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Fraud Investigator Jobs

753 jobs

The Fraud Investigator develops, implements and administers the IH anti-fraud program, including a regular fraud risk assessment, and project managing the program, facilitating cross functional fraud control owners to ensure overall program effectiveness. This position will also be responsible for investigating suspected fraudulent or abusive activity by researching standards of care, reviewing me...
Our client is a large, public company in Miami that has a cutting edge risk advisory department which includes a specialized fraud and forensics group. Their mission is to develop and design fraud detection and loss prevention measures and ensure execution of monitoring and controls. They have a Manager level position available. They are looking for people that are investigative, rather than inter...
Job Summary BDO’s Core Purpose is Helping People Thrive Every Day. Our Core Values reflect how we manage our work, our relationships and ourselves. As an employee of the firm, you will live true to our Core Values of people first, being exceptional every day in every way, embracing change, feeling empowered through knowledge and choosing accountability. Our Core Values are the standards by which ...
Job Summary BDO’s Core Purpose is Helping People Thrive Every Day. Our Core Values reflect how we manage our work, our relationships and ourselves. As an employee of the firm, you will live true to our Core Values of people first, being exceptional every day in every way, embracing change, feeling empowered through knowledge and choosing accountability. Our Core Values are the standards by which ...
About Barclays Barclays is an international financial services provider engaged in personal banking, credit cards, corporate and investment banking and wealth management with an extensive presence in Europe, the Americas, Africa and Asia. Barclays’ purpose is to help people achieve their ambitions – in the right way. With over 300 years of history and expertise in banking, Barclays operates in o...
Fraud Investigations Operations VP - 90067875 Primary Location :US-Ohio-Hamilton Job Type:Permanent/Regular Posting Range :5 Feb 2016 - Ongoing Description Essential/Basic Qualifications Preferred Qualifications _cn_ BARCLAYS _rfc_ 2184618...
The Medicaid Fraud Investigator is responsible for investigating allegations, complaints, and/or incidents, collecting evidence and statements, compiling information and evidence, and preparing the investigative report and case file pertaining to provider fraud and abuse. This position is governed by state and federal laws, and agency/institution policy. Typical Functions Assists in planning and...
Designated a 2016 Military Friendly® Employer NCI: As the Fraud Investigator - Medicare ( Program Integrity Analyst ) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develops investigations that involve monetary losses, sensitive issues, meet criteria for referral to law enforcement, or the imposition of administrative actions. In assuming this position, ...
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining ...
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining ...
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining ...
Description of Work *Salary Grade:70 * Recruitment Range: $39,632 - $57,437* ***THIS POSTING IS FOR THREE POSITIONSIN DIFFERENT LOCATIONS:SALISBURY (60078227), LUMBERTON (60078431), & DURHAM (600784330).APPLICANTS NEED TO SELECT WHICH LOCATION THEY ARE APPLYING FOR IN THE SUPPLEMENTAL QUESTIONS SECTION OF THE APPLICATION.*** This position requires a thorough knowledge of Employment Security Law...
Description Job Summary Responsible for complex duties and decisions relating to fraudulent applications, transactions, and customer fraud claims. Develops solutions to problems in situations that are atypical and/or moderately complex based on experience and existing precedents or procedures. Requires decision-making and resolution of issues not clearly defined by policies and procedures. May t...
Description Responsible for highly complex duties and independent decisions, including identification, investigation, and resolution of high risk or sensitive fraud cases, root cause analysis of fraud losses, and quality assessment, monitoring and reporting. Routinely requires decision making not defined by established policies and procedures. Evaluate sufficiency of fraud controls and recommend ...
Description Responsible for functions related to the identification, prevention, and resolution of fraudulent activity including review of new accounts, unusual customer transactions, check and deposit fraud, card fraud, signature verification, loan applications and online fraud. Identify, research and analyze possible fraudulent activity on customer accounts and process customer fraud claims. R...
Account Takeover - Fraud Investigator-W421806 Description Responsible for functions related to the identification, prevention, and resolution of fraudulent activity including review of new accounts, unusual customer transactions, check and deposit fraud, card fraud, signature verification, loan applications and online fraud. Identify, research and analyze possible fraudulent activity on customer...
Description Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform...
We are currently seeking a dedicated, motivated, and detail oriented individual for our Investigations team. Responsibilities include: Monitors merchant/cardholder account activity to identify fraudulent transactions and violations. Secures merchant and cardholder accounts to prevent losses. Contacts cardholders to validate that charges are authorized. Works with merchants to resolve customer ...
Position/Program Information EXAM NUMBER: 49152P TYPE OF RECRUITMENT: Departmental Promotional Opportunity DEFINITION: Investigates allegations of welfare fraud. CLASSIFICATION STANDARDS: Positions allocable to this class report to a Supervising Welfare Fraud Investigator and are responsible for conducting intensive investigations surrounding allegations of welfare fraud, including collecting a...
The Fraud Investigator is primarily responsiblefor the investigation of payment fraud across multiple channels, the development of suspects and the preparation of cases. The primary goal is to prevent losses and recover funds. Essential duties and responsibilities include the following. Other duties and special projects may be assigned. Investigates confirmed fraud cases related to Debit & Credi...