• Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will… more
    Humana (10/10/25)
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  • Commercial Cards Fraud Strategy…

    Citigroup (Jacksonville, FL)
    …and development of advanced statistical models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts in ... The Fraud Ops Sr Analyst is a senior...Family Group:** Operations - Services **Job Family:** Fraud Operations **Time Type:** Full time **Primary… more
    Citigroup (10/18/25)
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  • Senior Fraud and Waste Investigator

    Humana (Carson City, NV)
    …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing ... activities in Virgina to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into… more
    Humana (11/01/25)
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  • Service Design Senior Associate

    JPMorgan Chase (Columbus, OH)
    …innovative and inclusive customer experiences. As a Service Design Senior Associate in Claims , Disputes, Fraud Operations , you will play a pivotal role ... in developing end-to-end customer and employee experiences by leveraging your advanced knowledge of service design principles. As a core contributor participate in the execution of service strategies designed to serve our employees' and customers' experiences… more
    JPMorgan Chase (10/05/25)
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  • Enterprise Fraud Data Strategy Analyst

    UMB Bank (Kansas City, MO)
    …training to provide extensive UMB and financial knowledge, the Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims and Data Strategy ... clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate...with their manager to develop roadmaps for opportunity within Fraud Operations and beyond. **_How you'll spend… more
    UMB Bank (09/27/25)
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  • Claims Examiner - Job Service Rep I

    State of Massachusetts (Boston, MA)
    …you'd do:* Claims Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, ... * Claims Examiner/Job Service Representative I| Department of Family...system testing/reporting as required. 13. Intake reports of potential fraud through the Department's Fraud Hotline. 14.… more
    State of Massachusetts (08/23/25)
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  • Senior Investigator

    AIG (Atlanta, GA)
    …are reimagining the way we help customers to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's an opportunity ... and efficiency. How you will create an impact The Senior Claims Investigator is responsible for all...with insureds, lawyers, corporate employees, vendors, police and relevant fraud bodies. + Complete targeted claims reviews… more
    AIG (10/08/25)
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  • Investigator 1, Senior Investigative…

    New York State Civil Service (Melville, NY)
    …to prevent and mitigate fraud . DCI is comprised of four separate teams: Claims Fraud , Provider Fraud , Policyholder Fraud and Data ... NY HELP No Agency Insurance Fund, State Title Investigator 1, Senior Investigative Officer Occupational Category Other Professional Careers Salary Grade NS… more
    New York State Civil Service (10/18/25)
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  • Senior Operations Specialist…

    Banc of California (Santa Ana, CA)
    …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. ... are processed appropriately at the branch and/or corporate levels, or credit card operations management Performs a variety of Operations Support functions; such… more
    Banc of California (11/01/25)
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  • Senior Investigator / Human Services…

    State of Minnesota (St. Paul, MN)
    …to detect fraud , abuse, over-utilization, and error in health care claims . AND Experience must demonstrate the following: + Develop criteria and parameters used ... **Working Title: Senior Investigator** **Job Class: Human Services Program Representative...of MN DHS Licensed providers + An understanding of claims processing operations , edits, and CPT coding… more
    State of Minnesota (10/17/25)
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