- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or… more
- Highmark Health (Austin, TX)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- CBRE (Richardson, TX)
- …determined and addressed. + Proactively engage with cross-functional partners (eg Compliance & Ethics, People/HR Business Partners, Fraud , Corporate Security, ... Employee Relations Investigator Job ID 221805 Posted 28-May-2025 Service line...5 years of professional level experience within employee relations, compliance , accounting, or experience conducting fraud /financial investigations… more
- MUFG (Irving, TX)
- …your next opportunity with us! **Job Description Summary** The AML Investigator would be responsible for conducting extensive, complex investigations to identify ... financial and/or fraudulent activity, to include money laundering, terrorist financing, fraud and/or any other financial risk or crime. The Investigator… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Conduct quality assurance reviews of ... fraud recovery cases handled by analysts to ensure accuracy,...provide a record of activity and meet audit and compliance requirements. + Communicate professionally with customers, merchants, financial… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Guidehouse is interested in independent ... employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Recovery Investigations Analyst's to conduct, identify, and investigate potential … more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** Up to 10% **Clearance Required** **:** None **What You Will Do** **:** + Manage the Fraud Recovery ... and efficient processing of cases. + Conduct quality assurance reviews of fraud recovery cases to ensure accuracy, completeness, and adherence to established… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Oversee the daily operations of a ... team of 10+ Fraud Recovery Analysts, ensuring that all team members are...provide a record of activity and meet audit and compliance requirements. + Communicate professionally with customers, merchants, financial… more
- Lincoln Financial (Austin, TX)
- …Role at a Glance** We are excited to bring on an Associate, Claims Investigator to our Group Protection Special Investigations Team in Charlotte, NC; Omaha, NE; or ... are growing our team by adding a new claims investigator . In this role, you will be tasked with...knowledge on current and emerging developments/trends related to insurance fraud . + Complete assigned open inventory reviews weekly to… more
- Sedgwick (Fort Worth, TX)
- …or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud Examiner (CFE) strong ... matters. + Mentors and provides guidance to the SIU complex fraud team, analyst and compliance teams. + Initiates and directs SIU compliance activities… more