Fraud Investigator Jobs

1000+ jobs

Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...

Do you believe in providing exceptional service? Do you love working with and meeting new people? Are you passionate about working in a team environment? Do you take ownership to deliver the best? If you answered yes to these questions, then Western Federal Credit Union is the place for you! Western Federal Credit Union is seeking a Fraud Investigator to research, analyze, and generate accurate ...

At Kohl’s, we’re always looking ahead to creating the next great thing. Since 1962, our people have been our biggest asset and every great thing we do is thanks to the great people we hire. Position Objective: Minimize fraud loss to Kohl's Department Stores by reviewing kohls.com challenged orders and accept incoming phone calls from customers reporting fraudulent activity on a Kohls Charge. Uti...

Position Description: The SIU Medicare Parts C and D Investigator functions as part of the SIU, which is the designated unit responsible for the detection, prevention, investigation, education, correction, and resolution of Medicare Parts C and D FWA. This position is responsible for triaging, investigating and resolving all instances of potential Medicare Parts C and D FWA, which may include, bu...

COMBINED INVESTIGATORS is a private investigative company specializing in insurance fraud claims. Enjoying over 27 years in business, CI provides service and coverage in the Southeast and Midwest to our satisfied clientele. We are currently expanding and seek diligent, results oriented and highly-motivated investigators who can consistently perform successful surveillance and obtain quality video...

We Work to Protect Investors. Join our Team. The Financial Industry Regulatory Authority (FINRA) is seeking a well-qualified individual for our Associate Investigator, OFDMI opening in New York, NY. To be considered for this position, please submit your resume through our career site at www.finra.org/careers – no phone calls, please.Job Summary: The Associate Investigator in the Central Review G...

******FRAUD INVESTIGATOR TRAINEE****** 38-year-old private investigations firm seeks candidates with 4-year college degree with strong English writing skills and exceptional verbal skills to learn fraud investigations. Our fraud investigators interview witnesses for work-related injuries and then prepare a detailed investigative report. 30% of your time is spent interviewing witnesses. 20% drivin...

Description Benefits Supplemental Questions DHS15-0268 The Department of Human Services (DHS) mission is the safety, health and independence for all Oregonians. We help Oregonians in their own communities achieve well-being and independence through opportunities that protect, empower, respect choice and preserve dignity. We protect children who are abused or neglected. We serve seniors and peop...

Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for review...

director fraud analytics amp; investigations, Global Investigations( Job Number: 150000352) Primary Location :US-WA-Seattle Starbucks Enterprise (non-retail)-Safety and Security Job Summary and Mission This position contributes to Starbucks success by formulating and implementing an enterprise-wide fraud management structure, aligned with business goals. Responsible for developing and manag...

Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewi...

Career Description Benefits Supplemental Questions Welfare Fraud Investigator (Public Assistance Investigator) - Limited Term THIS RECRUITMENT IS OPEN TO THE PUBLIC Beginning December 5, 2014 the Office of the District Attorney Human Resources Department will accept online applications and supplemental information for a minimum of five (5) business days. Applications will subsequently be accept...

Confidential Investigator L3 (Investigative Auditor) JOB DESCRIPTION The New York City Department of Investigation (“DOI”) is one of the oldest law enforcement agencies in the country with a mission of combating municipal corruption. It serves the people of New York City by acting as an independent and nonpartisan watchdog for New York City government, City agencies, and City employees, vendors ...

Description SafeGuard Services (SGS), a subsidiary of Hewlett-Packard Enterprise Services, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. Since 1999, SGS has prevented approximately %244 billion in inappropriate payments utilizing proactive claims processing system edits. SGS has additionally ide...

Description The mandate of the Investigative & Security Services group (I&SS) is to protect BMOFG people, assets and information and provide subject matter expertise and oversight as it relates to criminal risk. The Intake and Analysis team is the primary first point of contact for the effective oversight and triage of all incidents or events being reported to Investigative & Security Services b...

Designated a 2015 Military Friendly® Employer NCI: As the Junior Fraud Investigator ( Program Integrity Analyst ) supporting our Grove City, OH office, you will Perform evaluation and development of complaints to determine if referral as an investigation is warranted. Also perform other duties and functions as assigned by the PI Supervisor, Project Manager, and/or PI Manager. Highlights of Respo...

Fraud Investigation & Dispute Services Manager - Forensic Technology & Discovery Services (Chicago, Dallas or DC) - CHI004KV US-IL-Chicago EY is a global leader in assurance, tax, transaction and advisory services. The insights and quality services we deliver help build trust and confidence in the capital markets and in economies the world over. We develop outstanding leaders who team to deliver...

Designated a 2015 Military Friendly® Employer NCI: As the Junior Fraud Investigator ( Program Integrity Analyst ) supporting our West Allis, WI team, you will Perform evaluation and development of complaints to determine if referral as an investigation is warranted. Also perform other duties and functions as assigned by the PI Supervisor, Project Manager, and/or PI Manager. Highlights of Respons...

Position Objective: Minimize fraud loss to Kohl's Department Stores by reviewing kohls.com challenged orders and accept incoming phone calls from customers reporting fraudulent activity on a Kohls Charge. Utilize investigative skills in conjunction with system tools and resources to determine fraudulent activity. Ensure compliance to all banking regulations and internal policy and procedures. Pri...

The mandate of the Investigative & Security Services group (I&SS) is to protect BMOFG people, assets and information and provide subject matter expertise and oversight as it relates to criminal risk. The Intake and Analysis team is the primary first point of contact for the effective oversight and triage of all incidents or events being reported to Investigative & Security Services by BMOFG, law ...