- Truist (Bloomington, MN)
- …the timely and accurate funding of dealer contract packages. Eliminate dealer/customer fraud by ensuring proper and thorough verification is completed on all loan ... base. 7. Assist branch or business center in managing dealer and customer fraud by ensuring thorough and proper verifications are being completed. Escalate any… more
- UPMC (Pittsburgh, PA)
- …of claims, and prepayment review of unlisted codes. Claims analysis and the use of fraud and abuse detection software tools will be an integral part of the function ... regulatory entities in the course of their duties. Responsibilities: + Respond to fraud , waste, and abuse referrals and/or complete data analysis and related audits… more
- Capital One (Charlotte, NC)
- …Compliance Audit team, you will focus on engagements involving BSA/AML, Sanctions, and Fraud Compliance related audit projects that provide input to the annual audit ... units and lead small to medium size BSA / AML, Sanctions, and Fraud Compliance audits. Perform risk assessments of business activities and perform relevant testing… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Investigations. Investigative Auditors will generally be assigned to investigate complaints of fraud , waste, and abuse of public funds and resources. However, other ... supervision from an Investigative Senior Auditor 2, Investigative Audit Manager or the Executive Counsel/Assistant Legislative Auditor for Investigations. Position… more
- UPMC (Pittsburgh, PA)
- …valid cases for appropriate action. - Risk Assessments on FWA dental trends using fraud detection software and/or as assigned by Manager . - Present FWA training ... audits and investigations highly preferred. Under the direction of the manager , the Special Investigations Unit (SIU) Investigator is responsible for investigating… more
- RELX INC (New York, NY)
- Senior Product Manager - Generative AI Product Manger About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our ... of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You… more
- Louisiana Department of State Civil Service (LA)
- …investigative services in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control Unit (MFCU) ... to uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, physicians,… more
- MD Anderson Cancer Center (Houston, TX)
- …Anderson policies and maintaining the Handbook. Serves as the administrative manager for the Institution's Institutional Policy Framework and Institutional Policy ... Required Certification: One or more of the following: Certified Fraud Examiner (CFE) issued by the Association of Certified... Examiner (CFE) issued by the Association of Certified Fraud Examiners (ACFE). Certified in Health Care Compliance (CHC)… more
- ServiceNow, Inc. (Santa Clara, CA)
- …core banking/insurance platform transformation, regulatory compliance automation, fraud detection, risk management, and customer experience optimization. ... recruit, and hire top-tier talent for Platform Architect and Senior Manager roles, leveraging FSI industry networks including professional associations (eg, Risk… more
- Elevance Health (Seattle, WA)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** Primary duties may include, ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more