- NJM Insurance (Trenton, NJ)
- …medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, and other departments within NJM, as well ... the injured worker + Evaluate the claim for potential fraud and escalate the file to SIU, as appropriate...issues + Build rapport with the policyholder, conduct on-site investigations , educate the policyholder on NJM procedures, policies, and… more
- City of New York (New York, NY)
- …of the position include, but are not limited to the following: - Conduct investigations on a wide variety of matters, including but not limited to: cold case ... theft; financial crimes; violent crime; special victim cases; domestic violence; welfare fraud ; child abuse; gangs; hate crimes; firearms. - Assist in transporting… more
- Ventura County (Ventura, CA)
- …+ Educational Incentive - An educational incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree, OR 5% for completion ... assigned, may receive, review and analyze complaints received by the County's Fraud Hotline; prepares notifications to appropriate parties identifying the nature of… more
- Amazon (Baton Rouge, LA)
- …seasonal. Key job responsibilities Responsibilities: - Conduct and deliver results regarding investigations of Fraud and Theft. - Deliver results through policy ... The Seasonal Loss Prevention (LP) Specialist is a key high level hourly associate position in the Amazon Fulfillment Centers (FCs). The Seasonal Loss Prevention… more
- Burrell Behavioral Health (Springfield, MO)
- …information + Identify and report abnormal billing patterns and indicators of potential fraud and abuse + Assist in audits related to Compliance investigations ... compliant coding and billing practices Education and/or Experience Qualifications: + Associate 's degree in Health Information Management preferred + Medical Coding… more
- Burrell Behavioral Health (Springfield, MO)
- …You'll investigate suspect billing practices, analyze claims data for potential fraud , waste, and abuse patterns, and provide guidance on coding, billing, ... corrective action plans from audits + Conduct and direct investigations into suspect billing for Federal health care program...care program overpayments + Analyze claims data for potential fraud , waste, and abuse patterns + Prepare and present… more
- Lowe's (Jacksonville, FL)
- …laws and company policy on customers and vendors suspected of theft, reports suspected fraud to AP Management and Investigations team as needed. *Attend monthly ... to detect and prevent unauthorized activities and complete post-incident investigations . *Review weekly physical security related reports and respond appropriately.… more
- Edward Jones (St. Louis, MO)
- …for our more than 7 million clients through regulation communication, fraud protection and managing their investment distributions. Protect their investments by ... supporting clients who are involved in potential legal, compliance, fraud or account dispute issues. The circumstances of these...may need to be escalated to Compliance for further investigation , the CRFR's goal is to act in a… more
- UMB Bank (Kansas City, MO)
- …Privacy, Information Technology, Threat Intelligence, Corporate Security, Insider Threat, and Fraud teams to align and manage Information Security Incident strategy ... to ensure incident response participants and stakeholders understand processes, investigations , analysis, and expectations. + Maintain relationships with third party… more
- SpartanNash (Byron Center, MI)
- …and/or Operational Auditing experience. + Basic knowledge of auditing and fraud investigations , and understanding of operational, financial, and regulatory ... representative of those that must be met by an associate to successfully perform the essential functions of this...be required to lift and/or move 20 pounds. The associate is frequently required to sit/stand/walk. While performing the… more