Fraud Investigator Jobs

1000+ jobs

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...

Description: Do you have experience investigating Healthcare Fraud, Waste & Abuse (FWA)? Want to work with an elite team of some of the brightest and most inventive people in the healthcare & technology industries? Optum is a health services business, part of the UnitedHealth Group family of companies, dedicated to making the health system work better for everyone. We serve people throughout the ...

Description: Looking to join an elite team and take a bite out of healthcare fraud? Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), ...

Description: Looking to join an elite team and take a bite out of healthcare fraud? Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), ...

Pronto General Agency, LTD, is a managing general agency based in South Texas and established in 2005. From its inception, Pronto has been committed to providing high value auto and homeowners insurance through competitive pricing, superior claims handling, and excellent customer service. Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise loc...

Private Investigator-Insurance Fraud 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...

Job description: We are looking for experienced and energetic Surveillance Investigators to join our growing team. The job will focus on conducting surveillance and claims investigations and writing detailed updates to document their findings. Experienced investigators needed for full-time positions. Entry level positions available, we will train. Job details and responsibilities: You will be r...

Overview: Senior Strategy Associate within the Enterprise Financial Crime Prevention (EFCP) Transformation Management Office (covering Anti-Money Laundering (AML), Sanctions, and Counter-Fraud). Partner with the team’s Managing Director and Director to advise the financial crimes organizations about key strategic issues concerning progression and restructuring, as well as how to improve profitabi...

Description The Oregon Department of Justice has an exciting opportunity available for a knowledgeable and practiced investigator in the field of health care fraud investigation and enforcement in Portland, Oregon. Health care fraud enforcement is a national priority. The Medicaid Fraud Unit deters, investigates and prosecutes fraud by Medicaid providers and physical or financial abuse/neglect o...

Private Investigator-Insurance Fraud 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...

Health Integrity is a wholly-owned subsidiary of Quality Health Strategies, Inc. dedicated to protecting the fiscal and clinical integrity of healthcare systems in Medicare, Medicaid, and the private sector. The company operates nationally as a federally-designated program integrity contractor for the Centers for Medicare & Medicaid Services (CMS). Health Integrity’s expert clinical and technical ...

This position will lead enterprise-wide cyber security fraud investigation and containment efforts in conjunction with data security, technology and risk staffs. Duties include frequent interaction with key Visa stakeholders, Visa clients, external forensic and technology companies, merchants, processors and government agencies. In addition, the Cyber Security Director will ensure that Visa data c...

BASIC FUNCTION The Special Investigator/Premium Fraud is responsible for the detection and investigation of premium fraud. ESSENTIAL RESPONSIBILITIES AND PRINCIPAL ACCOUNTABILITIES Denotes "essential functions" in accordance with the guidelines of the Americans with Disabilities Act. The essential functions of this position include, but are not necessarily limited to, those specifically identif...

The Fraud Investigator Coordinator is responsible for developing and coordinating a statewide fraud investigation program. This position is governed by state and federal laws and agency/institution policy. Typical Functions Establishes short and long-range goals, plans, and activities, develops or participates in the development of operating policies and procedures and staffing and program needs...

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...

Job Description Director, Cyber Security Fraud Investigations Resolution Location: United States-CA-Foster City Organization: Risk Job: Risk Management Description This position will lead enterprise-wide cyber security fraud investigation and containment efforts in conjunction with data security, technology and risk staffs. Duties include frequent interaction with key Visa stakeholders, Visa...

Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II ) for 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...

Sr. Fraud Investigator - Atlanta, GA-W415287 Description 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 ...

Retail Lending Fraud Investigator-W415227 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 s...

Bank Card Fraud Investigator-W415045 Description 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 polic...