- 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
- 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
- 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 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
- 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
- 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
- Office of Inspector General (Atlanta, GA)
- …in programs of DOT, as well as a variety of proactive investigations, including fraud prevention and detection surveys. You will determine the scope and depth ... office works within DOT to detect and prevent waste, fraud and abuse in departmental programs. The OIG reports...have in the past worked as a GS-1811 Criminal Investigator in a federal OIG office must clearly demonstrate… more
- Citigroup (Tampa, FL)
- …**This role will utilize sophisticated expertise in investigative interviewing, fraud identification, loss prevention , network security, cyber enabled ... **The CSIS Lead Investigator is a strategic professional who stays abreast... fraud , to identify fraud activities, schemes, trends and organized rings that create… 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
- TD Bank (Mount Laurel, NJ)
- …more specific details for this role. **Line of Business:** Financial Crimes & Fraud Mgmt **Job Description:** The Corporate Security Investigator is responsible ... involving possible violations of law + May prepare and deliver fraud detection/loss prevention training or updates to Bank Employees or other agencies as… 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
- 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
- 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