- Humana (Indianapolis, IN)
- **Become 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 ... areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities...Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge… 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 ... patterns of customer activity + Must be a skilled investigator with understanding of types of fraud ...Court. + Must have the ability to work multiple inquiries/ investigations simultaneously Tasks Performed: + 60% Complete case … more
- City of New York (New York, NY)
- …is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send letters to clients that require their ... or a combination of the following: a . performing investigations involving criminal and/or fraudulent activities; or b. evaluating...and one year of satisfactory, full-time experience as an investigator as described in "1" above; or 3. A… more
- M&T Bank (Amherst, NY)
- **Overview:** Investigates multiple complex internal and external fraud cases within assigned region. Conducts interviews as appropriate. Properly documents ... departmental, regulatory and compliance standards. **Primary Responsibilities:** + Complete investigations within the Enterprise Security Investigations program,… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or ... Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations . **Pay Range** The typical pay range for this role is:… more
- Truist (San Diego, CA)
- …urgent issues to management's attention. 12. Collaborates with Enterprise teams on open fraud investigations , Hold Harmless, and ACH Recalls 13. Submits timely ... changing risk and related control opportunities and enhancements to senior management 16. Supports fraud process training...functions. 1. Bachelor's Degree 2. Proven mastery of the Fraud Investigator 1 job responsibilities 3. Ability… more
- CVS Health (Wellesley, MA)
- … Investigations Unit is seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing ... Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) **Education:** + Bachelor's degree preferred in… more
- MyFlorida (Fort Lauderdale, FL)
- SENIOR INVESTIGATOR - 41001274 Date: Oct 31, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 840250 Agency: Office of the Attorney General Working Title: SENIOR INVESTIGATOR - 41001274 Pay Plan: Career...financial crimes investigations , financial examinations, health care fraud and/or insurance fraud investigations ,… more
- CareFirst (Columbia, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + Certified Expert Coder-AHIMA ... **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator , Sr. is to...part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of all… more
- City of New York (New York, NY)
- …recruiting for three (3) Fraud Investigator II to function as Senior Investigators, who will: - Conduct complex investigations into allegations of ... Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR...all statutory, regulatory, and contractual standards. The Bureau of Fraud Investigations (BFI) is mandated to conduct… more
- USAA (Orlando, FL)
- …protect USAA and our members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact to USAA. This may ... authority for team members including providing expert mentorship and training for fraud investigations . + Develops and maintains external relationships with… more
- EFI Global (Clovis, NM)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... leader in engineering failure analysis, origin-and-cause investigations , environmental consulting, laboratory testing and specialty consulting. Our forensic… more
- Bank of America (Plano, TX)
- Senior Global Financial Crimes Investigator - Proficiency Coach Tampa, Florida;Hunt Valley, Maryland; Pennington, New Jersey; Atlanta, Georgia; Plano, Texas; ... lines of business. Key responsibilities include conducting routine to complex investigations , including fraud committed by external parties, money laundering,… more
- City of New York (New York, NY)
- …is seeking veteran law enforcement professionals for the position of the Senior Detective Investigator /Tech Team Supervisor. The responsibilities of the position ... Insures upkeep of technical equipment and vehicles. - Conduct investigations on a wide variety of matters, including but...number: 687513 - Click on the job business title: Senior Detective Investigator /Tech Team Supervisor - Click… more
- EFI Global (Denver, CO)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... leader in engineering failure analysis, origin-and-cause investigations , environmental consulting, laboratory testing and specialty consulting. Our forensic… more
- City of New York (New York, NY)
- …fair justice. Under supervision, with latitude for independent judgment and initiative, the Senior Investigator is responsible for conducting a wide variety of ... investigations . This is a sworn police officer position which...on-going status updates to the D/C and Chief Detective Investigator . Ability to access and utilize various computer databases… more
- Bank of America (Dallas, TX)
- …lines of business. Key responsibilities include conducting routine to complex investigations , including fraud committed by external parties, money laundering, ... all cases are sufficiently investigated and findings are adequately documented. The Senior Global Financial Crimes ("GFC") Investigator , under broad supervision,… more
- Bank of America (Phoenix, AZ)
- …or Global Wealth and Investment Management. In the investigative role, the Investigator conducts complex investigations , including fraud committed by ... lines of business. Key responsibilities include conducting routine to complex investigations , including fraud committed by external parties, money laundering,… more
- Elevance Health (St. Louis, MO)
- ** Investigator Senior ** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one of ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator Senior is responsible for the independent identification,… more
- EFI Global (Salt Lake City, UT)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... leader in engineering failure analysis, origin-and-cause investigations , environmental consulting, laboratory testing and specialty consulting. Our forensic… more