- Citigroup (Jersey City, NJ)
- …cases using financial statements and documents + Document and report the review /investigation findings and prepare case files with required supporting ... Senior Analyst is responsible for performing complex and high-risk AML Reviews/ Investigations of account activity from automated and/or manual sources, recommending… more
- CVS Health (Columbus, OH)
- …insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review . - Documents all appropriate case activity in case ... each and every day. **Position Summary** The SIU Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of… more
- UPMC (Pittsburgh, PA)
- …position and is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigations Unit (SIU). This position reports directly to a Manager, FWA, with ... processes and results. The Clinical FWA Auditor/Analyst utilizes claims analysis, document review and applies FWA detection tools to create, maintain, and summarize… more
- The Cigna Group (Washington, DC)
- …in compliance investigations to be part of the Legal Department's Enterprise Investigations unit . Our team of seven internal investigators is responsible for ... case list comprised of complex compliance, ethics, and employment investigations , including conducting case intake meetings, background research, interviews,… more
- State of Indiana (Indianapolis, IN)
- …Commission. Role Overview: The Investigations Attorney supports the Special Investigations Unit , which investigates allegations of public corruption by ... Investigations Attorney Date Posted: Apr 16, 2025 Requisition...various programs and legal areas. + May oversee, draft, review , or provide legal advice relating to contracts. +… more
- State of Massachusetts (Boston, MA)
- …including lead investigators, investigators and analysts. The Senior Investigator will also review case teams' workpapers and analyses and provide constructive ... and associated financial documents to determine contractual compliance. * Develop case review plans, appropriate investigative methodologies, and the activity… more
- City of New York (New York, NY)
- …guidelines of the grant. This person would be exclusively assigned to the Forensic Sciences Unit Cold Case team which would allow for a focused investigator to ... be invested throughout long-term investigations . JOB RESPONSIBILITIES: -Conduct thorough and professional ...assigned -Mentor and assist junior investigators when appropriate -Continuing case management and review -Provide on-going status… more
- City of New York (New York, NY)
- …of social services. - Review and assign case records to unit staff. Coordinate the workflow of investigations by providing technical assistance to all ... and deter Public Assistance fraud and misuse by conducting investigations of individuals and groups that attempt to or...and provide investigative information. - Maintain control on all case records assigned to the unit . Prepare… more
- City of New York (New York, NY)
- …of Economic Opportunity and Regulatory Compliance is composed of 5 divisions: - Labor Monitoring Unit (LMU) - Integrity Review Unit (IRU) - Engineering Audit ... directors in methods and techniques of wage theft investigation. Review documentation of completed wage theft investigations ...and determine if they are suitable to join the unit . Review attendance and time approval for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. ... for you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department… more