- Molina Healthcare (Covington, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team...with leadership to maintain and revise policies and procedures, fraud , waste, and abuse plans, annual audit work plans,… more
- Coinbase (Frankfort, KY)
- …team, you will be responsible for conducting end-to-end Transaction Monitoring investigations for customers (individuals/entities) that may lead to drafting and ... with cross functional teams (such as Financial Crime Risk Investigations , Workforce Management, Content and Learning & Development stakeholders) prioritizing… more
- Elevance Health (Louisville, KY)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more
- CDM Smith (Bowling Green, KY)
- …and other loss categories. The specialist will conduct thorough forensic investigations to identify discrepancies, detect potential fraud , and ensure ... seeking a Forensic Accounting Specialist with expertise in disaster fraud claims. This role is critical in evaluating and...to obtain a FEMA Badge, which includes a background investigation for a Public Trust position. * Demonstrates good… more
- Coinbase (Frankfort, KY)
- …equivalent practical experience * Strong knowledge of pull payment processes and experience with fraud claim investigations * A passion for fighting fraud ... to alerts regarding anomalous customer and transaction behavior * Measure fraud performance across payment methods, develop core metrics, and create dashboards… more
- EFI Global (Frankfort, KY)
- …A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- EFI Global (Frankfort, KY)
- …A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- Jabil (Florence, KY)
- …information, veteran status, or any other characteristic protected by law. BE AWARE OF FRAUD : When applying for a job at Jabil you will be contacted via ... victim of identity theft, contact the Federal Bureau of Investigations internet crime hotline (www.ic3.gov), the Federal Trade Commission...any other characteristic protected by law. BE AWARE OF FRAUD : When applying for a job at Jabil you… more
- Highmark Health (Frankfort, KY)
- …including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes place under ... and external audit progress, recurring risk and compliance reporting, mandated training, investigations , and the impacts of new and changing laws, regulations, and… more
- EFI Global (Frankfort, KY)
- …A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more