurel, NJ)
- …is responsible for complex investigations of both internal and external fraud . The Corporate Security Senior Investigator represents the company with outside ... specific details for this role. **Line of Business:** Financial Crimes & Fraud Mgmt **Job Description:** **Job Description:** The Corporate Security Senior … more
- USAA (Atlanta, GA)
- …authority for team members including providing expert mentorship and training for fraud investigations. + Develops and maintains external relationships with ... of what makes us so special! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help protect USAA and our… more
- TEKsystems (West Des Moines, IA)
- …(CFE) (preferred), Certified Fraud Specialist (CFS) or Certified Insurance Fraud Investigator (CIFI) and/or Certified Anti-Money Laundering Specialist (CAMS) ... Financial Crimes team is looking for Compliance Analyst I investigator to join the team. This individual will be...Skills & Qualifications: + 2+ years of experience investigating internal/ external money laundering and/or fraud is required.… more
- NBT Bank (Lakeville, CT)
- Pay Range: $26.81 - $35.79 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security Officer ... patterns of customer activity + Must be a skilled investigator with understanding of types of fraud ...requirements. Physical Requirements: + Communicate effectively with internal and/or external customers + Stationary 75% of time or greater… more
- Humana (Indianapolis, IN)
- …a 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 ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...to ensure best outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas +… more
- Bank OZK (Little Rock, AR)
- …required. + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... Job Purpose & Scope Responsible for performing fraud incident investigations and case management, including collaboration with internal and external … more
- M&T Bank (Amherst, NY)
- **Overview:** Investigates multiple complex internal and external fraud cases within assigned region. Conducts interviews as appropriate. Properly documents ... in complex, sensitive and high-risk incident situations. + Leverage internal and external resources in the completion of investigations as required. + Conduct… more
- The Cigna Group (St. Louis, MO)
- …or 3+ years of equivalent work experience + Relevant experience as a Fraud Investigator in healthcare + Certified Pharmacy Technician, Certified Fraud ... Directly interact with multiple levels within partner organization to coordinate Fraud Waste and Abuse activities. Interactions will include meetings with attendees… more
- TEKsystems (St. Louis, MO)
- …and seek to provide further information and obtain case status information from external agencies after initial reporting * Spend significant time on the telephone ... standard operating procedures to ensure activities follow the necessary internal and external regulatory and risk management practices Day to Day Operations: * Case… more
- CareFirst (Columbia, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + Certified Expert Coder-AHIMA ... anti- fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file documentation… more
- Bank of America (Dallas, TX)
- …business. Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or ... Global Financial Crimes Sr. Investigator Charlotte, North Carolina;New York, New York; Atlanta,...for performing end-to-end investigations or investigations support functions of external financial crimes activities across one or more lines… more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's an opportunity to grow your ... How you will create an impact The Principal Claims Investigator is responsible for all aspects of the investigation...will leverage knowledge and expertise to ensure that the fraud risk to AIG is minimized. As an Insurance… more
- Bank of America (Hunt Valley, MD)
- …In the investigative role, the Investigator conducts complex investigations, including fraud committed by external parties, securities fraud , money ... business. Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or… more
- Travelers Insurance Company (Franklin, TN)
- …to identify potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to uncover potentially ... fraudulent activity. The investigator , supporting a Claim Center, will investigate claims deemed...service by maintaining contact with business partners, customers and external resources throughout the life of each investigation. +… more
- Citigroup (Tampa, FL)
- **The CSIS Lead Investigator is a strategic professional who stays abreast of developments within own field and contributes to directional strategy by considering ... and convince others, in particular colleagues in other areas and occasional external customers. Significant impact on the area through complex deliverables. Provides… more
- CVS Health (Columbus, OH)
- …during civil and criminal proceedings. - Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to ... affordable. **Position Summary** Kentucky Resident is preferred The SIU Investigator conducts investigations to effectively pursue the prevention, investigation and… more
- National Security Agency/Central Security Service (Fort Meade, MD)
- … investigator (eg, law enforcement, inspector general, security, or fraud ), grievance examiner, reporter, analyst, compliance officer, in positions dealing with ... employees of NSA/CSS and affiliates to detect and prevent fraud , waste and abuse, and assist management effectiveness and...the Inspector General (OIG) has an opening for an Investigator within the Investigations division. The selectee will be… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency State Inspector General, Office of Title Investigator - Syracuse or NYC Occupational Category Enforcement or Protective Services Salary Grade NS ... and cover letter, with the email subject line Job ID 24-0143 "OIG Investigator + [Desired Location]" to: ###@IG.NY.gov Duties Description The Offices of the… more
- USAA (Colorado Springs, CO)
- …part of what makes us so special! **The Opportunity** As a dedicated SIU investigator , you will protect USAA and our members from potential fraudulent claims by ... investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. This is a… more