- Excellus BlueCross BlueShield (Rochester, NY)
- …the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of ... clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action… more
- Capital One (Jericho, NY)
- …suspicious activity investigations , closing reviews, or other AML processes. The associate will work closely with AML Process Managers to perform other critical ... functions. The associate is also responsible for planning and conducting processes...+ At least 1 year of leadership experience in Fraud , AML investigations or a Compliance role… more
- Coinbase (Albany, NY)
- …* Lead a team of 10-15 Compliance (Transaction Monitoring / AML and Fraud Investigations /EDD) Analysts; * Ensure adherence to operational KPIs from directs ... supporting individual and team goals and ensuring best in class customer service experiences through the team. Supervisors also identify broader customer impacting… more
- City of New York (New York, NY)
- …- Record and process manual and electronic checks received from Bureau of Fraud Investigation , Claims and Collections, Liens and Recovery and checks delivered ... III, YOU MUST TAKE AND PASS THE CLERICAL ASSOCIATE CIVIL SERVICE EXAM WHEN IT BECOMES...organized groups allegedly committing fraudulent acts against the social service programs administered by HRA/DSS. Its investigations … more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE CIVIL SERVICE TITLE OF FRAUD INVESTIGATOR, BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE ... week, 365 days a year. The Department of Homeless Services (DHS) is recruiting two (2) Fraud ...in-depth face-to-face interviews with applicants and perform and request investigations . - Evaluate and verify information and documents. -… more
- CGI Technologies and Solutions, Inc. (Buffalo, NY)
- …image review, data entry, book print/card print, quality control and PRISM), customer service , fraud , cashier, passport product control, and supervise at any ... lead a team involved in all phases of passport processing, customer service and PRISM functions. Includes planning, directing and coordination of the daily… more
- New York State Civil Service (Albany, NY)
- …or parolees; various forms of harassment or other misconduct; theft and fraud ; and escape plots. The Criminal Investigations Division (CID) investigates ... Investigator - All Divisions Occupational Category Enforcement or Protective Services Salary Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented)… more
- Capital One (Jericho, NY)
- …products and services + Handle issues as appropriate for advanced investigation and analysis + Support team supervisors in executing certain responsibilities + ... + Capital One reserves the right to request proof of internet provider, speed and service package from the associate + Requirements are subject to change, as new… more
- City of New York (New York, NY)
- …the subject matter expert responsible for gathering, evaluating, and analyzing criminal investigation data. In addition, the individual filling this position will be ... the primary analyst assigned to investigations involving financial crimes. Responsibilities include but are not...public interest frauds including real estate, housing, and insurance fraud including, but not limited to: o Collect, analyze,… more
- Zurich NA (Albany, NY)
- …or fraud potential to the appropriate internal teams for further investigation . **Customer Service & Communication:** + Deliver exceptional customer ... or fully remote anywhere in the lower 48 states. **Claims Handling & Investigation :** + Manage a portfolio of highly complex, litigated claims with significant… more