- Usaa (Roanoke, VA)
- …us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, ... investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. This role is… more
- Woodforest National Bank (The Woodlands, TX)
- …a part of one of the largest employee-owned banks in the country! The Fraud Investigator I, (FP) is responsible for typical production (ATM, Mobile Deposit, ... and Veterans. **Job:** **Operations* **Organization:** **Texas - Houston* **Title:** * Fraud Investigator I FP* **Location:** *Texas-The Woodlands* **Requisition… more
- City National Bank (Los Angeles, CA)
- * FRAUD INVESTIGATOR SPECIALIST* WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions ... activities that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and investigation activities… more
- Elevance Health (Seattle, WA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Fiserv (Berkeley Heights, NJ)
- …impact on a global scale, come make a difference at Fiserv. **Job Title** Fraud Investigator **About your role** Your core responsibilities will include critical ... incident response, monitoring transaction alerts, responding to government inquiries and generating fraud reports for Money Network programs. You will be a key… more
- Fannie Mae (Plano, TX)
- …instruments. *THE IMPACT YOU WILL MAKE* The Financial Crimes Multifamily Mortgage Fraud Investigator - Lead Associate role will offer you the flexibility ... will provide expert advice and apply your knowledge of mortgage fraud schemes to fraud investigations. In this role, you will operate with considerable latitude… more
- Zions Bancorporation (Midvale, UT)
- …endless. You bring the talent; we bring the opportunity. We are currently seeking a ** Fraud Investigator ** to join our team. This position will be in office, ... customer transaction activity including the case management system. . Keeps current on fraud and BSA/AML investigative operations and the application of the BSA and… more
- City of New York (New York, NY)
- …surveillance; interviewing witnesses, suspects, customers and preparing investigative reports. ASSOCIATE FRAUD INVESTIGATOR ( - 31118 Qualifications 1. A ... four-year high school diploma or its educational equivalent and five years of satisfactory, full-time experience, acquired within the United States in one or a combination of the following: performing investigations involving criminal and/or fraudulent… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team ... claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer, and will… more
- State of Georgia (Fulton County, GA)
- Criminal Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/73115/other-jobs-matching/location-only) Hot ... for Job Alerts The Office of the Attorney GeneralDepartment of LawMedicaid Fraud - Investigator Salary: High 50's (minimum) - POST Required and based on… more
- Humana (Santa Fe, NM)
- …of situations or data requires an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law enforcement ... health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit....of all do you have a passion for combating Fraud , Waste, and Abuse in the Health Care Industry?… more
- Bank OZK (Apollo Beach, FL)
- …required. + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... (https://careers.ozk.com/benefits) . Job Purpose & Scope Responsible for performing fraud incident investigations and case management, including collaboration with… more
- Bank OZK (Clearwater, FL)
- …related cases + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... . Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal… more
- ADP (San Dimas, CA)
- ADP is hiring a **Senior Fraud , Client Svc & Prod Supt Consultant** - Wisely Card Product in our Employee Financial Solutions organization. The Senior Fraud ... Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to… more
- City of New York (New York, NY)
- Job Description IMPORTANT NOTE: ONLY CANDIDATES WHO HAVE A PERMANENT ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR WHO ARE REACHABLE ON THE CURRENT ... ASSOCIATE FRAUD INVESTIGATOR EXAM NO. 4013 WILL BE...ASSOCIATE FRAUD INVESTIGATOR EXAM NO. 4013 WILL BE CONSIDERED FOR AN...YOUR COVER LETTER IF YOU ARE A PERMANENT ASSOCIATE FRAUD INVESTIGATOR . NYC Department of Finance (DOF)… more
- Kemper (Doral, FL)
- …(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
- Allied Universal (Crossville, TN)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... and make a difference. Allied Universal(R) is hiring a SIU / Surveillance Investigator . SIU / Surveillance Specialists investigate claims with red flags that suggest… more
- Allied Universal (Cape Coral, FL)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for Insurance claims through scene… more
- Centene Corporation (Frankfort, KY)
- …A license in one of the following is required: Other Accredited Health Care Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE). Other Pharmacy ... a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud , Waste and Abuse of Medicaid services within Kentucky. Provides direction and… more
- Highmark Health (Pittsburgh, PA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... The job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for… more
