- Deloitte (Mclean, VA)
- …CPA exam + If not CPA eligible: + Licensed attorney + Enrolled Agent + Certifications: + CFE ( Certified Fraud Examiner ) + Ability to travel up to 10%, ... on average, based on the work you do and the clients and industries/sectors you serve Preferred + Advanced degree such as Masters of Tax, JD and/or LLM + Previous Big 4 or large CPA firm experience + Supervisory experience The wage range for this role takes… more
- Humana (Richmond, VA)
- …and enjoy being proactive? But, most of all do you have a passion for combating Fraud , Waste, and Abuse in the Health Care Industry? If this resonates with you, then ... should strongly consider this amazing opportunity to join Humana's SIU. The Fraud and Waste Professional conducts investigations of allegations of fraudulent and… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The ... Manager, Fraud and Waste works within specific guidelines and procedures;...Certifications (BA, MBA, JD, MSN, Clinical Certifications, CPC, CCS, CFE , AHFI) + Understanding of healthcare industry, claims processing… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately complex...and/or certifications (MBA, JD, MSN, Clinical Certifications, CPC, CCS, CFE , AHFI). + Understanding of healthcare industry, claims processing… more
- Deloitte (Mclean, VA)
- Manager - Forensic Investigations and Fraud - Financial Services About Deloitte Regulatory, Risk & ForensicOur Deloitte Regulatory, Risk & Forensic team helps client ... creation. Work you'll do As a Forensic Investigations and Fraud Manager you will supplement our team with deep...BSA/AML, PCI DSS) and may hold certifications such as CFE , CAMS, or CRCM. The TeamOur Forensic, Discovery, &… more
- USAA (Richmond, VA)
- …will also** **perform triage duties to review claims identified by our predicative fraud tool to determine if an SIU investigation is warranted** **.** Within ... investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. **This role is… more
- CVS Health (Richmond, VA)
- … fraud and abuse. + Credentials such as certification from the Association of Certified Fraud Examiners ( CFE ), or an accreditation from the National ... conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile,… more
- Allied Universal (Winchester, VA)
- …SIU regulations + One or more of the following professional industry certifications: + Certified Fraud Investigator ( CFE ) + Certified Insurance ... (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) +… more
- Deloitte (Rosslyn, VA)
- …financial institutions, including retail, wholesale and international banks, Trade Finance, Fraud , Retail Banking, Private Banking, and Wealth Management + 2+ Years ... Experience performing AML case investigations, specifically pertaining to Trade Finance, Fraud , Retail Banking, Private Banking, and Wealth Management + 2+ Years… more
- Deloitte (Rosslyn, VA)
- …financial institutions, including retail, wholesale and international banks, Trade Finance, Fraud , Retail Banking, Private Banking, and Wealth Management + 4+ Years ... QC for alert and/or case investigations, specifically pertaining to Trade Finance, Fraud , Retail Banking, Private Banking, and Wealth Management + 4+ Years… more