- Capital One (Mclean, VA)
- Senior Investigator II-TMO Fraud **The Anti-Money Laundering (AML) Sr. Investigator II -TMO Fraud ** supervises various AML processes, which might include ... for planning and conducting processes related to anti-money laundering, fraud and global sanction activities as well as managing...the workflow of the AML analysts. The AML Sr Investigator II coaches their team and teaches others about… more
- Molina Healthcare (Idaho Falls, ID)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- Huntington National Bank (Austin, TX)
- Description Summary: The Fraud Investigator role within the Fraud Investigations Departments at Huntington National Bank is responsible for investigating ... analysis and for building comprehensive cases for presentment to law enforcement. The Fraud Investigator is also responsible for filing accurate, complete and… more
- City of Detroit (Detroit, MI)
- Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply Fraud Investigator Salary $63,359.00 - $95,039.00 ... Visa at this time. Examples of Duties SUMMARY: The Fraud Investigator performs complex investigative tasks relating...areas such as billing trends, financial relationships, and regulatory compliance procedures + Recommend actions in fraud … more
- Bank of America (Pennington, NJ)
- GFCC Investigator (Brokerage) - Specialized AML & Fraud Charlotte, North Carolina;Jersey City, New Jersey; Pennington, New Jersey; Dallas, Texas; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/GFCC- Investigator --Brokerage Specialized-AML Fraud \_25031328) **Job Description:** At Bank… more
- Elevance Health (Atlanta, GA)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying...on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Guardian Life (New York, NY)
- …best-in-class Law Department. We drive a high-performance culture across our Legal, Compliance , and Government Affairs functions, aligned to "what" we deliver (ie, ... spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and...but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... duties and group benefit contracts to identify control deficiencies and non- compliance . Investigator will develop documentation to substantiate findings… more
- Allied Universal (Charlottesville, VA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... or adjusting complex insurance claims + Proficient understanding and application of anti- fraud laws, insurance regulations, and compliance standards within their… more
- State of Arkansas (Little Rock, AR)
- …audit, or a similar investigative role. Specialized certifications (eg, Certified Fraud Examiner, Certified Forensic Investigator ) may be required. PREFERRED ... conducting thorough, unbiased investigations across a range of subjects-including internal compliance issues, employee misconduct, fraud , or other irregular… more
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