52 Results for

Compliance Investigator Jobs in Jefferson, NJ

1

What Is the Opportunity?.

The position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims, or first party business property claims of moderate severity, or complexity.

3

What Is the Opportunity?.

This role is eligible for a sign on bonus up to $20,000.

2

What Is the Opportunity?.

This role is eligible for a sign on bonus!

2

What Is the Opportunity?.

Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims.

NJ

p>Essential Functions:

  • Reviews new audits/investigations and/or incoming leads to determine appropriateness and assigns to auditors/investigators; vets providers as required with appropriate agency(ies) and law enforcement; supervises vetting process.
  • Initiates and maintains communications with law enforcement and appropriate regulatory agencies including presenting or assisting with presenting audit/investigation findings for their consideration to further audit/investigate, prosecute, or seek other appropriate regulatory or administrative remedies.

NY
  • $87,700–$157,800 / year

Previous experience as a lead or supervisor in a pre-payment process managing cross functional teams or supervisory experience including hiring, training, assigning work and managing the performance of staff preferred.

Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.

Assurant Inc logo

Remote
  • $20.96–$34.59 / hour

A Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. This position is responsible for processing claims with risk issues, researching fraud indicators, updating Known Risk lists, and collaborating with colleagues regarding fraud detection topics.

NY
  • $141,000–$166,000 / year

You will lead a team of Fraud & Compliance Specialists and operate at the center of fraud operations-owning investigations, supporting compliance workflows, and staying ahead of evolving threats. You will partner closely with Data, Product, and Engineering to ensure efficient operations, strong controls, and continuous improvement across fraud detection and response.

NY
Remote
  • $73,350–$122,250 / year

Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We're looking for a detail-oriented, analytical LTC Fraud Consultant to help strengthen our Long-Term Care (LTC) Fraud, Waste & Abuse (FWA) program.

Jersey City, New Jersey
Remote

Fanatics has an established database of over 100 million global sports fans; a global partner network with approximately 900 sports properties, including major national and international professional sports leagues, players associations, teams, colleges, college conferences and retail partners, 2,500 athletes and celebrities, and 200 exclusive athletes; and over 2,000 retail locations, including its Lids retail stores. We ignite the passions of global sports fans and maximize the presence and reach for our hundreds of sports partners globally by offering products and services across Fanatics Commerce, Fanatics Collectibles, and Fanatics Betting & Gaming, allowing sports fans to Buy, Collect, and Bet.

Bridgewater, NJ
  • $160,000–$220,000 / year

p>Recordati Rare Diseases, Inc. (RRD) develops high-impact therapies for rare diseases, focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness, better diagnoses, and improved treatment access in endocrinology, metabolic, hematology and oncology franchises.

The Medical Science Liaison (MSL) will serve as our field-based scientific expert whose mission is to foster collaborative relationships with opinion leaders focused on Cold Agglutinin Disease (CAD) and to facilitate the exchange of unbiased scientific information between the medical community and the company.

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