• Clinical Fraud Investigator II…

    Elevance Health (Chicago, IL)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
    Elevance Health (11/04/25)
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  • Fraud Investigator

    CIBC (Chicago, IL)
    …learn more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) Responsibilities The Fraud Analyst will report to the Fraud Investigations ... Manager of US Region Fraud Management. The Fraud Analyst is responsible for completing moderate to complex...of account activity to assess levels of risk and fraud type, making a fraud determination, and… more
    CIBC (11/04/25)
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  • GFC Investigator (Brokerage - AML/…

    Bank of America (Chicago, IL)
    GFC Investigator (Brokerage - AML/ Fraud ) Phoenix, Arizona;Pennington, New Jersey; Plano, Texas; Dallas, Texas; Tampa, Florida; Jersey City, New Jersey; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/GFC- Investigator --Brokerage AML- Fraud -\_25035332) **Job Description:** At Bank of… more
    Bank of America (10/02/25)
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  • Investigator

    Highmark Health (Springfield, IL)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **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 (10/24/25)
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  • Senior Fraud and Waste Investigator

    Humana (Springfield, IL)
    …of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
    Humana (11/04/25)
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  • Senior Fraud and Waste Investigator

    Humana (Springfield, IL)
    …of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the monitoring ... and enforcement of the Fraud , Waste, and Abuse (FWA) program. This role aims...to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into allegations… more
    Humana (11/01/25)
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  • Fraud and Waste Investigator

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...appropriate courses of action. **Where You Come In** The Fraud and Waste Professional 2 coordinates investigation with internal… more
    Humana (11/04/25)
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  • Manager, Fraud & Waste Investigation (Nurse…

    Humana (Springfield, IL)
    …of our caring community and help us put health first** The Manager, Fraud and Waste Investigator : Nurse Audit/Review performs clinical audit/validation processes ... of objectives and determines approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator : Nurse Audit/Review validates and interprets… more
    Humana (11/04/25)
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  • Anti-Money Laundering Investigator

    Capital One (Chicago, IL)
    …Research + Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or ... Anti-Money Laundering Investigator The qualified candidate will support various Anti-Money...+ 1+ years of experience in Anti-Money Laundering (AML), Fraud , Investigations, or as an Analyst + 6+ months… more
    Capital One (11/04/25)
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  • Anti-Money Laundering Sr. Investigator

    Capital One (Riverwoods, IL)
    Anti-Money Laundering Sr. Investigator Job Description **Anti-Money Laundering (AML) Sr Investigator I** **Level: Associate** **Job Description:** The Anti-Money ... Laundering (AML) Sr. Investigator I supports various AML processes, which might include...GED or equivalent certification -At least 1 year of fraud experience, or investigative experience, or compliance experience. -At… more
    Capital One (11/04/25)
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