UNKNOWN

ADAPTED_NOW

Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required.

YEAR

Centene

SIU Investigator

One Red Cent - Direct

FULL_TIME

FEED

Education & Experience: Entry-Level: Demonstrated interest in the Private Investigation field (Degree in Criminal Justice, Paralegal experience, Adjuster experience, Military background, Journalism, or related field). Experienced Level: Prior experience conducting research, background investigations (criminal, civil, social media), recorded statements, scene investigations, and locates required.

Selective Investigations Inc.

Private Investigator / SIU Fraud Investigator

2+ years experience in fraud investigations including in-depth knowledge of various fraud activities such as Account Takeovers, Identity Theft, Money Mule, and Money Movement Fraud, among others; or, equivalent experience adjacent to fraud investigations. The team investigates fraud alerts, determining fraud or no fraud utilizing tools and investigative skills, and helping identify emerging fraud trends through data analysis.

HOUR

Robinhood Markets Inc

Fraud Investigator - Customer Protection

In addition to conducting investigations, the Senior Fraud Investigator helps strengthen the fraud program by identifying root causes, recommending control or process improvements, and partnering across the organization to improve fraud prevention and response. Ascensus is the leading independent technology and service platform powering savings plans across America, providing products and expertise that help nearly 16 million people save for a better today and tomorrow.

Ascensus LLC

Senior Fraud Investigator

Minimum Requirements: Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

Elevance Health

Clinical Fraud Investigator II

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Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.

CONTACT GOVERNMENT SERVICES

Healthcare Fraud Investigator

First American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. Provide a central resource for fraud-tool escalations, identity-review support, property-owner notification responses, technical issue triage, and urgent mitigation coordination across relevant business units and operating teams.

First American

Sr. Fraud Investigator

Remote position, and must be located in the Orlando, Florida area SCOPE: As a Insurance Fraud Investigator I(SIU) for UAIC, you will be responsible for conducting field as well as desk investigations to detect fraud on high complexity claims involving staged auto accidents, fraud rings, and questionable medical treatment. Assist in conducting comprehensive interviews: medical and other providers aforementioned, insureds/claimants in the presence of their attorneys where applicable, and witnesses to obtain statements and information admissible under accepted rules of evidence in civil and criminal court proceedings.

United Auto Insurance

Insurance Fraud Investigator SIU - Orlando Florida

Ensure flawless documentation to support fraud case findings, outcomes, and resolutions in accordance with department procedures and applicable regulatory requirements; Respond proportionately to matters escalated by junior staff (complaints, inquiries, etc.) and escalate complex or emerging fraud cases to senior staff as appropriate; Provide subject matter expertise to fraud-related inquiries from internal and external partners; Maintain familiarity with the Bank's products and services, customer base, operating environment, financial performance, business objectives, and strategic roadmap; Proactively identify, propose, and implement enhancements to department and Bank training, practices, and systems to promote fraud reduction in alignment with corporate strategic and business objectives; and. EDUCATION and/or EXPERIENCE: 3 to 5 years fraud department experience in a retail banking organization, ideally in a mid-size bank; Competency in Microsoft Excel, Word, and PowerPoint; Strong investigative skills, supported by well-developed analytics, writing, and decision-making abilities; Well organized with the ability to manage multiple tasks and priorities; and.

Seacoast National Bank

Fraud Investigator

Fraud Investigator (Temporary)

Robinhood

Certification in a relevant discipline (i.e., Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator-CFCI, Certified Anti-Money Laundering Specialist-CAMS) or willingness to obtain certifications, preferred. Forms initial determinations regarding additional actions to be taken and recommends possible SAR filings to Management and/or the AML Investigations team, in accordance with procedures.

Bank OZK

PART_TIME

Ensure flawless documentation to support fraud case findings, outcomes, and resolutions in accordance with department procedures and applicable regulatory requirements; Respond proportionately to matters escalated by junior staff (complaints, inquiries, etc.) and escalate complex or emerging fraud cases to senior staff as appropriate; Provide subject matter expertise to fraud-related inquiries from internal and external partners; Maintain familiarity with the Bank’s products and services, customer base, operating environment, financial performance, business objectives, and strategic roadmap; Proactively identify, propose, and implement enhancements to department and Bank training, practices, and systems to promote fraud reduction in alignment with corporate strategic and business objectives; and. 3 to 5 years fraud department experience in a retail banking organization, ideally in a mid-size bank; Competency in Microsoft Excel, Word, and PowerPoint; Strong investigative skills, supported by well-developed analytics, writing, and decision-making abilities; Well organized with the ability to manage multiple tasks and priorities; and.

Seacoast Bank

Meet the Account Safety Team: Rover's Account Safety Team is responsible for protecting Rover's reputation by investigating, mitigating and monitoring fraud trends while protecting our customer and business from fraudulent financial losses. We are proud to be recognized as a great place to work, having been named among the 100 Best Companies to Work For in Seattle Business Magazine and Washington's Best Workplaces in the Puget Sound Business Journal.

A Place for Rover, Inc.

Fraud Investigator II

The position collaborates extensively with FINRA partners, including Enforcement, Risk and Intelligence, Examinations, and other Regulatory Operations teams, as well as with external regulators, law enforcement agencies, and industry information-sharing organizations, including the SEC, CFTC, Federal Reserve Board, state securities regulators, FBI, and DHS, to stay abreast of evolving fraud and cyber threat trends, inform regulatory strategy, and advance FINRA''s mission of investor protection and market integrity. The role brings specialized expertise in cyber-enabled fraud typologies, including account takeovers, business email compromise, identity-based fraud, ransomware-related extortion, and other cyber threats impacting member firms and investors, applying deep knowledge of cybersecurity frameworks, digital forensics, cyber threat actor tactics, and fraud investigation methodologies to independently assess complex incidents.

Financial Industry Regulatory Authority Inc

Senior Principal Investigator, Cyber Fraud Unit

You’ll review customer accounts and transactions, investigate suspicious activity, and handle customer appeals and internal escalations. · Customer account reviews, transaction data, Excel or Google Sheets, and support tools; platform percentages were not provided.

Motion Recruitment

Fraud Investigator: I

Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.

Centene Corporation Group

Acting as a subject matter expert, this position provides guidance to other analysts, collaborates on strategic initiatives, and ensures that fraud prevention measures are balanced with a positive member experience. This role focuses on advanced detection and analysis of suspicious online activity, leveraging data-driven insights and industry-leading tools to identify vulnerabilities and mitigate risk.

Fraud Investigator Jobs in Florida

SIU Investigator Centene

Private Investigator / SIU Fraud Investigator Selective Investigations Inc.

Fraud Investigator - Customer Protection Robinhood Markets Inc

Senior Fraud Investigator Ascensus LLC

Clinical Fraud Investigator II Elevance Health

Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICES

Sr. Fraud Investigator First American

Insurance Fraud Investigator SIU - Orlando Florida United Auto Insurance

Fraud Investigator Seacoast National Bank

Fraud Investigator (Temporary) Seacoast National Bank

Fraud Investigator - Customer Protection Robinhood

Fraud Investigator Bank OZK

Fraud Investigator (Temporary) Seacoast Bank

Fraud Investigator II A Place for Rover, Inc.

Fraud Investigator Seacoast Bank

Senior Principal Investigator, Cyber Fraud Unit Financial Industry Regulatory Authority Inc

Fraud Investigator: I Motion Recruitment

SIU Investigator Centene Corporation Group

Senior Fraud Digital Threat Analyst Suncoast Schools Federal Credit Union

Senior Fraud Digital Threat Analyst Suncoast Credit Union

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