• Fraud Associate Level II - 2nd Shift

    CGI Technologies and Solutions, Inc. (Charleston, SC)
    ** Fraud Associate Level II - 2nd...a continuing basis * Ability to provide basic customer service skills * Ability to operate desktop and industrial ... the Government Fraud Program Manager (FPM), the Fraud Associate Level II performs data analysis...Participation for eligible members Additional benefits determined by your Service Contract Act: Paid Time Off (PTO) Paid Federal… more
    CGI Technologies and Solutions, Inc. (09/08/24)
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  • Cyber Fraud Intelligence Principal…

    Capital One (Mclean, VA)
    Center 3 (19075), United States of America, McLean, Virginia Cyber Fraud Intelligence Principal Associate Job Description: Capital One is looking for a Principal ... Associate for our Cyber Fraud Intelligence team....someone who is forward-thinking, with experience in performing complex investigations to combat cyber-enabled fraud . You will… more
    Capital One (07/31/24)
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  • Fraud Investigation Services

    Conduent (San Antonio, TX)
    …while providing them with exceptional customer service . **About the Role** As a Fraud Investigation Services Associate III, you will be responsible ... culture where individuality is noticed and valued every day. ** Fraud Investigation Services Associate...for: + Conducting thorough investigations into suspected fraudulent activities by analyzing financial records,… more
    Conduent (08/29/24)
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  • Fraud Support Associate I (Hybrid)

    M&T Bank (Amherst, NY)
    …We also respond to requests from Internal departments for information required regarding investigations or disputes. We work to mitigate fraud loss and assist ... scheduling. **Education and Experience Preferred:** + Minimum of 1 year of customer service related fraud experience. + Experience working with Contact Center… more
    M&T Bank (08/23/24)
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  • Sr. Director, Senior Associate General…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …its fast-paced and collegial in-house legal department. The attorney will oversee the fraud investigations unit and its work pursuing recoveries for fraud ... will provide risk management advice, legal advice and litigation services to other areas of the Blue Cross as...to effectuate corporate goals. Key Accountabilities: + Oversee the Fraud Investigation and Prevention (FIP) Unit including… more
    Blue Cross Blue Shield of Massachusetts (08/27/24)
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  • Investigator, SIU (Remote)

    Molina Healthcare (Louisville, KY)
    Services , Member Services , Claims) to gather documentation pertinent to investigations . + Detects potential health care fraud , waste, and abuse through ... opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and… more
    Molina Healthcare (08/17/24)
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  • Financial Investigator

    Medical Mutual of Ohio (Rossford, OH)
    …industry. . Accredited Health Care Fraud Investigator preferred. . Health Care Anti- Fraud Associate preferred. . Certified Fraud Examiner preferred. . ... . 5 years' experience as a Financial Investigator or equivalent progressive fraud investigation experience in the health insurance industry. . Certified… more
    Medical Mutual of Ohio (09/12/24)
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  • Fraud Investigator

    Zions Bancorporation (Midvale, UT)
    …Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association ... Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks...we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will… more
    Zions Bancorporation (09/15/24)
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  • Lead Investigator, SIU-Must Reside in

    Molina Healthcare (New York, NY)
    …from opinions + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations + Knowledge of Managed Care and the Medicaid and ... Association + Valid driver's license required. **Preferred Experience** + Healthcare Anti- Fraud Associate (HCAFA), Accredited Health Care Fraud more
    Molina Healthcare (09/14/24)
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  • SIU Investigator - Part-Time

    Allied Universal (Burlington, VT)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation ... demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … more
    Allied Universal (09/14/24)
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  • Surveillance / Claims Investigator

    Allied Universal (Fargo, ND)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation ... the premier destination for a career in insurance claim investigation . As a global leader, we provide dynamic opportunities...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … more
    Allied Universal (09/05/24)
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  • Unit Supervisor

    City of New York (New York, NY)
    …APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. Bureau of Fraud Investigation (BFI) is mandated to detect ... and deter Public Assistance fraud and misuse by conducting investigations of...General (NYCHA IG). BFI/ID is recruiting for (1) one Associate Fraud Investigator II to function as… more
    City of New York (08/11/24)
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  • Unit Supervisor

    City of New York (New York, NY)
    Job Description The Bureau of Fraud Investigation (BFI) is mandated to detect and deter Public Assistance fraud and misuse by conducting investigations ... State Prison Match, and internally generated projects. BFI/RID is recruiting for (1) one Associate Fraud Investigator II to function as a Unit Supervisor, who… more
    City of New York (08/24/24)
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  • Associate Director, Compliance & Ethics…

    Bristol Myers Squibb (Princeton, NJ)
    …Compliance program. **Primary Responsibilities :** + Conduct internal compliance investigations . Develop and execute effective investigation plans; Interview ... in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their… more
    Bristol Myers Squibb (09/17/24)
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  • Special Investigations Unit (SIU)…

    CVS Health (Columbus, OH)
    …The SIU Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover ... federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and...required.** + 1-3 years experience working on health care fraud , waste, and abuse investigations and audits… more
    CVS Health (08/31/24)
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  • Fraud Specialist

    Hills Bank (IA)
    …concern and assisting in sight drafts that are potentially fraudulent in nature. Fraud Investigation + Be able to knowledgeably review, investigate and process ... us surprise you with even more perks! SCOPE: The Fraud Specialist position is responsible for the review, analyzation,... Specialist position is responsible for the review, analyzation, investigation and resolution of all system generated as well… more
    Hills Bank (08/31/24)
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  • Director of Fraud Operations (Remote)

    SMBC (Sacramento, CA)
    …responsible for Fraud Detection, Fraud Escalated Customer Support, and Fraud Investigations for Loans, Deposit, and Credit Card products. You will be ... directly managing Fraud Operations teams + Experience in regulated financial services , with review of such activities as payments (ACH Debit etc), P2P money… more
    SMBC (08/22/24)
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  • Fraud Research Analyst

    Koniag Government Services (Washington, DC)
    **Kadiak, LLC** **Job ID 24200164** **Kadiak, LLC,** a Koniag Government Services company **,** is seeking a Fraud Research Analyst with a Secret Clearance to ... and more. Kadiak, LLC is seeking experienced, motivated, career and customer-oriented Fraud Research Analyst. A Fraud Research Analyst assists the Government… more
    Koniag Government Services (08/22/24)
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  • Manager - Card Fraud Claims

    UMB Bank (Columbus, OH)
    …recommend corrective actions. + Maintain accurate and detailed records of all card fraud claims and investigations . + Provide subject matter expert support on ... **Duties & Responsibilities** The Manager, Card Fraud Claims, will oversee and manage the UMB...an employee assistance program; fitness reimbursement; tuition reimbursement; an associate wellbeing program; an associate emergency fund;… more
    UMB Bank (07/05/24)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies ... caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations ...independent determination of the appropriate courses of action. The Fraud and Waste Professional 2 coordinates investigation more
    Humana (09/17/24)
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