• Anti-Money Laundering (AML) Sr.…

    Capital One (Richmond, VA)
    …Laundering (AML) Sr. Investigator II - Transaction Monitoring Operations (TMO) Fraud **The Anti-Money Laundering (AML) Sr. Investigator II supervises various ... for planning and conducting processes related to anti-money laundering, fraud and global sanction activities as well as managing...the workflow of the AML analysts. The AML Sr Investigator II coaches their team and teaches others about… more
    Capital One (01/17/25)
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  • Consumer Fraud Compliance…

    State of Colorado (Denver, CO)
    Consumer Fraud Compliance Investigator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4789619) Apply  Consumer Fraud Compliance ... six (6) years of professional experience in investigation either as an investigator , investigative journalist, auditor or fraud specialist, or other field… more
    State of Colorado (01/16/25)
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  • Departmental Analyst 9-P11 - Healthcare…

    State of Michigan (MI)
    Departmental Analyst 9-P11 - Healthcare Fraud Investigator - MDHHS OIG Integrity Division Print ... (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4795098) Apply  Departmental Analyst 9-P11 - Healthcare Fraud Investigator - MDHHS OIG Integrity Division… more
    State of Michigan (01/21/25)
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  • Senior Fraud /AML Investigator

    NBT Bank (Lakeville, CT)
    Pay Range: $27.48 - $36.65 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 ...paid leave at 100% of your salary. + Comprehensive Medical Coverage : Includes employer contributions to HSA for… more
    NBT Bank (01/14/25)
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  • Nurse and CPC - Clinical Fraud

    Elevance Health (Atlanta, GA)
    **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying...control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions… more
    Elevance Health (12/31/24)
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  • Senior Fraud Investigator (Bank…

    USAA (Phoenix, AZ)
    …of what truly makes us special and impactful. **The Opportunity** As a dedicated Fraud Investigator Senior, you will investigate and analyze fraud incidents ... root cause, trends, and patterns, conduct thorough post mortem analysis of fraud events and provide actionable insights to mitigate future risks, identify weaknesses… more
    USAA (01/22/25)
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  • Senior Fraud Investigator

    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
    RGP (12/06/24)
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  • Senior Fraud and Waste Investigator

    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...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
    Humana (12/19/24)
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  • Fraud Investigator

    BECU (AZ)
    …details regarding BECU Benefits can be found here . **IMPACT YOU'LL MAKE:** As a Fraud Investigator at BECU, you will play a pivotal role in safeguarding our ... family members have access to a wide array of employee benefits, such as medical , dental, vision and life insurance coverage. Employees have access to disability and… more
    BECU (01/14/25)
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  • Fraud Investigator

    Umpqua Bank (Tigard, OR)
    Fraud Investigator Financial Crimes Tigard, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ employees and ... Heart, Enjoyment, and Relationships. **About the Role:** Investigate potentialinternaland external fraud incidents related to the bank and the bankscustomers. +… more
    Umpqua Bank (01/04/25)
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  • Special Prosecutions Investigator (Special…

    State of Colorado (Denver, CO)
    Special Prosecutions Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4790234) Apply  Special Prosecutions ... Investigator (Special Agent III) Salary $96,396.00 - $117,600.00 Annually...position will investigate matters involving drug-related crimes, election crimes, fraud , homicide, human trafficking, identity theft, public corruption related… more
    State of Colorado (01/14/25)
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  • Expert SIU Investigator

    Kemper (San Diego, CA)
    …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations ... delivers on our promises._ **POSITION SUMMARY** : The SIU Investigator III is responsible for the investigation of complex,...loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. These… more
    Kemper (01/15/25)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert Coder-AHIMA or ... anti- fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file documentation… more
    CareFirst (11/27/24)
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  • SIU Specialist Investigator

    Kemper (Los Angeles, CA)
    …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations ... to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims… more
    Kemper (01/23/25)
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  • SIU Specialist Investigator

    Kemper (Miami, FL)
    …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations ... our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims referred… more
    Kemper (01/09/25)
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  • Law Enforcement Investigator II

    MyFlorida (Miami, FL)
    LAW ENFORCEMENT INVESTIGATOR II - 41001296 Date: Jan 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001296 Pay Plan: Career Service Position...the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. This position is… more
    MyFlorida (01/08/25)
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  • Financial Crime Investigator I

    MyFlorida (Fort Lauderdale, FL)
    FINANCIAL CRIME INVESTIGATOR I - 43061905 Date: Jan 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 844523 Agency: Financial Services Working Title: FINANCIAL CRIME INVESTIGATOR I - 43061905 Pay Plan: Career Service Position Number: 43061905… more
    MyFlorida (01/11/25)
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  • SIU Investigator

    Allied Universal (Fredericksburg, VA)
    …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
    Allied Universal (01/16/25)
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  • Investigator II, PD-Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …involves conducting investigations (eg, criminal investigations, administrative-financial crimes, medical or insurance fraud , digital forensic investigations, ... INVESTIGATOR II, PD-EMERGENCY APPOINTMENT/HOMELESS INITIATIVE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4391024) Apply  INVESTIGATOR more
    The County of Los Angeles (01/22/25)
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  • Surveillance / Claims Investigator

    Allied Universal (Billings, MT)
    …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
    Allied Universal (01/23/25)
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