Fraud investigator • usa
The Investigator will be responsible for triaging, investigating and resolving instances of healthcare waste and billing errors conducted by the medical profession, insured members or the broker co... Show more
Position incumbent provides vital security support and guidance to personnel.General responsibilities include the investigation of crimes perpetrated against the Bank and appropriate case documenta... Show more
Pacific; Friday and Saturday off.Join a Fraud & Identity team in a remote contract role.You’ll review customer accounts and transactions, investigate suspicious activity, and handle customer appeal... Show more
A financial institution is seeking an experienced Fraud Investigator to join its financial crimes team.This role is responsible for investigating suspected fraudulent activity, reviewing alerts, id... Show more
Fraud & Abuse Hotline Investigator.Responsible for operating the Fraud & Abuse hotline involving the intake of all complaints and entry into the Department's case tracking database.Conduct confiden... Show more
Council Capital Job Opportunity.Council Capital is a healthcare-focused private equity firm based in Nashville, Tennessee, managing over $350 million in committed capital.We invest in lower middle ... Show more
The Fraud Investigator III, reporting directly to the respective Supervisor/Manager, will resolve critical issues as they are presented from various sources as established within the department.The... Show more
Employment Type: Full-Time, Mid-Level.CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN.The candidate must take the initiative ... Show more
Join us in building the future of finance.Our mission is to democratize finance for all.An estimated $124 trillion of assets will be inherited by younger generations in the next two decades.The lar... Show more
Supervising Fraud Investigator.Special Note: The posted salary is an estimate of the potential annual pay.Final offer will be dependent on qualifications and experience.Anticipated Hiring Pay Scale... Show more
LHH Top Talent is searching for a Financial Fraud Investigator for a contract-to-hire opportunity in Richmond, Virginia.This role is ideal for professionals who can independently investigate suspec... Show more
Founded on a legacy of more than 120 years in banking, Bank OZK is much more than just a company.We're nationally recognized as an industry leader in financial services.That means we combine except... Show more
Our client is seeking an experienced Fraud Investigator to join their financial crimes and fraud operations team in Glen Allen, VA.This hybrid opportunity is ideal for an investigative professional... Show more
More than 135 years ago, we started with core values that never go out of style: listen, learn and help businesses and individuals reach their goals.These core values shape our culture, and we were... Show more
The Fraud Investigator is responsible for protecting UW Credit Union and its members from financial crime through the investigation of suspicious activity, money laundering, account abuse, scams, a... Show more
Perform research and loss mitigation efforts across multiple intake channels to decision Fraud Solution Service Delivery related cases and alerts.Researches and analyzes account activity to assess ... Show more
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 Ameri... Show more
Benefit highlights: 11 Paid Holidays, 15+ days of PTO, 401k Matching, Health Benefits, and more!.Good working knowledge of various fraud schemes (kiting, elder abuse, BEC, wire fraud, counterfeit r... Show more
Mass General Brigham Health Plan.Mass General Brigham Health Plan is an exciting place to be within the healthcare industry.As a member of Mass General Brigham, we are at the forefront of transform... Show more
Rover Account Safety Team Member.At Rover, pets and their people are at the heart of everything we do.We connect pet parents with trusted pet care across the U.Headquartered in Seattle and Barcelon... Show more
The average salary range is between $ 45,901 and $ 87,334 year , with the average salary hovering around $ 60,312 year .
The Investigator will be responsible for triaging, investigating and resolving instances of healthcare waste and billing errors conducted by the medical profession, insured members or the broker community. You will be utilizing information from claims data analysis, tips, complaints from plan members, the medical community and law enforcement agencies to conduct confidential investigations, document relevant findings and report any illegal activities in accordance with all laws and regulations. The Investigator may also conduct onsite provider claim and/or clinical audits (utilizing appropriate personnel) to gather and analyze all necessary information and documents related to the investigation. They will act as a subject matter expert with identifying, communicating and recovering losses as deemed appropriate. Where applicable, they will provide testimonials regarding the investigation. May also complete root cause analysis.
Min USD $77,099.34/Yr.
Max USD $92,519.21/Yr.
