• SIU Investigator

    Allied Universal (Edison, NJ)
    …(5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as ... Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + … more
    Allied Universal (09/06/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Woodbridge, NJ)
    …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... and risk avoidance based on the outcome of the investigation . **Minimum Requirements:** + Requires an Associate ...including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any… more
    Elevance Health (10/03/25)
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  • Manager, Fraud and Waste

    Humana (Trenton, NJ)
    …approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement ... of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent… more
    Humana (09/24/25)
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  • AML Fraud Analyst

    ManpowerGroup (Mantua, NJ)
    …an AML Fraud Analyst, you will be part of the compliance and fraud investigation team supporting fraud detection and suspicious activity reporting ... gather relevant data and escalate findings. **What's Needed?** + Associate Degree or higher in a relevant field. +... prevention. + Gain valuable experience in AML and fraud investigation processes. + Work remotely with… more
    ManpowerGroup (09/18/25)
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  • Associate Director, MSAT, Downstream Drug…

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    **Job Summary** **​** The Associate Director, MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... manufacturing operations at CDMOs, including review of batch records, deviation investigations , and change controls. + Lead or significantly contribute to… more
    Otsuka America Pharmaceutical Inc. (07/18/25)
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  • Compliance and Privacy Manager - Counsel

    Atlantic Health System (Morristown, NJ)
    …coordinate internal investigations and prepare reports on the incidents and investigation findings. + The Manager will be responsible for assessing compliance of ... compliance risk areas: (i) general compliance and compliance program effectiveness; (ii) fraud , waste and abuse and Deficit Reduction Act of 2005 workforce member… more
    Atlantic Health System (10/02/25)
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  • Associate Manager, Compliance

    Coinbase (Trenton, NJ)
    …* Lead a team of 10-15 Compliance (Transaction Monitoring / AML and Fraud Investigations /EDD) Analysts; * Ensure adherence to operational KPIs from directs ... and vendor partners or overall performance and the quality. * Coordinate with senior management and provide insights for process improvement. * Communicate effectively with your team to drive individual and group performance. * Champion change management with… more
    Coinbase (08/09/25)
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  • Cyber Associate Claim Counsel

    Travelers Insurance Company (Trenton, NJ)
    …businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation , analysis, evaluation, and disposition of claims and claim litigation to achieve ... parties and regulators, business interruption, consumer privacy liability, and identity fraud /theft. The First-Party Cyber Claim Team partners with and supports… more
    Travelers Insurance Company (07/23/25)
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  • Director of Safety & Security

    General Trading Co. Inc. (Carlstadt, NJ)
    …with safety regulations. + Reviews accident and incident reports and conducts investigations when necessary. + Collaborate with federal, state, and local regulatory ... or practice violations. + Familiarity of OSHA, Root Cause Investigation , Incident Investigation procedures, Hazard Assessment, Job...appears that the company may be a victim of fraud . + Instruct supervisors on the danger signs they… more
    General Trading Co. Inc. (09/26/25)
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  • Workers Comp- Claims Specialist (I/II/ Sr.)

    NJM Insurance (Trenton, NJ)
    …workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit, the NJM WC Legal Staff, and other departments within NJM, ... of timely, appropriate, and accurate benefits + Evaluate the claim for potential fraud indicators and escalates the file to SIU, as appropriate + Recognize and… more
    NJM Insurance (07/31/25)
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