Fraud Investigator Jobs

Senior Rackets investigators

DISTRICT ATTORNEY KINGS COUNTY

$79772 - $106406

Brooklyn, NY

The prospective candidate will assist prosecuting attorneys with the investigation of cases involving burglaries, civil rights violations, crimes against children, cybercrime, domestic violence, financial crimes, fraud, homicides, major narcotics offenses, organized gang activities and traditional organized crime activity, robberies and sex crimes. The ideal candidate must have a valid certificate of completion from a New York State Basic Course for Police Officers academy, or must be eligible to attend and complete a Police Officer Refresher course.

Fraud Investigator

Sound Credit Union

$27.31 - $40.96

Tacoma, WA

What You'll Do: Responsibilities: Conducting thorough investigations, interviewing victims, witnesses, and suspects, and collaborating with internal and external parties to resolve fraud and BSA concerns. We live by our Guiding Principles of Make a Connection, Be a Champion, and Doing the Right Thing for our members, employees, and community.

Healthcare Fraud Investigator II - Medicaid/MCO

Orchard Talent Management

Seattle, WA

Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.

Healthcare Fraud Investigator I - Medicaid

Orchard Talent Management

Seattle, WA

Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.

Internal Investigator 2 (Criminal)

NYS Justice Center for the Protection of People with Special Needs

$86773 - $108413

Poughkeepsie, NY

Law enforcement investigative experience must include independent investigative experience interviewing and interrogating witnesses and suspects in criminal investigations; collecting and analyzing data and evidence; writing, summarizing, and documenting case narratives, reports and interviews; and offering testimony at criminal proceedings, grand jury suppression hearings, and criminal trials specific to the roles and responsibilities of a criminal investigator in a police department or sheriff’s office. Non-qualifying experience includes: Routine police patrol work, traffic enforcement, building surveillance, tax collection, collection of delinquent accounts, skip tracing, credit checking, auditing, employment interviewing, hotel or store detective, correction officer, guard, inspector or security related positions, or any other position which does not involve the level of law enforcement investigative experience described above.

SIU Case Manager

USAA

$85040 - $162550

Phoenix, AZ

Reviews investigative findings of claims identified as having confirmed elements of fraud, concealment, misrepresentation, or intentional act by evaluating the evidence to determine transfer or appropriation of claims disposition. As a dedicated SIU case manager, within defined guidelines and framework you will evaluate and conclude claims identified by SIU Investigators as having elements of fraud or an intentional act.

Corporate Investigator

Spectraforce Technologies Inc.

Everett, WA

Basic Qualifications (Required Skills/Experience): * 3+ years of experience conducting complex investigations and managing the investigative process to include conducting interviews, collecting data and facts, preparing concise and accurate reports, and analyzing data to identify trends and/or discrepancies. * Prepares an investigative plan to issue spot, determine investigative scope, as well as to identify and employ additional resources (e.g., budget requirement, special equipment, computing forensics).

Fraud Analyst

WASHINGTON TRUST BANK

Spokane, WA

This position may function in more than one of the following areas: decision-making automated monitoring alerts, escalating appropriate alerts for investigation, documenting the outcome of the investigation; preparing and filing required regulatory reports (CTR and SAR) to FinCEN; identifying, responding to, and investigating incidents of fraud or unauthorized activity such as card fraud, check fraud, ACH fraud, wire fraud and identity theft; and completing Enhanced Due Diligence reviews. Investigates and documents unusual customer activity or transaction patterns, identified by line personnel, utilizing the Bank's various software applications and reports to determine if activity is suspicious in nature.

Investigator External Audit Special Investigations Unit *Remote*

Providence St. Joseph Health

Renton, WA

This includes the identification, investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding, medical record documentation requirements, healthcare compliance and fraud, waste and abuse to Health Plan staff, vendors and contracted providers/facilities. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Investigator External Audit Special Investigations Unit - Remote

Providence St. Joseph Health

Renton, WA

This includes the identification, investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding, medical record documentation requirements, healthcare compliance and fraud, waste and abuse to Health Plan staff, vendors and contracted providers/facilities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Healthcare Fraud Investigator

Cameo Consulting Group, LLC

$90000

Nashville, TN

Job Summary Cameo Consulting Group, LLC is seeking an experienced Healthcare Fraud Investigator to provide investigative support for civil healthcare fraud prosecutions on behalf of the U.S. Department of Justice. The investigator will work closely with Assistant U.S. Attorneys (AUSAs) to review, analyze, and develop healthcare fraud cases in compliance with federal Medicare and Medicaid regulations.

Fraud Investigator Specialist

City National Bank

$65296 - $104304

Phoenix, AZ

Responsible for performing and documenting through root cause analysis on clients' transactions identified through fraud operations and strategy to identify rings, scams, fraudulent activities that impact CNB's clients, and corporate losses. * Utilize a variety of internal bank systems and external research tools to investigate, research, and prepare documentation related to fraud investigations consistent with the resolution of the investigation and perform root cause analysis to identify solutions to reduce future fraud risk.

Fraud Investigator I FP

Woodforest National Bank

The Woodlands, TX

Performs the following functions within the department: reviews and research checks processed for endorsements, kiting, forgeries, and counterfeit; reviews and research electronic transactions and activity to confirm fraud for customers; places holds on suspicious and fraudulent checks; blocks members’ accounts and access based on risk and exposure. The Fraud Investigator I, (FP) is responsible for typical production (ATM, Mobile Deposit, Verafin Alerts, P2P Alerts, BillPay, Fraud Queues, and Western Union) and resolution of unique fraud cases requiring more in-depth research and investigation.

Fraud Investigator

Rio Grande County HR

$22.24 - $23.12

Del Norte, CO

Using tact, discretion, initiative and independent judgment within established guidelines - Organizing work, setting priorities, meeting critical deadlines and following up on assignments with a minimum of direction - Applying logical thinking to solve problems or accomplish tasks to understand, interpret and communicate complicated policies, procedures and protocols - Ability to respond to each client with empathy and respect - Ability to establish and maintain effective working relationships with a variety of individuals - Ability to define problems, collect data, establish facts and draw valid conclusions WAGE: $22.24 - $23.12/Hr. - Preferred two (2) years of full-time Self Sufficiency or Public Assistance Technician duties involving the use of Colorado Benefits Maintenance System (CBMS) experience, and two (2) years of full-time investigative or administrative experience in an environment delivering services involving case law, legal action/court proceedings, and or legal research investigation is required for employment.

Fraud Investigator Specialist I

City National Bank

$28.34 - $30.38

Newark, DE

The Fraud Investigator Specialist will be responsible for performing and documenting through root cause analysis on clients' transactions identified through fraud operations and strategy to identify rings, scams, fraudulent activities that impact clients, and corporate losses. * Utilize a variety of internal bank systems and external research tools to investigate, research, and prepare documentation related to fraud investigations consistent with the resolution of the investigation and perform root cause analysis to identify solutions to reduce future fraud risk.

Senior Financial Investigator

Professional Risk Management, Inc.

Seattle, WA

Examples of research and analysis activities include: analyzing and documenting the ownership interests of targeted properties; analyzing financial records to trace the proceeds of criminal violations to their current form; creating a data base from financial records to document the source of targeted property; preparing seizure warrants, civil complaints, and forfeiture counts; preparing exhibits on the source and ownership of targeted property; documenting and cataloguing evidence on the source and ownership of targeted property; and identifying, analyzing, and documenting potential substitute assets. For the SFI, a minimum of ten years (five years for the FI) of law enforcement experience planning, conducting, and participating in complex financial investigations with a minimum of five years in a specialized area of expertise such as Forfeiture, Organized Crime, White Collar Crime, Fraud, Drug, Money Laundering, or similar area of criminal activity is required.

Fraud and Criminal Investigator

SCI Shared Resources, LLC

Houston, TX

Minimum** **Requirements** **Education** + High School Diploma + Bachelor’s degree in Criminal Science, criminal justice or related discipline a plus **Certifications & Licenses** + Honorably retired or former licensed peace officer + Current LEOSA certification able to conceal/carry firearm **Experience** + At least ten (10) years’ criminal investigation or detective experience filing of major felony criminal cases + At least three (3) years’ corporate fraud and criminal investigations collaborating with local, state, and federal law enforcement + Verifiable relationships with multiple local and state as well as federal law enforcement agencies **Knowledge, Skills and Abilities** + Ability to effect forcible arrests of violators; ability to communicate with witnesses and complainants in an effective manner. + Ability to create clear reports and data visualizations to assist in decision-making and problem analysis + Conversant in law enforcement discipline and procedures + Must have a positive attitude, a drive to continually advance your understanding of the industry and business, and highly self-motivated + Ability to build professional and trusting business relations with management + Professional written and verbal communication skills + Proficient MS Office Suite skills + Local or long distance travel may be required for training or other business purposes occasionally Postal Code: 77019 Category (Portal Searching): Logistics Job Location: US-TX - Houston Job Profile ID: C01015 Time Type: Full time Location Name: SCI Corporate Office

Fraud Investigator, Risk Operations

East West Bank

El Monte, California

Our teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and create new opportunities, and our sustained growth and expertise in industries like real estate, entertainment and media, private equity and venture capital, and high-tech help build sustainable businesses and expand our associates’ potential for career advancement. Manage caseloads and investigative assignments effectively by organizing workload, using strong time management to ensure timely, prioritized case handling based on risk, impact, and volume expectations.

Fraud Investigator

Community Financial System, Inc.

Syracuse, New York

Skills: Proficient reading, writing, grammar and mathematical skills; PC skills; utilization of AML software; research and problem solving abilities; interpersonal relations and communicative skills; ability to work independently while supporting a team environment; high level of integrity and confidentiality; valid driver’s license; and knowledge of regulations and procedures affecting the bank’s security program a plus. Major responsibilities include conducting complex internal and external investigations, assisting with security and fraud related issues, performing security training, responding to branch security related questions and ensuring the safety of branch employees and customers.

Senior Fraud Investigator

GOAT Group

$66000 - $96500

Los Angeles, CA

GOAT Group uses geographic pay tiers based on the employee's home state to align compensation with market differences across the U.S. Hiring Range: Tier 1 (Includes states such as California, New York (including New York City), Washington, Illinois and other higher-cost markets). Through its unique positioning between the primary and resale markets, the company offers styles across various time periods on its digital platforms and in its retail locations, while delivering products to over 60 million members across 170 countries.

Fraud Investigator

Judge Group

$30 - $36

Sacramento, CA

By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. This role helps protect the Credit Union from losses by reviewing suspicious activity, conducting case investigations, and ensuring all findings and actions are fully documented.

Fraud Investigator

Bank OZK

Clearwater, Florida

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. Job Purpose & Scope: Responsible for performing fraud incident investigations and case management, including collaboration with internal and external stakeholders, to mitigate and recover loss to the Bank.

Senior Fraud Investigator

Bank OZK

Clearwater, Florida

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. Job Purpose & Scope: Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external stakeholders to mitigate and recover loss to the Bank.

Card Fraud Investigator

Michigan First Credit Union

Lathrup Village, Michigan

Accountable for Debit/ATM card controls including but not limited to replacement of lost and stolen cards, restricting card usage, revoking card or other services, issuing additional cards, and processing claims related to inappropriate card usage by members. Work card fraud cases through the lifecycle of the case to maximize outcome for the Credit Union and cardholder, including and not limited to positive and professional communication with other team members, cardholders, law enforcement agencies, industry professionals, and merchants.

Senior Health Care Fraud Investigator Part-Time

The Gilchrist Law Firm PA

Birmingham, AL

Produces a variety of written documents utilizing varied and advanced word processing software functions, working from handwritten draft, edited copy, or electronic files created by another staff member. This includes understanding the local rules in order to know the procedures when to file pleadings conventionally, via Case Management/Electronic Case Files (CM/ECF) and/or when to file ex parte pleadings on sealed cases.

Fraud Investigator

Communication Federal Credit Union

Oklahoma City, OK

Communication Federal Credit Union has proudly served our members for over 80 years, and during this time we have been grateful for honors like Forbes' #1 Credit Union in Oklahoma, and recently voted one of our state's "Great Companies to Work For". - Investigate reports of suspected fraud, including but not limited to: romance scams, wire fraud, elder exploitation, unauthorized transactions, identity theft, check fraud, and internal misconduct.

Operations Officer - Fraud Investigator

Tri City National Bank

West Allis, undefined

Tri City National Bank is not just a bank; it's your community banking partner, deeply committed to prioritizing customers, building strong relationships, and fostering a sense of belonging. We believe in unparalleled customer service and the right banking solutions to help fulfill financial dreams and contribute to community growth.

Investigator III

Premera Blue Cross

$80200 - $118300

Mountlake Terrace, WA

National Plus Salary Range:** $80,200.00 - $118,300.00 _*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska_ _._ We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. + Develop andmaintaincollaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, lawenforcementand regulatory agencies.

Corporate Investigator (Workplace Compliance & Integrity Investigations)

Artech LLC

$70 - $75

Everett, WA

Required Skills & Qualifications5 years of experience in conducting complex investigations and managing the investigative process, including interviews, data collection, and report preparation. Join our dynamic team as a Senior Corporate Investigator, where you will play a crucial role in maintaining the integrity and compliance of our workplace.

Supervisory Criminal Investigator (ASAC)

Office of the Inspector General for Tax Administration

$127829 - $187093

Washington, DC

If you are a displaced or surplus Federal employee (eligible for the Career Transition Assistance Plan (CTAP)/Interagency Career Transition Assistance Plan (ICTAP)) you must meet the following "well qualified" definition listed below to receive special selection priority: To be found well qualified at the GS-14 position, the candidate must have demonstrated their capacity to direct and manage an investigative program. Your application and structured interview results will be evaluated against the following job-related competencies: Technical Competence Planning and Evaluating Decision Making Integrity/Honesty Referral: If you are among the top qualified candidates, your application may be referred to a selecting official for consideration.

SIU Investigator II Provider Claims (FWA) 26-00016

Alura Workforce Solutions

$80059.2 - $106059.2

Rancho Cucamonga, CA

Proven ability to work independently and collaboratively, apply sound judgment with minimal guidance, and interpret complex Medicaid, Medicare, and ACA/Exchange requirements. Healthcare: Medical plan options through Blue Shield (HMO, PPO, and HDHP) with low monthly premiums and Premium Delta Dental & EyeMed.

Special Investigations Unit Investigator II

Alura Workforce Solutions

Rancho Cucamonga, CA

Proven ability to work independently and collaboratively, apply sound judgment with minimal guidance, and interpret complex Medicaid, Medicare, and ACA/Exchange requirements. Preferred experience and credentialsExperience in health care fraud investigation, detection, and/or a related specialty area such as Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, Claims, or Claims Processing.

SIU Investigator II – Provider Claims (FWA) 26-00016

Alura Workforce Solutions

Rancho Cucamonga, CA

Proven ability to work independently and collaboratively, apply sound judgment with minimal guidance, and interpret complex Medicaid, Medicare, and ACA/Exchange requirements. Healthcare: Medical plan options through Blue Shield (HMO, PPO, and HDHP) with low monthly premiums and Premium Delta Dental & EyeMed.

Investigator 2, Security

Comcast Corporation

Indianapolis, IN

This includes This position is responsible for supporting the corporate security function in protecting both company assets and employee safety, conducting investigations and identifying risks to Comcast’s brand, assets and business processes across multiple business channels that could include theft, forgery, fraud, workplace violence incidents, retail business sales misconduct, other personal misconduct, and policy violations, as well as criminal violations. This includes but is not limited to; conducting and directing interviews of direct and indirect witnesses, offenders and victims, searching records, documents, other media, surveillance, and preparing investigative findings in a comprehensive, coherent and proficient written report that meet legal and regulatory requirements for presentations to business leaders to aid in business decisions and to law enforcement, when warranted.

Minneapolis , MN SIU Investigator