• Investigator, Special Investigative Unit…

    Molina Healthcare (Yonkers, NY)
    …FWA or related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
    Molina Healthcare (07/24/25)
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  • SIU Investigator

    Allied Universal (Batavia, NY)
    Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) ... extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the...+ Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty Underwriter… more
    Allied Universal (08/09/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. Bureau of Fraud Investigation (BFI) is mandated to ... Housing Authority Inspector General (NYCHA IG). BFI/ID is recruiting for (1) one Associate Fraud Investigator II to function as an Unit Supervisor, who will: -… more
    City of New York (05/14/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The Bureau of Fraud Investigation (BFI) is mandated to ... Prison Match, and internally generated projects. BFI/RID is recruiting for (1) one Associate Fraud Investigator II to function as a Unit Supervisor, who will: -… more
    City of New York (05/14/25)
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  • Claims Investigator

    Allied Universal (Buffalo, NY)
    Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) ... one or more of the following: + Bachelor's degree in Criminal Justice + Associate 's degree in Criminal Justice with a minimum of four (4) years of demonstrated… more
    Allied Universal (08/09/25)
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  • Group Supervisor (Medicaid)

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... the balances exceed the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group Supervisor, who will: - Oversee… more
    City of New York (06/24/25)
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  • Senior Team Leader

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The Department of Homeless Services (DHS) is comprised of 2,000 ... 365 days a year. The Department of Homeless Services (DHS) is recruiting (1) Associate Fraud Investigator II to function as a Senior Team Leader who will: -… more
    City of New York (05/14/25)
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  • Principal Data Analyst - Global Network Analytics,…

    Capital One (New York, NY)
    Principal Data Analyst - Global Network Analytics, Fraud & Risk Analytics At Capital One, data is at the center of everything we do. When we launched as a startup we ... This role will be hired as a Capital One associate but will play a critical part in project...covering the whole lifecycle of participant management. The GNA Fraud and Risk team aims to safeguard the integrity… more
    Capital One (07/31/25)
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  • Senior Fraud Investigator

    City of New York (New York, NY)
    …stipulated in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator, who will: ... discuss their cases and obtain additional information (if necessary) FRAUD INVESTIGATOR - 31113 Qualifications 1. A four-year high...nature involving public or private funds; or 2. An associate degree or 60 semester credits from an accredited… more
    City of New York (05/14/25)
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  • Manager, Fraud and Waste

    Humana (Albany, NY)
    …investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced ... opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent...Medicare experience + Minimum 3 years of experience with Fraud , Waste, and Abuse in a Managed Care setting… more
    Humana (08/09/25)
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