• Senior Fraud Investigator

    Bank OZK (Apollo Beach, FL)
    …described within the Bank's Fraud Risk Management Program. + Performs complex fraud investigations derived from escalated fraud alerts and other various ... such as branch personnel or law enforcement. + Conducts complex fraud investigations and link analysis that may include multiple subjects, incidents, and… more
    Bank OZK (07/25/25)
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  • Fraud Manager, PINS

    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
    Zelis (07/31/25)
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  • Fraud Investigation Analyst

    MUFG (Tampa, FL)
    …(Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ensure that potentially suspicious transactions are ... of three years of investigative or related experience with specific emphasis on fraud investigations at a financial institution, regulatory agency or law… more
    MUFG (08/16/25)
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  • Financial Crime Investigator I

    MyFlorida (Miami, FL)
    …investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
    MyFlorida (08/23/25)
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  • Law Enforcement Investigator II

    MyFlorida (Orlando, FL)
    …law enforcement experience, or five (5) years of work experience conducting healthcare fraud investigations . Note: All newly hired employees must obtain CJSTC ... II performs work which may include performing all aspects of Medicaid fraud investigations . This work includes but is not limited to, entering upon the… more
    MyFlorida (08/27/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in ... project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud , waste… more
    Highmark Health (08/15/25)
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  • Full-Time OPS Staff Assistant

    MyFlorida (Jacksonville, FL)
    …investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
    MyFlorida (08/30/25)
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  • Health Insurance Fraud Analyst II

    MyFlorida (Tallahassee, FL)
    …broad scope of data analytics to proactively identify qualified leads for potential fraud , waste, and abuse (FWA) investigations . The incumbent will be ... HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19,...analyses, and final results into comprehensive reports for bureau investigations . This position requires a high degree of confidentiality,… more
    MyFlorida (08/20/25)
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  • SIU Specialist - Pharmacy Tech - Remote in…

    Prime Therapeutics (Tallahassee, FL)
    …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... for work visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage workload while… more
    Prime Therapeutics (06/24/25)
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  • Audit Manager, Financial Crimes

    Bank OZK (Tampa, FL)
    … schemes, ability to identify red flags and suspicious activity, and conduct fraud investigations , when necessary. + Knowledge of applicable regulations and ... the independent testing standards for AML. + Actively identify and assess fraud risks by reviewing internal controls, operating processes, analyzing data for… more
    Bank OZK (07/24/25)
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