• Senior Fraud Investigator

    RGP (New York, NY)
    RGP Financial Services team is seeking a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in ... reports, and will involve leading interrogative-style interviews to uncover fraud , misconduct, and regulatory violations. The ideal candidate will bring… more
    RGP (12/06/24)
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  • Senior Fraud Investigator

    City of New York (New York, NY)
    …is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send letters to clients that require their ... or a related field and one year of satisfactory, full-time experience as an investigator as described in "1" above; or 3. A baccalaureate degree from an accredited… more
    City of New York (01/26/25)
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  • Senior Fraud /AML…

    NBT Bank (Lakeville, CT)
    Pay Range: $27.48 - $36.65 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security ... patterns of customer activity + Must be a skilled investigator with understanding of types of fraud that can occur in a banking environment, including deposit… more
    NBT Bank (01/14/25)
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  • Senior Healthcare Fraud

    CVS Health (Hartford, CT)
    …more personal, convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (02/08/25)
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  • Nurse/CPC - Clinical Fraud

    Elevance Health (Woburn, MA)
    **Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud & Abuse** **Location:** Alternate locations may be considered. This position will work in a ... miles of one of our Elevance Health PulsePoint locations. The **Clinical Fraud Investigator Senior ** is responsible for identifying issues and/or entities… more
    Elevance Health (02/04/25)
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  • Senior Fraud Investigator

    Amazon (Arlington, VA)
    …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... writing through clear, concise and persuasive narrative creation that documents complex fraud investigations, new program ideas, and periodic senior leadership… more
    Amazon (12/18/24)
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  • Senior Healthcare Fraud

    CVS Health (Charleston, WV)
    …make health care more personal, convenient and affordable. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of ... known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive...business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent… more
    CVS Health (01/31/25)
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  • Fraud Investigator

    OneMain Financial (Baltimore, MD)
    …as circumstances dictate. + Judgmental skills necessary to escalate high-risk matters to Fraud Manager, Senior Investigator and/or management. + Motivated ... The Fraud Investigator has an above average...a fast-paced and high-volume environment to support and assist Fraud Managers and Senior Investigators in detecting… more
    OneMain Financial (01/19/25)
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  • Claims Analyst/ Investigator

    OneMain Financial (Baltimore, MD)
    …as circumstances dictate. . Judgmental skills necessary to escalate high-risk matters to Fraud Manager, Senior Investigator and/or management. . Motivated ... The Claims Analyst/ Investigator has an above average understanding, background and...a fast-paced and high-volume environment to support and assist Fraud Managers and Senior Investigators in detecting… more
    OneMain Financial (01/19/25)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert Coder-AHIMA or ... anti- fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file documentation… more
    CareFirst (11/27/24)
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