- Elevance Health (Roanoke, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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
- System One (Vienna, VA)
- …suspicious account activity requiring more complex research or in- depth investigation . Identify, review, and report suspicious activity and risk exposure across ... record databases to identify, analyze and verify information related to investigations , discrepancies associated with information provided, and assess potential risk… more
- Capital One (Richmond, VA)
- …supports various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due ... products and services. -Handle issues as appropriate for advanced investigation and analysis .-Support team supervisors in executing certain responsibilities.… more
- Highmark Health (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Coast Guard Community Services Command (Chesapeake, VA)
- …and identify, mitigate and develop action plans to address any potential issues of fraud , waste and abuse. You'll be the subject matter expert on Building access ... Liaise with local, state, and federal law enforcement agencies on matters of fraud , waste, and abuse. Establish and execute action plans for investigations ,… more