- M&T Bank (Bridgeport, CT)
- …We also respond to requests from Internal departments for information required regarding investigations or disputes. We work to mitigate fraud loss and assist ... scheduling. **Education and Experience Preferred:** + Minimum of 1 year of customer service related fraud experience. + Experience working with Contact Center… more
- Molina Healthcare (Miami, FL)
- … Services , Member Services , Claims) to gather documentation pertinent to investigations . + Detects potential health care fraud , waste, and abuse through ... opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and… more
- Zions Bancorporation (Midvale, UT)
- …Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association ... Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks...we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will… more
- Allied Universal (Des Moines, IA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation ... demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... investigations and audits related to waste, abuse, and fraud . This role ensures that all audits comply with...or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or CMS. + Prior… more
- Kemper (Miami, FL)
- …company image to the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud ... can be highly motivating and productive. Kemper's products and services are making a real difference to our customers,...Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims referred to and accepted for… more
- Allied Universal (Billings, MT)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation ... the premier destination for a career in insurance claim investigation . As a global leader, we provide dynamic opportunities...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … 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
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. Bureau of Fraud Investigation (BFI) is mandated to detect ... and deter Public Assistance fraud and misuse by conducting investigations of...General (NYCHA IG). BFI/ID is recruiting for (1) one Associate Fraud Investigator II to function as… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The Bureau of Fraud Investigation (BFI) is ... mandated to detect and deter Public Assistance fraud and misuse by conducting investigations of...internally generated projects. BFI/RID is recruiting for (1) one Associate Fraud Investigator II to function as… more
- JCPenney (Wayne, NJ)
- …& External Investigations Proactively identifies potential acts of theft and fraud by observing associate and customer activity, reviewing exception reports ... and investigation referrals Interviews associates suspected of theft or fraud in accordance with company policies and properly documents all stages Reviews and… more
- EverBank (Irvine, CA)
- **Bank Fraud Investigator II** The Bank Fraud Investigator II participates in investigations regarding the control, detection and analysis of frauds to ... to the company. Working under general supervision, this role identifies potential fraud cases and takes appropriate action. **Key Responsibilities and Duties** +… more
- Citizens (Pittsburgh, PA)
- …on customer satisfaction. Required Skills and Qualifications + 1 year of Fraud investigations experience. + Strong organized, technical, and analytical skills. ... products, services , customers and geographic locations, and the potential fraud risks associated with those activities. + Experience with monitoring, reviewing,… more
- Umpqua Bank (Tigard, OR)
- …lines of the bank to prevent and reduce operational losses. + Conducts investigations to identify internal fraud , customer account fraud transactions, ... the Pacific Northwest with 5,000+ employees and offers banking services to customers throughout the nation. It's an especially... analysis and findings. + Analyzes customer accounts during investigations for fraud . + Interacts with all… more
- Koniag Government Services (Washington, DC)
- **Kadiak, LLC** **Job ID 24200164** **Kadiak, LLC,** a Koniag Government Services company **,** is seeking a Fraud Research Analyst with a Secret Clearance to ... and more. Kadiak, LLC is seeking experienced, motivated, career and customer-oriented Fraud Research Analyst. A Fraud Research Analyst assists the Government… more
- Humana (Madison, WI)
- …to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies ... caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations ...independent determination of the appropriate courses of action. The Fraud and Waste Professional 2 coordinates investigation … more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The Department of Homeless Services (DHS) is comprised of 2,000 ... of Homeless Services (DHS) is recruiting (1) Associate Fraud Investigator II to function as...will: - Supervise a shift of Investigators and Social Service Employees engaged in registering, evaluating, interviewing, and assisting… more
- Publix (Lakeland, FL)
- …+ managing mitigation tasks identified for each internal corporate compliance investigation . + providing and maintaining advisory services and communication ... **30527BR** **Position Title:** Compliance Investigations Manager - Pharmacy **Department:** Compliance & Corporate Records Management **Location:** Lakeland, FL… more
- Walmart (Lebanon, PA)
- …or More Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional; ... with specific types of tools used for theft prevention. Conducts investigations . Recognizes and investigates security breaches, thefts, shortages (loss), and… more
- Navy Exchange Services (NEX) (Great Lakes, IL)
- …that may be susceptible to loss such as inventory shrink shoplifting refund fraud paperwork error associate theft and receiving purchase order errors. Ensures ... of vandalism and machine jackpots and assists in the investigation of such incidents as directed by higher authority....short to long periods of time. - Position requires associate to be on call for potential issues that… more
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