- Guardian Life (New York, NY)
- …of financial services products. + Experience performing complex financial crimes fraud investigations and building robust anti -financial crimes programs. + ... Google]. + Detailed knowledge of laws and regulations applicable to anti -money laundering and anti - fraud requirements, including the Bank Secrecy Act, the… more
- MVP Health Care (Rochester, NY)
- …training of new SIU personnel. + Keep abreast of Federal and State Anti - Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, ... York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + Maintain… more
- Citizenship and Immigration Services (Albany, NY)
- … fraud , and deter and detect national security and public safety threats. Develop anti - fraud tools and methodologies to collect and analyze data to identify ... legal immigration system; Conducting research on the impact or implementation of enforcement/ anti - fraud related programs, directives, or policies have had on… more
- Highmark Health (Albany, NY)
- …:** **JOB SUMMARY** This job is responsible for developing and maintaining an anti - fraud program which includes development and delivery of training and filing ... licensure information, doctors' agreements, contract, etc. + Develop and maintain annual anti - fraud program which includes facilitating fraud training and … more
- MVP Health Care (Schenectady, NY)
- …Professional), Lean Six Sigma, CDEO (Certified Documentation Expert Outpatient), Healthcare Anti - Fraud Associate (HCAFA), CRS (Certified Risk Specialist). + ... role safeguards financial integrity, strengthens provider trust, and drives innovation in fraud prevention and cost containment. **What's in it for you:** + Growth… more
- Allied Universal (Batavia, NY)
- …or adjusting complex insurance claims + Proficient understanding and application of anti - fraud laws, insurance regulations, and compliance standards within their ... extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the...enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as a… more
- Allied Universal (Buffalo, NY)
- …investigations or adjusting complex claims + Working knowledge and understanding of anti - fraud laws, insurance regulations, and compliance rules and standards in ... more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud ...Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law… more
- JPMorgan Chase (New York, NY)
- …and operational risk identification. + Utilize advanced knowledge in cybersecurity and anti - fraud awareness to detect potential threats and maintain the security ... or more years of experience. + Demonstrated expertise in cybersecurity and anti - fraud awareness, with a proven track record of detecting and mitigating potential… more
- Meta (New York, NY)
- …scams topics. 5. Identify proactive opportunities to communicate key global priorities and anti - fraud and scams work being conducted by central teams in ... following: 11. 1. Overseeing the function of reviewing and monitoring of fraud and scams communications initiatives or related subjects in international priority… more
- Quantexa (New York, NY)
- …location; and + Boast domain expertise across various realms of financial services (Risk, Anti -Financial Crime, Anti - fraud , AML, KYC, CRM) or in more general ... data management concepts (data quality, data warehousing, data fabric, etc.) Nice to have: + Experience working with scale-up companies; and + Experience to Quantexa's partner ecosystem (AWS, Azure, GCP, Databricks, Elasticsearch). Benefits Our perks and… more