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Fraud Jobs

1000+ jobs

Job Description: On a day to day basis our Fraud Representatives will be called on to: Follow established procedures to complete complex assignments under limited supervision. Resolve problems that require in-depth investigation or research. Duties include workflow management and interaction with other departments, as well as basic analysis and research. Achieve monthly individual and team based ...
Fraud Examiner HVHC Inc. is a privately-held, for-profit holding company for a portfolio of vision companies which includes, among other companies, Davis Vision, Inc., and Visionworks of America, Inc. Together the vertically integrated company is the third largest provider of managed vision care products and services, and the third largest operators of specialty optical retail stores in the Unite...
Role Summary/Purpose: Provide HR Generalist Support to approx. 350 employees including; Fraud Solutions, Merchant Risk, and other functional employees located at the Kettering OH site for Synchrony Financial. In addition the role will support SYF-wide Credit/Risk and Kettering site HR initiatives. Essential Responsibilities: Assist Fraud HR team in the planning, coordinating and executing of po...
Position Summary: This position will be extracting information from Evaluation and Management medical records for accuracy and proper assignment of CPT-4, ICD-9, and HCPCS codes for the Fraud Waste and Abuse section of the Compliance Division. Additionally duties, such as procedural coding review, use of modifiers 25 and 59, data mining, and establishing a proactive culture of compliance will be ...
Posted: TodayLocation: Seattle, WA, United StatesCategory: IT & Software Development - Data & Info Services Job Description The Fraud Prevention Rep monitors and analyzes customer account transactions to detect suspicious activity and protect customer accounts and assets.The work environment is an inbound and outbound call center that operates 24 hours/7 days a week. Must be able to work rotating ...
Posted: TodayLocation: Seattle, WA, United StatesCategory: IT & Software Development - Data & Info Services Job Description The Fraud Prevention Rep monitors and analyzes customer account transactions to detect suspicious activity and protect customer accounts and assets.The work environment is an inbound and outbound call center that operates 24 hours/7 days a week. Must be able to work rotating ...
Posted: TodayLocation: Seattle, WA, United StatesCategory: IT & Software Development - Data & Info Services Job Description The Fraud Prevention Rep monitors and analyzes customer account transactions to detect suspicious activity and protect customer accounts and assets.The work environment is an inbound and outbound call center that operates 24 hours/7 days a week. Must be able to work rotating ...
Posted: TodayLocation: Seattle, WA, United StatesCategory: IT & Software Development - Data & Info Services Job Description The Fraud Prevention Rep monitors and analyzes customer account transactions to detect suspicious activity and protect customer accounts and assets.The work environment is an inbound and outbound call center that operates 24 hours/7 days a week. Must be able to work rotating ...
Cornerstone Staffing is currently recruiting for a Fraud Analyst for a major travel company in the Dallas area! Temp to Hire! $15 to $17/hour - Based on Experience Schedule: Must be flexible to work any shift any day of the week between 6:00 AM and 1:00 AM Job Details: Fraud Analyst is responsible for providing risk management on the sales/reservations side of the company. Provide technology...
RESPONSIBILITIES: Kforce has a client that is searching for a Fraud Specialist in Solana Beach, CA. Overview: The Fraud Specialist is a key member of the Risk Operations team and is primarily focused on identifying fraudulent activity in credit/loan applications. The fraud specialist team will be focused on identifying all types of fraudulent activity such as first party, third party and synthe...
Requirements: • Previous online fraud investigations and SARS (Suspicious Activity Report) • Ability to analyze application fraud, identity theft and conduct behavior analysis/trends of customers • Excellent time management/organizational skills • Ability to receive general direction to carry out daily responsibilities. • Strong interpersonal and oral/written communications skills • Ability ...
Company Confidential
1.1 Position Description Lead Claims Review Analyst or LCRA (One full time position) - The position has the following responsibilities and must meet the following qualifications: Responsibilities: Responsible for conducting clinical reviews of medical records during the course of fraud investigations or other program integrity initiatives such as requests for information or in support of proact...
Job Description: Do you have an eye for detail? Do you have excellent researching skill and critical thinking skills? We are looking to hire a Fraud Investigator to join our Risk Management team, where you will be reviewing cases for inconsistencies and discrepancies. Strong knowledge of Microsoft keyboard shortcuts and Excel will be keys to your new career, so Apply Now! We are an equal employme...
Job Description: Responsibilities of the Fraud Analyst include but are not limited to: Monitor cardholder accounts to identify, investigate and resolve high risk activity. Monitor retail sales of prepaid products to identify and analyze high risk activity. Investigate and resolve unusual activity by verifying sales activity, notifying the Loss Prevention staff of the retailer or notifying the ...
Posted: Today Location: Seattle, WA, United States Category: IT & Software Development - Data & Info Services Job Description Jack Henry & Associates is seeking a Fraud Prevention Representative to perform risk analyses in order to protect customer accounts and assets. ESSENTIAL FUNCTIONS Monitors and analyzes customer account transactions to detect suspicious activity and protect customer a...
Fraud Prevention and Detection Analyst For immediate consideration, email resume to: ***** Summary: Extensive knowledge analyzing high risk financial and non-financial transactions quickly detect and prevent fraudulent activities for a vast range of enterprise financial products and services. Actively participates in and sometimes leads knowledge sharing sessions with inte...
Job Description Job #: 662207 onsite/offsite- location flexible. We do have one spot in Jacksonville, in the greater Jacksonville FL Area Position Overview The analyst will be responsible to ensure timely response to appeals requests. Appeals responses must be completed within 5 days of receipt. The analyst will need to provide all supporting documentation to support the ZPIC claim denial. App...
Description: If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) Individuals in this function are responsible for managing employees and/or supervisors who investigate, recover and resolve all types of F...
RESPONSIBILITIES: Kforce has a client that is seeking Fraud Analytics Consultants in Riverwoods, Illinois (IL). The successful applicant will develop fraud detection and mitigation strategy based on the root cause analysis of known fraud cases. REQUIREMENTS: High proficiency in programming (data processing and analysis) using SQL, SAS, and Shell Scripting Experience with Teradata, UNIX, and Ta...
General Overview: The Fraud Analyst is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. This position is responsible for conducting reviews of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups a...