- Dexian - DISYS (Baltimore, MD)
- …in a health care or investigations related area such as Certified Fraud Examiner (CFE),Accredited Health Fraud Investigator (AHFI), RN/LPN, ... unit goals. Investigator researches and analyzes claims data using company anti- fraud software, Excel, and other tools to proactively identify new potential… more
- WSFS Bank (Wilmington, DE)
- …purpose is to: engage the first line of defense to understand internal and external fraud risk appetite; devise plans and techniques to prevent, detect, mitigate ... to discovery, root cause analysis, and control remediationOversee internal and external fraud investigationsEnsure regulatory compliance as it pertains to… more
- TD Bank (Mount Laurel, NJ)
- …is responsible for complex investigations of both internal and external fraud . The Corporate Security Senior Investigator represents the company with outside ... for this role. **Line of Business:** Financial Crimes & Fraud Mgmt **Job Description:** The Corporate Security Senior ...agencies to pursue the recovery of losses resulting from fraud , theft and embezzlement and is considered the Subject… more
- Comerica (Farmington, MI)
- Fraud Prevention Investigator The Fraud Prevention Investigator works in the Enterprise Fraud Management Fraud Resolution Center and assists ... occurred along with allocating the loss to the appropriate business unit and fraud loss account. In addition, the investigator handles fraud -in-progress… more
- Huntington National Bank (Columbus, OH)
- Description Summary: The Fraud Investigator role within the Fraud Investigations Departments at Huntington National Bank is responsible for investigating ... building comprehensive cases for presentment to law enforcement. The Fraud Investigator is also responsible for filing...+ Investigate referrals of suspicious activity related to potential external fraud and financial crimes + Understand… more
- NBT Bank (Norwich, NY)
- Pay Range: $18.51 - $24.71 Responsible for investigating external fraud cases as assigned by their Supervisor/Manager as well as cases arising from independent ... data and recognize/evaluate patterns of customer activity. + Skilled investigator with understanding of types of fraud ...Tasks Performed: + 60% Complete case investigations related to external fraud such as ach, wire, counterfeit… more
- SMBC (Sacramento, CA)
- …similar in accordance with applicable regulatory requirements preferred. + Certified Fraud Examiner (CFE) or Certified Financial Crimes Investigator preferred. ... Estate Loans, Cash Management Services, International Services **JOB SUMMARY:** The Sr. Fraud Analyst will be responsible for managing daily tasks associated with … more
- Umpqua Bank (Tigard, OR)
- Senior Fraud Investigator Corporate Risk Tigard, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ employees ... Teamwork, Heart, Enjoyment, and Relationships. **About the Role:** Investigate potential fraud identified. + Partners with store managers, associates and various… more
- MUFG (Tempe, AZ)
- …details. Reporting to the Senior Fraud Prevention Manager (Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ... experience and general level of supervision required by the Senior Fraud Prevention Manager. **Major Responsibilities:** + Analyze account transactions to determine… more
- Gilead Sciences, Inc. (Miami, FL)
- …their economic status. **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually. It is too ... and accelerate the development of the group's pharmaceutical crime and healthcare fraud program. The role will include both people leadership and individual… more
- M&T Bank (Bridgeport, CT)
- …or through the Bank by a customer or non-customer. Makes decisions about fraud regarding customer impact and future steps. Interacts with peers within and outside ... by gathering evidence, analyzing information and documenting findings. + Serve as primary fraud contact on all assigned cases. + Complete special projects in a… more
- Molina Healthcare (Omaha, NE)
- …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
- The Hartford (NJ)
- …able to effectively communicate investigative findings orally and in writing. + The Investigator will also be responsible for understanding fraud trends within ... SIU Investigator - CF08BE We're determined to make a...SIU is to contribute to claims accuracy by building fraud awareness and investigating questionable claims. This position will… more
- Bank of America (Charlotte, NC)
- …business. Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or ... Global Financial Crimes GFC Investigator Charlotte, North Carolina;Chicago, Illinois; Pennington, New Jersey; Atlanta, Georgia **Job Description:** At Bank of… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …(SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud , waste, and abuse (FWA). The reports prepared by this ... Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active experience in auditing and… more
- Bank of America (Phoenix, AZ)
- …business. Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or ... Global Financial Crimes Senior Investigator Phoenix, Arizona;Pennington, New Jersey **Job Description:** At...accounts. Such investigations may involve components of elder abuse, fraud committed by external parties, money laundering,… more
- CVS Health (Baton Rouge, LA)
- …testimony during civil and criminal proceedings- Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach ... health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known or… more
- CVS Health (Springfield, IL)
- …testimony during civil and criminalproceedings *Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach ... care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected… more
- Highmark Health (Harrisburg, PA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... 3 days a week. The incumbent is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- Target (Minneapolis, MN)
- …profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. **At Target, we ... them build and develop skills for a career. The role of a Field Investigator can provide you with the:** + Experience managing the identification and resolution of… more
