• Fraud Investigator

    Huntington National Bank (Cincinnati, OH)
    Description Summary: The Fraud Investigator role within the Fraud Investigations Departments at Huntington National Bank is responsible for investigating ... for building comprehensive cases for presentment to law enforcement. The Fraud Investigator is also responsible for filing accurate, complete and timely… more
    Huntington National Bank (01/22/25)
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  • Nurse and CPC - Clinical Fraud

    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 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
    Elevance Health (12/31/24)
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  • Investigator - Elder and Vulnerable Adult…

    US Bank (Cincinnati, OH)
    …**Additional Skills** Investigators may concentrate on one specific or many different fraud typologies such as external fraud , elder and vulnerable adult ... financial exploitation, technology related fraud , organized fraud rings and anti-money laundering...fraudulent activity, and filing Suspicious Activity Reports (SARs). An investigator may review consumer and commercial DDAs, loans, lines… more
    US Bank (01/15/25)
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  • Investigator , SIU RN

    Molina Healthcare (Covington, KY)
    **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
    Molina Healthcare (01/21/25)
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  • Specialty Investigator - Internal…

    Huntington National Bank (Cincinnati, OH)
    Description Job Description Summary Internal Investigator will investigate suspected internal fraud /financial crimes and all reported occurrences of internal ... with internal and external partners to identify and communicate organized crime or fraud trends. Represent the bank in criminal or conciliation court matters as… more
    Huntington National Bank (01/14/25)
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  • Investigator , Coding SIU (Remote)

    Molina Healthcare (Covington, KY)
    **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
    Molina Healthcare (01/21/25)
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  • Quality Assurance Case Specialist

    Fifth Third Bank, NA (Cincinnati, OH)
    …ensure smooth handoffs to investigation teams. + Analyze triggers related to fraud or money laundering. + Input detailed information into case management systems, ... maintaining accuracy and consistency for investigator 's review. + Appropriately escalate matters associated with financial crimes and fraud activity that warrant… more
    Fifth Third Bank, NA (01/18/25)
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