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The Program Compliance & Fraud Specialist is responsible for ensuring adherence to U.S. Department of Housing and Urban Development (HUD) regulations and identifying potential fraud, waste, or abuse within affordable housing programs. This role investigates allegations of noncompliance, conducts detailed file reviews and audits, and recommends corrective actions to safeguard program integrity while supporting regulatory compliance.

Quadel Consulting

Program Compliance (Fraud) Specialist

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JOB SUMMARY The Program Compliance & Fraud Specialist is responsible for ensuring adherence to U.S. Department of Housing and Urban Development (HUD) regulations and identifying potential fraud, waste, or abuse within affordable housing programs. This role investigates allegations of noncompliance, conducts detailed file reviews and audits, and recommends corrective actions to safeguard program integrity while supporting regulatory compliance.

Quadel Consulting & Training

A Fraud Prevention Specialist is responsible for identifying, investigating, and preventing fraudulent activities that may impact an organizations financial assets, customers, and reputation. The specialist works closely with risk management, compliance, operations, and customer service teams to minimize fraud losses and ensure regulatory compliance.

Empact Midwest

Fraud Prevention Specialist

sourcestack_via_bold

We're looking for a Fraud Strategist to own that build: turn our vendor's area-of- responsibility split into a real decisioning architecture, keep us under network fraud and dispute thresholds from day one, and design the authorization strategy using the full toolkit — step-up authentication, velocity controls, holds, product-level friction — not rules as the default answer. Working knowledge of card network mechanics: authorization/clearing/settlement flow, 3DS/SCA, network fraud-monitoring programs (Visa VAMP or equivalent, Mastercard excessive chargeback programs), and dispute reason codes.

Felix Technologies

Fraud Strategy Specialist - Card Issuance

Unit Economics & Metric Ownership: Drive and hold direct accountability for core fraud metrics (e.g., net fraud rate, false positive ratios, challenge rates, chargeback-to-sales ratios) across the entire lending vertical without hindering conversion. Decision Engine Architecture: Own rule design and logic orchestration within modern decision engines (e.g., Taktile, Provenir, Alloy) and partner with Data Science to deploy, monitor, and calibrate Machine Learning risk models in production.

Fraud Lead - Consumer Lending

We are seeking a CC Fraud & Controls Program Manager to lead how Customer Care responds to customer fraud and account risk across frontline Voice and Chat agents, specialist teams and selfservice experiences. Working with Care Operations, CC Specialty, Fraud Product, Fraud Engineering, Returns Abuse and Care Policy, this person will translate risk patterns and operational feedback into consistent policies, better tools and scalable processes.

Amazon changed how we shop for books. Netflix transformed the way we consume movies. At online pet specialty retailer Chewy, we’re disrupting the pet products industry by offering our customers the easiest way to get the premium products they want, backed by unparalleled service. We strive to win at everything we do, whether that means bending over backwards to gain our customers’ trust and loyalty or creating a creative and stimulating work environment for our employees. We aim to wow our customers—and our employees. Trust us. You’ll notice the difference from the moment you become a candidate with us.

At Chewy, we believe in ownership and accountability and value creativity. We are makers and doers who thrive on the desire to drive results. We approach our mission to provide the best service and pet products anywhere with a dogged determination and a disposition that’s as sunny as the South Florida oceanfront we call home. Sure, we work hard, but we have fun, too. Of course, that’s not hard to do when you get to bring your favorite four-legged friend to the office.

Chewy

CC Fraud & Controls Program Manager

We are seeking a Fraud & Controls Senior Program Manager to lead how Customer Care responds to customer fraud and account risk across frontline Voice and Chat agents, specialist teams and selfservice experiences. Working with Care Operations, CC Specialty, Fraud Product, Fraud Engineering, Returns Abuse and Care Policy, this person will translate risk patterns and operational feedback into consistent policies, better tools and scalable processes.

Fraud & Controls Senior Program Manager

Working closely with executive leadership and cross-functional teams, including Compliance, Finance, Operations, Customer Support, Product, and Technology, the Senior Fraud Manager will enhance transaction monitoring, oversee complex investigations, strengthen payment controls, and leverage data and technology to improve fraud prevention. Establish and monitor key performance indicators, including fraud losses, detection rates, false positives, investigation volumes, recovery rates, case resolution times, investigation quality, appropriate escalations, analyst proficiency, and backlog health.

PayCargo LLC

Senior Fraud Manager

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FULL_TIME

YEAR

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. Conduct in-depth research and review of suspected fraudulent or abusive patterns to develop sufficient evidence to conclusively establish facts involving insureds, claimants, medical and auto body shop providers, or other entities.

United Auto Insurance

Auto Insurance Fraud Investigator - South Florida

partner JazzHR

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

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)

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Fraud Investigator

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.

Peraton Inc

Fraud Investigator Medicare

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

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

Experienced Level: Prior experience conducting research, background investigations (criminal, civil, social media), recorded statements, scene investigations, and locates required. 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).

HOUR

Selective Investigations

Private Investigator / SIU Fraud Investigator

Overall Required Equipment: cleaning supplies and equipment, general office equipment, register, pricing gun, scales, scanner, various material handling equipment, such as racks, carts, pallet jacks, shopping carts Preferred Equipment: baler/compactor, box cutter Personal Protective Equipment: Goggles, Gloves, Back Brace Pulling Requirement: 250 lbs. Retail - General Heavy: Physical Demands: While performing the essential functions of this position, the employee is regularly required to stand or walk on various types of flooring, utilize manual dexterity, talk, see, hear, smell and perform repetitive movements with both hands and/or both feet.

Fresco y Mas

Receiving Specialist FT

[AW]-iCims

Pricing Specialist FT

The Specialist makes eye contact, smiles, and greets all Customers in a prominent, courteous and friendly manner deterring opportunity for theft by demonstrating "command" presence in a Company issued vest/required black attire, and monitoring the Code 50 package inspection policy. Provides visible "command" presence, including prominent greetings with eye contact, at Store entrances/exits and on sales floor in a Company issued vest/required black attire, monitoring for potential safety issues.

Ross Stores Inc

Store Protection Specialist

As a Target Security Specialist, no two days are ever the same, but a typical day will most likely include the following responsibilities: Create an Easy, Inspiring and Friendly guest experience by delivering on the following commitments: Greet: 10ft: be friendly - smile, make eye contact, or wave. Please paste this url into your preferred browser to learn about benefits eligibility for this role: https://tgt.biz/BenefitsForYou_A | Pegue esta URL en su navegador preferido para obtener información sobre la elegibilidad de este puesto para recibir beneficios: https://tgt.biz/BenefitsForYou_A .

<ul> <li>The talent, commitment and diversity of our 375,000 team members worldwide contribute to our success.</li>
 <li>At Target, we provide the benefits, tools, resources and support that can help our team members reach their individual well-being goals.</li>
 <li>Every time we open our doors, we continue a commitment that’s been growing since the start: A brighter future for our team members, our communities and the world we live in. Target gives 5% of our profit to the community. That's over $4 million every week.</li>
 </ul>
 Find out how at <a target="_blank" href="http://Target.com/careers">Target.com/careers</a>

Fraud Specialist Jobs in Miami, FL

Program Compliance (Fraud) Specialist Quadel Consulting

Program Compliance (Fraud) Specialist Quadel Consulting & Training

Fraud Prevention Specialist Empact Midwest

Fraud Strategy Specialist - Card Issuance Felix Technologies

Fraud Lead - Consumer Lending Felix Technologies

CC Fraud & Controls Program Manager Chewy

Fraud & Controls Senior Program Manager Chewy

Senior Fraud Manager PayCargo LLC

Auto Insurance Fraud Investigator - South Florida United Auto Insurance

Clinical Fraud Investigator II Elevance Health

Fraud Investigator (Temporary) Seacoast National Bank

Fraud Investigator Seacoast National Bank

Fraud Investigator Medicare Peraton Inc

Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICES

Senior Fraud Investigator Ascensus LLC

Private Investigator / SIU Fraud Investigator Selective Investigations

Receiving Specialist FT Fresco y Mas

Pricing Specialist FT Fresco y Mas

Store Protection Specialist Ross Stores Inc

Target Security Specialist Target Corp

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