UNKNOWN

FEED

Working Conditions: Conditions involve lifting no more than ten pounds, sitting most of the time, but may involve walking, moving, or standing for brief periods, and occasionally lifting and carrying articles like files, ledgers, folders, etc. Resource Champions are available to connect you to comprehensive services including expert banking, wealth planning, ESOP, health & wellness programs, impactful community involvement & financial literacy education.

Woodforest National Bank

Fraud Investigator I

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Abilities- Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments; testify in court proceedings; establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others; work independently; analyze data, recognize gaps and collect information; draw legal and supportable conclusions; prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule. Receives, evaluates and tracks allegations of suspected fraud; Conducts an inquiry and investigation into the allegation in an effort to determine intent or no intent on the part of the client in all program areas; Determines an Administrative Disqualification or refers to the Commonwealth's Attorney Office; Calculates overpayments when the overpayment is discovered through a fraud investigation; Prepares reports; Reviews all new policy and procedures; and.

HOUR

Commonwealth of Virginia

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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In this role, you'll lead investigations into suspected fraud, analyze transaction activity and digital banking data, and coordinate with internal teams, financial institutions, and law enforcement when necessary. Overview: Financial fraud investigations require experienced professionals who can connect the dots, analyze complex activity, and work with partners across the financial system to resolve cases.

German American Bancorp, Inc.

Fraud Investigator

Their IT and PLM consulting offerings include; Advisory, PLM Software/Services, Program Management, Solution Architecture Training/Staffing, Cloud Solutions, Servers/Networking, Infrastructure, ERP Practices and QA Services. They understand business as much as technology, and help their customers improve their profitability and efficiency by providing high value technology consulting, staffing, and project management outsourcing services.

PROLIM Global Corporation

Fraud Investigator (L1)

Investigators are expected to research and understand the relevant offenses being investigated; conduct efficient and effective investigations concerning those alleged offenses and detect or verify suspected violations; obtain information and evidence by observation, record examination, and interview. What you''ll do: The position is expected to perform high level complex investigations of medical professional service providers and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions.

YEAR

Peraton Inc

Fraud Investigator Medicare

Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission"). As an employee of MTA NYC Transit, you may be required to complete an annual financial disclosure statement with the state of New York, if your position earns more than $101,379 (this is subject to change) per year or if the position is designated as a policy maker.

<p>Metro is unique among the nation’s transportation agencies. We serve as transportation planner and coordinator, designer, builder, and operator for the country’s largest, most populous county. More than 10 million people – nearly one-fourth of California’s residents – live, work and play within our 1,433-square-mile service area.</p>

Metropolitan Transportation Authority

Claims Fraud Investigator

Communicate regular updates during team and organization-wide business reviews, summarize the outcomes of complex investigations for executives, and deliver clear case determinations to users and partner financial institutions. Lead root-cause analyses to identify gaps in current systems, policies, and strategies, and determine enhancements and process improvements to address emerging fraud risks in collaboration with key stakeholders.

Stripe Inc

Payments Fraud Investigator

Investigate and manage external fraud investigations, such as check fraud, new account fraud, elder exploitation, wire fraud, online take over and other, ensuring cases are handled timely, and documented accurately with a concise case summary, following existing procedures. This position is responsible for conducting comprehensive external fraud investigations on check fraud, wire fraud, account take over, identity theft, new account fraud, elderly exploitation, and other types of fraud, to detect and prevent fraud losses to the bank and the customer.

Burke & Herbert Bank

Regional Fraud Investigator

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

For the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.

Senior Civil Health Care Fraud Investigator

As a FEA External Fraud Investigator, you will conduct enterprise-wide investigations identifying unusual activity and preparing Suspicious Activity Reports (SARs) to be filed with Financial Crimes Enforcement Network (FinCEN) as well as writing and preparing cases that result in No SARs. Conducting comprehensive alert and case investigations which includes analyzing transaction information, reviewing customer data, researching open source and media checks, recommending alerts moving to case or no case, and a SAR or no SAR to be filed.

U.S. Bank

FEA External Fraud Investigator

FULL_TIME

Investigators are expected to research and understand the relevant offenses being investigated; conduct efficient and effective investigations concerning those alleged offenses and detect or verify suspected violations; obtain information and evidence by observation, record examination, and interview. The position is expected to perform high level complex investigations of medical professional service providers and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions.

Peraton drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted and highly differentiated national security solutions and technologies that keep people safe and secure. Peraton serves as a valued partner to essential government agencies across the intelligence, space, cyber, defense, civilian, health, and state and local markets. Every day, our employees do the can’t be done, solving the most daunting challenges facing our customers.

Peraton

Fraud Investigator - Medicare

[AW]-iCims

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 (Temporary)

This includes data mining for potential intakes, performing preliminary analysis on provider cases, and working on projects focused on preventing, detecting, and correcting fraud, waste, and abuse. In this position, you will assist the Director of Controls and Compliance and the Special Investigative Unit Manager in conducting investigations into suspected incidents of Fraud, Waste, and Abuse (FWA).

Texas Children's Hospital

Senior SIU (Claims Fraud) Investigator

Associate or bachelor's degree in criminal justice or related field, OR five years of insurance claims investigation experience, OR professional investigation experience with law enforcement agencies, OR seven years of professional investigation experience involving economic or insurance related matters. Verify receipts, complete activity checks, and other investigative processes with SIU resource materials such as cameras, computers, and recorders.

NYCM Insurance

Fraud Investigator (Hybrid)

Bachelors degree and no post-degree professional experience; OR educational level typically acquired through completion of high school and the equivalent of at least two years of full-time active-duty experience at or above the E-6 level in the uniformed services may be substituted for the education requirement; OR the educational level typically acquired through completion of high school and the equivalent of two years of experience in a criminal justice agency, corporate security setting, or the United States Armed Services providing investigative services as an investigator or sworn detective may be substituted for the education and experience requirements. Two years of experience as an investigator or detective in a law enforcement, US Armed Services, or private agency conducting criminal investigations or corporate investigations including fraud, embezzlement, and security threats may be substituted for the education and experience required at the entry level; three years of such experience may be substituted at the intermediate level; four years of such experience may be substituted at the experienced level, and five years of such experience may be substituted at the advanced level.

State of Michigan

Regulation Agent 9-P11 (Fraud Investigator) - MDHHS OIG (Position is based in & covers Northern MI)

2+ years of fraud investigation experience involving multiple fraud typologies, including Account Takeover (ATO), Identity Theft, scams, and related fraud schemes, with demonstrated proficiency using fraud detection platforms and analytical tools to identify, investigate, and mitigate fraudulent activity. 2+ years of experience conducting fraud investigations across a variety of banking products and services, including checking and savings accounts, credit cards, loans, and other consumer banking products, with the ability to identify, investigate, and resolve complex fraud-related concerns.

National Bank of Arizona

Fraud Investigator - Midvale, UT or Phoenix, AZ (In-Office)

The Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut. Pursuant to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the "Commission").

Fraud Investigator Jobs in the United States

Fraud Investigator I Woodforest National Bank

Fraud Investigator I Commonwealth of Virginia

Clinical Fraud Investigator II Elevance Health

Fraud Investigator German American Bancorp, Inc.

Fraud Investigator (L1) PROLIM Global Corporation

Fraud Investigator Medicare Peraton Inc

Claims Fraud Investigator Metropolitan Transportation Authority

Payments Fraud Investigator Stripe Inc

Regional Fraud Investigator Burke & Herbert Bank

Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICES

Senior Civil Health Care Fraud Investigator CONTACT GOVERNMENT SERVICES

FEA External Fraud Investigator U.S. Bank

Fraud Investigator - Medicare Peraton

Fraud Investigator (Temporary) Seacoast National Bank

Fraud Investigator Seacoast National Bank

Senior SIU (Claims Fraud) Investigator Texas Children's Hospital

Fraud Investigator (Hybrid) NYCM Insurance

Regulation Agent 9-P11 (Fraud Investigator) - MDHHS OIG (Position is based in & covers Northern MI) State of Michigan

Fraud Investigator - Midvale, UT or Phoenix, AZ (In-Office) National Bank of Arizona

Supervising Claims Fraud Investigator Metropolitan Transportation Authority

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