- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... schedules and goals. **Where You Come In** The Manager, Fraud and Waste coordinates investigation with law...In** The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation… more
- MyFlorida (Orlando, FL)
- INVESTIGATION SPECIALIST I - 60060474 Date: Dec 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858739 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60060474 Pay Plan: Career Service Position Number:… more
- American Express (Sunrise, FL)
- …Express. **How will you make an impact in this role?** American Express's US Investigations Unit (USIU) is part of the broader Global Risk & Compliance organization, ... (GFCC). USIU provides oversight and support for global financial crimes investigations . In partnership with teams across the financial crimes' organization, USIU… more
- Bank OZK (Apollo Beach, FL)
- …. Job Purpose & Scope Responsible for managing the AML Investigations team and overseeing the workstreams responsible for performing AML ... investigations . Ensures AML investigations are performed timely...process as needed. + Works closely with the Bank's Fraud Risk Management team to identify criminal and potential… more
- Deloitte (Boca Raton, FL)
- … experience when supporting an engagement team in their understanding of a client's fraud investigation and its impact on the financial statement audit. When ... employment + 8+ years of experience in auditing, forensic accounting, including accounting investigations or proactive fraud risk services + Experience in public… more
- Zelis (St. Petersburg, FL)
- …for payment transaction, ACH enrollment, and provider verification. + Oversee fraud investigations , root cause analyses, and escalations, ensuring timely ... PINS). As the Fraud Manager, you will be responsible for overseeing fraud detection strategies, leading complex investigations , and enhancing fraud … more
- Elevance Health (FL)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any… more
- TD Bank (Jacksonville, FL)
- …"moments that matter" at a frequency determined by the business.** FCRM Investigations is responsible for investigations of complex anti-money laundering, ... CISC, TRM-CI, CCAS, etc. + Experience conducting intelligence collection or investigations into activities involving cryptocurrency or cyber enabled crime (eg… more
- Bank OZK (Apollo Beach, FL)
- …instances described within the Bank's Fraud Risk Management Program. + Performs fraud investigations derived from escalated fraud alerts and other ... as branch personnel or law enforcement. + Conducts moderately complex fraud investigations and link analysis that may include multiple subjects, incidents, and… more
- Humana (Tallahassee, FL)
- …time zones **Required Qualifications** * Bachelor's degree * 2 years of healthcare fraud investigations and auditing experience * Knowledge of healthcare payment ... you should strongly consider this amazing opportunity to join Humana's SIU. The Fraud and Waste Professional conducts investigations of allegations of fraudulent… more