• SIU Investigator

    Allied Universal (Richmond, VA)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud ...of Insurance policies and the components of fraud to determine If claims warrant reporting to the… more
    Allied Universal (05/12/25)
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  • Investigator

    Highmark Health (Richmond, VA)
    …**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
    Highmark Health (05/08/25)
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  • Fraud Risk Assessment Senior

    USAA (Chesapeake, VA)
    …of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Fraud Risk Assessment Senior** , you will establish, execute, and govern Bank ... Fraud Prevention impact and risk assessment activities including conducting...comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program… more
    USAA (05/31/25)
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  • Environmental Analyst- Must Reside in MD…

    EFI Global (Alexandria, VA)
    …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
    EFI Global (05/15/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Norfolk, VA)
    **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
    Elevance Health (05/31/25)
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  • GCO Risk Advisor III ( Fraud Solution…

    Truist (Richmond, VA)
    …**Please review the following job description:** Responsible for providing support to Fraud & Transaction Services (FTS) Fraud Solution Services (FSS) to ... + Provide independent risk oversight for all eight risk types in FTS Fraud Solution Services. Oversee risk appetite and business risk strategy ensuring adherence to… more
    Truist (05/28/25)
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  • Fraud AI Product Owner

    Wells Fargo (Glen Allen, VA)
    …is seeking a Lead Product Manager to have product ownership responsibility in the Fraud AI and Machine Learning product area within the Fraud Management Product ... a new data environment and data analytical tools for fraud strategy development. + Manage all phases of the...+ Paid time off + Disability benefits + Life insurance , critical illness insurance , and accident … more
    Wells Fargo (05/31/25)
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  • Bank Agile Product Owner Senior ( Fraud )

    USAA (Chesapeake, VA)
    …Looking for a Senior Product Owner to join Bank Financial Crimes to support the Fraud Operations team in delivery of IT work on behalf of our stakeholders and ... of over 30 delivery teams working every day to deliver impactful change in the Fraud area of Bank Financial Crimes. Joining an Agile team whose mission is: To… more
    USAA (05/28/25)
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  • GCO Risk Advisor II ( Fraud Solution…

    Truist (Richmond, VA)
    …(United States of America) **Please review the following job description:** Engage with Fraud & Transaction Services (FTS) Fraud Solution Services (FSS in its ... offering the position. Truist offers medical, dental, vision, life insurance , disability, accidental death and dismemberment, tax-preferred savings accounts, and… more
    Truist (05/29/25)
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  • Quantitative Analytics/Modeling Consultant…

    PNC (Tysons Corner, VA)
    …validator you will perform rigorous independent reviews of PNC's models including fraud models, anti-money laundering models, as well as various types of ... Account feature), dental and vision options; employee and spouse/child life insurance ; short and long-term disability protection; 401(k) with PNC match, pension… more
    PNC (03/14/25)
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