UNKNOWN

FEED

Assists in daily monitoring of bank fraud detection systems and partner with other team members with respect to analyzing data and determining fraud trends and developing fraud schemes. Responds to and investigates all alerts or reports of external fraudulent activity to include but may not be limited to: ATM deposits, checks, loans, ACH, wire and branch transactions.

Simmons Bank

Fraud Investigator II

sourcestack_via_bold

Performs case research to include the review, interpretation, and application of payment policies, medical policies, provider manuals, benefits documents, national or local coverage determinations, and other applicable clinical practice parameters, regulations, or guidance pertaining to the submission of claims to health insurance plans. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

Mass General Brigham

SIU Fraud Investigator

Definition: Under direction, serves and leads the activities of personnel assigned to investigations related to suspected fraudulent receipt of aid and obtains and presents facts and evidence in support of administrative action or prosecution; delegates, monitors, and evaluates the investigations involving the gathering of evidence for apprehension and prosecution of persons suspected of violating the law and performs skilled investigations; and performs other related duties as required. 14 Observed Holidays: New Years Eve; New Years Day; Martin Luther King Jr's Birthday; Presidents Day; Cesar Chavez Day; Memorial Day; Juneteenth; Independence Day; Labor Day; Veteran's Day; Thanksgiving Day; Day After Thanksgiving; Christmas Eve, and Christmas Day.

YEAR

Housing Authority of the City of Los Angeles

Senior Fraud Investigator

linkup_via_bold

PlainsCapital Bank ranks sixth among the largest banks headquartered in Texas by deposits and has a statewide presence with approximately 55 locations in markets such as Austin, the Coastal Bend, Dallas, Fort Worth, Houston, Lubbock, the Rio Grande Valley, and San Antonio. PlainsCapital Bank conducts both commercial and consumer banking, providing a full suite of commercial banking products and services to fit any business model and convenient services, personal attention, and account features to help simplify managing personal finances.

Hilltop Holdings Inc

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.

Zions Bancorporation NA

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

Communicate regular updates during team and organization-wide business reviews, summarize 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 through collaboration with key stakeholders.

Stripe, Inc.

Payments Fraud Investigator

ea_via_bold

Communicate professionally with customers, financial institutions, and other Bank personnel to resolve problems or request additional information and/or documentation to support a decision on whether fraudulent activity has occurred. Fraud Investigator also works closely with Customer Success and Deposit Operations (re: Chargebacks, Disputes, and New Accounts), as well as Compliance officers and all other internal teams to mitigate risk.

Live Oak Bancshares Inc

Fraud Investigator

To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.

Blue Cross & Blue Shield of Rhode Island

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.

HOUR

Rover

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. 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.

Rover.com

What sets us apart is the Council Model —a proven framework that surrounds founders and leadership teams with a powerful combination of support: our CEO Council of seasoned operators, our Strategic Healthcare Investors who bring real-world insight and access, and our internal Value Creation Team , focused on enabling growth through talent, systems, and strategy. Our payment integrity platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of business, returning significant value to the clients we serve.

Council Capital

Healthcare Fraud Investigator

Incumbent provides guidance/consultation to associates on workplace safety and security incidents and procedures, asset protection, and loss mitigation strategies; performs data entry and analysis to identify and report fraud trends; delivers training; performs support duties for senior department personnel and special projects; and performs certain physical security and business continuity duties. Apply working knowledge of the Electronic Fund Transfer Act (Reg E), the Uniform Commercial Code (UCC), as well as Bank account disclosures and customer agreements as applicable in crediting decisions and identifying liability and appropriate defenses to fraud-related matters under the supervision of the Regional Investigations Manager.

First Bank Online

ADAPTED_NOW

This role involves handling cases related to electronic banking fraud (including Zelle), new account abuse, deposit fraud, check forgery, elder abuse, debit and credit card fraud, suspected money laundering, check kiting, identity theft, internal fraud, loan fraud, and other complex schemes. WA Applicants ONLY range:Spokane $32.65 to $48.97 an hourWenatchee $33.10 to $49.66 an hourDescription- Conduct routine investigations into suspected fraud including identity theft, account abuse, check fraud, elder abuse, debit/credit card fraud, loan fraud, electronic banking fraud (e.g., Zelle), internal fraud, loan fraud, and others.

Glacier Bank

Corporate Fraud Investigator

Fairview Health Services

In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Partners with their assigned Line of Business, other Risk/Compliance/Audit (RCA) professionals, and RCA Managers to, depending on their function, create, implement, maintain, review or oversee an effective risk management framework.

U.S. Bank

The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations. With the goal of employee health and wellness, we also offer: Flexible schedules and part-time/hybrid telework options; A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources; Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more.

State of Washington

AGO Investigator/Analyst Supervisor | Medicaid Fraud & Abuse Division | Spokane

The Dental Fraud, Waste, and Abuse (FWA) Investigator/Auditor is responsible for conducting retrospective and prospective reviews, investigations, and audits of dental providers to identify potential fraud, waste, abuse, overpayments, and non-compliant billing practices. This position analyzes provider claims and clinical documentation, conducts audits, develops investigative findings, supports recovery efforts, and collaborates with internal and external stakeholders to ensure compliance with applicable regulatory, contractual, and organizational requirements.

Hawaii Dental Service

Fraud, Waste, and Abuse (FWA) Auditor/Investigator

FB Financial Corp

Aptitude to develop investigative skills with beginning understanding of types of fraud that can occur in a banking environment, but not limited to deposit fraud, internal fraud, card fraud, ACH & wire fraud, kiting and money laundering. Tasks Performed: 40% - Researches and analyzes high risk transactions across all payment channels with a sense of urgency in a fast paced environment to identify possible cases of fraud.

NBT Bancorp Inc

Associate Fraud Investigator

Preferred certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Specialist (CFS), or Certified Fraud Examiner (CFE). Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse.

Cotiviti Holdings Inc. (Inactive)

Investigator Lead Validation (Fraud, Waste & Abuse)

The Fraud Investigator plays a critical role in protecting the financial assets, operational integrity, and reputation of Nymbus clients by leading advanced investigations into complex and high-impact fraud cases across multiple payment channels and products. We expect team members to engage in our global community, proactively build relationships, participate actively in team and company conversations, seek opportunities to collaborate, and take shared ownership of creating a connected and inclusive remote community including showing up on camera.

Fraud Investigator Jobs in the United States

Fraud Investigator II Simmons Bank

SIU Fraud Investigator Mass General Brigham

Senior Fraud Investigator Housing Authority of the City of Los Angeles

Fraud Investigator II Hilltop Holdings Inc

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

Payments Fraud Investigator Stripe, Inc.

Fraud Investigator Live Oak Bancshares Inc

Fraud Investigator Blue Cross & Blue Shield of Rhode Island

Fraud Investigator II Rover

Fraud Investigator II Rover.com

Healthcare Fraud Investigator Council Capital

Fraud Investigator First Bank Online

Corporate Fraud Investigator Glacier Bank

Fraud Investigator U.S. Bank

AGO Investigator/Analyst Supervisor | Medicaid Fraud & Abuse Division | Spokane State of Washington

Fraud, Waste, and Abuse (FWA) Auditor/Investigator Hawaii Dental Service

Fraud Investigator FB Financial Corp

Associate Fraud Investigator NBT Bancorp Inc

Investigator Lead Validation (Fraud, Waste & Abuse) Cotiviti Holdings Inc. (Inactive)

Fraud Investigator Nymbus, Inc.

Similar Job Searches

See More Jobs

Stand out to leading employers.