• Sr Fraud Investigator

    Health Care Service Corporation (Chicago, IL)
    …verbal and written communication skills. **PREFERRED REQUIREMENTS:** + Accredited Health Care Fraud Investigator + Certified Professional Coder + Certified ... controls and protocols, and recommends enhancements to reduce the potential for fraud . **JOB REQUIREMENTS:** + Bachelor's Degree + 5 years law enforcement experience… more
    Health Care Service Corporation (09/27/25)
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  • Senior Fraud and Waste…

    Humana (Indianapolis, IN)
    **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity ... Officer, who will oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities… more
    Humana (10/01/25)
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  • Senior Fraud Investigator

    Bank OZK (Little Rock, AR)
    …related cases + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external… more
    Bank OZK (07/25/25)
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  • GFC Investigator (Brokerage - AML/…

    Bank of America (Pennington, NJ)
    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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  • Senior Fraud /AML…

    Guardian Life (Bethlehem, PA)
    …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... filings, including, but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business partners. Assists in… more
    Guardian Life (09/04/25)
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  • Investigator I

    Aflac (GA)
    …Law Specialist (FCLS), Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in Spanish Travel + Less than or ... Investigator I The Company: Aflac Columbus The Location:...written, and interpersonal communications skills to effectively interact with senior management, internal and external customers, and agency representatives… more
    Aflac (09/27/25)
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  • Investigator External Audit Special…

    Providence (Oakland, CA)
    …software/tools. **Preferred Qualifications:** + Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an ... **Description** ** Investigator External Audit Special Investigations Unit \*Remote The...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more
    Providence (09/27/25)
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  • Investigation Specialist Sr ., Executive…

    Amazon (Seattle, WA)
    Description We are looking for an experienced fraud investigator with strong analytical skills to become a member of our investigations team. This position will ... managing risk to ensure long term customer satisfaction. Summary of Responsibilities: Sr . Escalation Specialists rely on judgment to plan and accomplish goals with… more
    Amazon (07/18/25)
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  • Group Supervisor (Medicaid)

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a...two Investigating Supervisors who each supervise a team of Senior Investigators. - Ensure eligibility reviews and determinations are… more
    City of New York (09/23/25)
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  • Anti-Money Laundering Investigator

    Capital One (Wilmington, DE)
    …Level: Structures occasional tasks independently + Typically reports to: AML Supervisor ( Sr . Investigator ) **Basic Qualifications:** + High school diploma, GED, ... Research + Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or… more
    Capital One (09/08/25)
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