- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Fraud Investigator develops, implements and administers the IH anti- ... documentation, and reviewing other documentation, in accordance with Independent Health's Fraud Prevention Plan. Reviewing output from computerized fraud… more
- Spectrum (Overland Park, KS)
- Fraud Investigator (Customer Service) (CCO102) Do you have a passion for helping others? Looking for a Fraud Investigator position that values integrity ... BE PART OF THE CONNECTION As a Customer Service Fraud Investigator , your focus is applying...to achieve the optimal balance between customer experience and fraud prevention through interaction with callers .… more
- MUFG (Tempe, AZ)
- …Reporting to the Senior Fraud Prevention Manager (Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ensure ... assigned, experience and general level of supervision required by the Senior Fraud Prevention Manager. **Major Responsibilities:** + Analyze account transactions… more
- IT Concepts (Woodlawn, MD)
- …relevant experience in lieu of a degree. + 4 years of experience in fraud prevention related field(s), including fraud detection, investigation, forensic ... innovative individuals to join our team. IT Concepts is seeking a Fraud Analyst/ Investigator who will support several projects at a federal agency. The position… more
- State of Massachusetts (MA)
- …**Organization:** **Department of Workforce Development* **Title:** *UI Audit and Fraud investigator * **Location:** *Massachusetts-CPC - Boston 100 Cambridge ... Unemployment Insurance fraud and takes appropriate action towards deter and prevention of such activities. * Implements procedures to be used in collecting… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...justice, criminology, law enforcement, police administration, security and loss prevention , or a related field. Possession of a bachelor's… more
- Office of the Inspector General, USPS (Merrifield, VA)
- …requesting information on highly sensitive and important issues surrounding the investigation, prevention , and detection of healthcare claimant fraud . Plan and ... This announcement provides a temporary reassignment/promotion opportunity to a Criminal Investigator , Specialist Band, as a Subject Matter Expert (SME) for… more
- BMO Financial Group (Omaha, NE)
- AML and Fraud are both exciting areas within the bank to be involved with. This is a high pace environment in a constantly shifting landscape. Our ideal candidate is ... to be used for multiple purposes including incident reports/filings, loss prevention , litigation and criminal prosecution, management information and statistics, and… more
- Molina Healthcare (Albuquerque, NM)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention , detection, investigation,… more
- Premera Blue Cross (Spokane, WA)
- …Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active experience in ... analysis of identified issues and prepare post-investigative reports directed towards the prevention of fraud . + Make recommendations for creating SIU policies,… more
- Principal Financial Group (Des Moines, IA)
- …future fraudulent activities. + Stay informed about the latest developments in fraud detection and prevention within the industry, consistently enhancing our ... **What You'll Do** **Are you an experienced investigator with a passion for finance and insurance?...and implementation of training programs to educate employees on fraud awareness and prevention . + Provide expert… more
- CVS Health (Hartford, CT)
- …(8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention , detection, investigation and prosecution of healthcare fraud , waste, and ... Fundamental Components: - Conducts investigations of known or suspected acts of healthcare fraud , waste, and abuse - Communicates with federal, state, and local law… more
- Nordstrom (Canoga Park, CA)
- Job Description The Market Investigator is responsible for overseeing investigations in Nordstrom key markets. This role will be responsible for monitoring and ... measuring high risk locations performance in these categories: Shrink, Loss Prevention , Physical Security, Safety and Personnel Training and Development. This role… more
- Commonwealth Care Alliance (Boston, MA)
- … Investigator works with a growing team conducting and managing Health Care Fraud , Waste and Abuse investigation and prevention activities under the general ... interviews and data analysis to identify, evaluate and measure potential healthcare fraud and abuse to determine valid cases for appropriate action. + Document… more
- CVS Health (Hartford, CT)
- …willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention , investigation, and prosecution of healthcare fraud and abuse, to ... lost funds, and to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known...Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and… more
- CVS Health (Trenton, NJ)
- …and affordable. Position Summary- Conducts investigations to effectively pursue the prevention , investigation, and prosecution of healthcare fraud and abuse, ... to recover lost funds, and to comply with state regulations mandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare … more
- CVS Health (Tallahassee, FL)
- …high level, complex analysis of claims and correspondence to effectively pursue the prevention , investigation and prosecution of health care fraud and abuse, to ... lost funds, and to comply with state regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex...complex investigations of known or suspected acts of healthcare fraud and abuse. - Routinely handles cases that are… more
- Kohl's (Menomonee Falls, WI)
- Primary contact for store teams and Loss Prevention teams as it relates to fraud activity and significant events. You will be responsible for but not limited to ... providing support to field loss prevention associates along with other store teams, developing cases with local Law Enforcement to resolve Organized Retail Crime,… more
- Social Security Administration (IN)
- …the nature, timing, and extent of complex investigations relating to the detection and prevention of fraud , waste, and abuse in SSA programs and operations, and ... and conducting extremely complex and highly sensitive investigations related to fraud , waste, abuse, and mismanagement in SSA programs. The position description… more
- Discover (Riverwoods, IL)
- …designed to detect and mitigate partner data security breaches. + Delivers fraud prevention education and collaboration opportunities. + Promotes partner ... transparency of payment partners. Manages procedures from implementation to investigator use. + Assists partners with fraud -risk...integration and use of fraud prevention products. **Minimum Qualifications** **At a… more