- 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 ... **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
- BECU (GA)
- …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 ... for our members and partners. **WHAT YOU'LL DO:** . **Conduct Fraud Investigations:** Dive deep into fraudulent account activities using advanced internal… more
- ASM Research, An Accenture Federal Services Company (Atlanta, GA)
- As a Tier 1 Fraud Investigator , you will be joining our Converge Operations Team to be on the front lines protecting the retirement accounts of federal employees ... our clients and our firm. Further, as the Technical Investigator , you will be responsible for addressing all ...Investigator , you will be responsible for addressing all fraud related technical matters, including data analytics and communicating… more
- State of Georgia (Fulton County, GA)
- …Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Criminal Investigator Salary: High 40's Min starting The mission of the ... Investigator - Criminal Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64242/other-jobs-matching/location-only) Hot… more
- State of Georgia (Fulton County, GA)
- …Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting process ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64040/other-jobs-matching/location-only) Hot...will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the… more
- Gulfstream (Savannah, GA)
- …as assigned. Other Requirements: + Professional study or certification as a fraud examiner, internal auditor, investigator or Ethics/HR professional preferred. ... Additional Information Requisition Number: [[id]] Posting Type: [[wherePosted]] Department: [[departmentList]] Category: [[customString3]] Percentage of Travel: [[custravRequired]] Shift: [[cusShift]] Employment Type: [[filter2]] Salary Grade:[[customString1]]… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
- Command Investigations (Atlanta, GA)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold...surveillance + Be able to hold a valid Private Investigator license - where applicable. + Possession of a… more
- Molina Healthcare (Augusta, GA)
- **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
- Bank of America (Atlanta, GA)
- Senior Global Financial Crimes Investigator - Proficiency Coach Tampa, Florida;Plano, Texas; Charlotte, North Carolina; Plano, Texas; Dallas, Texas; Chandler, ... Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or terrorist financing… more
- State of Georgia (Fulton County, GA)
- Criminal Investigator 3 Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/63685/other-jobs-matching/location-only) Hot ... to include criminal arrest and prosecution of serious offenses. Assists Fraud Investigators with criminal investigations. Primary Duties & Responsibilities: .… more
- State of Georgia (Dougherty County, GA)
- Compliance Investigator Georgia - Dougherty - Albany (https://careers.georgia.gov/jobs/63303/other-jobs-matching/location-only) Regulatory ... in public health alongside dedicated people just like you As a Compliance Investigator within the Office of Inspector General at the Georgia Department of Public… more
- Command Investigations (GA)
- …setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, with multi-lines ... our website and find out why at www.GoCommand.com . The Claims/Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- American Family Insurance - Corporate (Atlanta, GA)
- Investigate low to moderately complex insurance fraud activity involving multi-line claims, develop meaningful industry social network and assist special ... investigations leadership in promoting fraud awareness and detection with internal and external partners,...to pursue and acquire relevant evidence that resolves all fraud concerns. + Produce a work product that can… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64128/other-jobs-matching/location-only) Hot ... Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL applicants… more
- Truist (Atlanta, GA)
- …of suspicious financial and/or fraudulent activity, to include money laundering, terrorist financing, fraud and/or any other financial risk or crime. As part of this ... of money laundering, terrorist financing and other criminal activity. A Senior Investigator in the FIU performs critical functions in the enterprise-wide suspicious… more
- Truist (Atlanta, GA)
- …contact for case or alert questions and support. + Responsible for detecting fraud , suspicious transactions or those in violation of applicable BSA/AML/OFAC laws and ... regulations. + Participate in BSA/AML/OFAC and/or Fraud related training that may include webinars, periodicals and...Serve as subject matter experts in their respective roles ( fraud , BSA/AML, OFAC) for other teams supporting the same… more
- Intuit (Atlanta, GA)
- Overview Intuit is looking for an innovative Investigator I to support Financial Crimes, Strategic Escalations Program, Anti -Money Laundering (AML) and counter ... financing. This role will work to achieve and sustain effective Fraud /AML/BSA and CTF transactions and behavioral monitoring through detection of suspicious… more
- State of Georgia (Fulton County, GA)
- …Up for Job Alerts Conducts investigations to obtain evidence of reported fraud , waste, abuse, corruption, or violations of state rules, regulations, or statutes. ... Professional experience in data analytics using ACL or IDEA software + Certified Fraud Examiner Certification (CFE) + Computer or mobile device forensic training. +… more