- BlueCross BlueShield of North Carolina (NC)
- … Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. Investigations are ... $62,100.00 - $111,800.00 **Skills** Depositions, Evidence Collection, Forensic Accounting, Fraud Investigations , Investigation Techniques, Investigative Analysis, Job… more
- Capital One (St. Cloud, MN)
- Work From Home - Senior Complaints Coordinator - FDO Escalations - Fraud Account Management Investigations Solutions (FAMISE) **Are you looking for a challenging ... experience using Google Suite or Microsoft Office + At least 1 year of Fraud or Disputes experience **Preferred Qualifications** + At least 4 years of Customer… more
- LA Care Health Plan (Los Angeles, CA)
- …Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations , law enforcement, or related field. At least 5years of ... Director, Compliance on Special Investigations Unit and Fraud , Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: Special … more
- Humana (Tallahassee, FL)
- …& Abuse Investigations required + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies ... community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of...The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The… more
- State of Georgia (Fulton County, GA)
- … Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations . Assists criminal justice personnel, including, but not ... documentation, conducting interviews, and gathering intelligence information for health care fraud investigations and patient abuse investigations . .… more
- CIBC (Chicago, IL)
- …(https://www.cibc.com/en/about-cibc.html) Responsibilities The Fraud Analyst will report to the Fraud Investigations Manager of US Region Fraud ... St, 8th Fl **Employment Type** Regular **Weekly Hours** 40 **Skills** Financial Crime Investigations , Fraud Investigations , Fraud Monitoring, Time… more
- Columbia Bank (Phoenix, AZ)
- …Director who can design, implement, and maintain a best-in-class AML and Fraud Investigations program, including robust transaction monitoring systems, to ... and support services for groups that impact FID related to fraud investigations and AML transaction monitoring, process and policies. + Working knowledge… more
- Zelis (Boston, MA)
- …fraudulent activities by conducting comprehensive reviews of all internal and external fraud monitoring alerts, performing fraud investigations , and ... Abuse (FWA), across all Zelis business units and functions. + Initiate fraud investigations and handle all aspects, including detailed documentation, analysis,… more
- City National Bank (Phoenix, AZ)
- …enforcement or investigative background * Experience in cybercrimes, payment systems financial fraud investigations , trading or sales fraud investigations ... & payment risk, risk management, cyber or financial crime investigations , responsible for fraud or white collar crime investigations within a government… more
- Concentrix (Austin, TX)
- …Diploma or GED required + 1- 2 years of financial or payment fraud / investigations experience required + Additional experience in data analysis and technical ... Job Title: Fraud Analyst - VR Developer Support (Onsite) Job...intelligence, and third party private intelligence. + Execute complex investigations to understand how abuse is occurring and implement… more
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