- Highmark Health (Raleigh, NC)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- EFI Global (Raleigh, NC)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for… more
- EFI Global (Raleigh, NC)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for… more
- Ally (Raleigh, NC)
- …Detection Operations, you will have the chance to shape and lead a top-tier fraud detection program within a dynamic and evolving environment. This role is crucial ... by ensuring we "Do it Right" and driving strategic fraud detection and prevention efforts. You will lead a...* Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings… more
- Ally (Raleigh, NC)
- …evolving, so shouldn't your opportunities be, too? **The Opportunity** The Debit Card Fraud Program Leader is responsible for driving the strategy for fraud ... Ally adheres to key regulations and industry best practices while optimizing fraud detection capabilities and recoveries. The leader will also develop and maintain… more
- EFI Global (Raleigh, NC)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other… more
- Ally (Raleigh, NC)
- …Invest by being the subject matter expert (SME) of quality review of fraud related activity. You will have demonstrated knowledge in a regulatory financial field ... with some investigative skills. Daily activities will include quality reviews of fraud investigations and regulatory related cases within Invest. The role will have… more
- Truist (Charlotte, NC)
- …research and loss mitigation efforts across multiple intake channels to decision Fraud Solution Service Delivery related cases and alerts. Researches and analyzes ... activities may change from time to time. 1. Analyze and decision multiple Fraud Solution Service Delivery related cases or alert types. 2. Utilize banking systems… more
- ManpowerGroup (Charlotte, NC)
- Our client, a leader in the financial services industry, is seeking an AML / Fraud Analyst to join their team. As an AML / Fraud Analyst, you will be part of the ... Investigations Group supporting critical initiatives in anti-money laundering and fraud investigations. The ideal candidate will have strong analytical skills,… more
- Elevance Health (Durham, NC)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more