- SMBC (Sacramento, CA)
- …portfolio of benefits to its employees. **JOB SUMMARY:** The primary role of the Fraud Investigator will be to investigate cases escalated from the Fraud ... similar in accordance with applicable regulatory requirements preferred. * Certified Fraud Examiner (CFE) or Certified Financial Crimes Investigator preferred.… more
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... investigations within Vendor & Transaction Accuracy's (VITA), Corporate Fraud program. The team is responsible for detecting and preventing fraudulent payments to… more
- Elevance Health (Mason, OH)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model ( remote and office). The ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may… more
- RGP (New York, NY)
- RGP Financial Services team is seeking a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in addressing ... reports, and will involve leading interrogative-style interviews to uncover fraud , misconduct, and regulatory violations. The ideal candidate will bring… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...your skills to make an impact** **WORK STYLE:** 100% Remote /Work at Home **WORK HOURS:** Typical business hours are… more
- Kemper (Cerritos, CA)
- …the Special Investigative Unit. Our Special Investigator will function as a remote investigator working from their residence and servicing in the Los Angeles ... Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud...throughout the Los Angeles area. + This is a remote role. Candidates can work from a home residence… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location +...CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all… more
- Kemper (Miami, FL)
- …the Special Investigative Unit. Our Special Investigator will function as a remote investigator working from her/his residence and servicing the Miami and ... Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud...If you receive such a message, delete it._** \#LI-JO1 \#LI- Remote **Kemper at a Glance** The Kemper family of… more
- RELX INC (New York, NY)
- …7+ years in the fraud industry with a focus on risk mitigation strategies. + Fraud investigator certifications are a plus. + Ability to travel up to 30% of ... of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You… more
- Molina Healthcare (ID)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- Allied Universal (Richmond, VA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- NCR Atleos (Atlanta, GA)
- …institutions and retailers across the globe. **Global Security Senior Investigator ** **Location:** Atlanta, GA (midtown office) **Workstyle:** Hybrid (in office ... M/Tu/W/Th and remote Fri) **Position Summary:** As a Global Security Senior Investigator , you will be chartered with conducting a wide variety of internal and… more
- Commerce Bank (Kansas City, MO)
- …and abuse against the Bank and the Bank's stakeholders. Essential Functions + Ensure fraud alerts are issued to lines of business timely + Manage significant ... fraud incidents in accordance with the Incident Response Plan...stakeholders + Answer calls and emails routed to the investigator and the Duty Line and Resource mailbox +… more
- Allied Universal (Charleston, WV)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator . Claims Investigators validate the facts of loss for Insurance claims… more
- Insight Global (San Antonio, TX)
- Job Description . An employer in the San Antonio, TX area is looking for a remote SIU Life and Health investigator . As a dedicated SIU Life & Health ... loss and expense claims reserves. As a Mid-Level Life SIU Investigator for Medicare Supplement Fraud , Waste, and Abuse you will support the Life Special… more
- Texas A&M University System (College Station, TX)
- Job Title Compliance Investigator Agency Texas A&M Engineering Extension Service Department Human Resources Proposed Minimum Salary Commensurate Job Location College ... Texas Job Type Temporary/Casual Staff (Fixed Term) Job Description Compliance Investigator 3 positions to be filled Temporary/Casual Position College Station, Texas… more
- The Cigna Group (Jefferson City, MO)
- The Investigator role is responsible for the development, investigation, and presentation of complex fraud and/or abuse cases. Using analytical skills, in-depth ... Degree and/or pharmacy benefit management experience in lieu of degree * 1+ years Fraud or Pharmacy experience If you will be working at home occasionally or… more
- AmeriHealth Caritas (Columbia, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... alleged or suspected fraud involving the full range of products at the...healthy. **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time… more
- Command Investigations (Orlando, FL)
- JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert field ... management system. + Setting up outside surveillance cameras for our Remote Surveillance department when needed. Requirements SKILLS AND QUALIFICATIONS + Ability… more
- Citi Trends (Savannah, GA)
- … Reports to: Regional Loss Prevention Manager FLSA Status: Exempt Location: Remote JOB SUMMARY: The Loss Prevention Investigator will be responsible ... for identifying, investigating, and preventing theft, fraud , and other forms of loss in a large...ensuring compliance with company policies and industry regulations. The investigator will work closely with management and local law… more