Fraud Investigator Home Bancshares, Inc.Fraud InvestigatorAmarillo, TXWhile performing the functions of this job, the employee is continuously required to sit, use hands to finger, handle, or feel, talk or hear; frequently required to reach with hands and arms, taste or smell; and occasionally required to stand, walk, stoop, kneel, crouch, or crawl. Ability to write reports, business correspondence, and policy/procedure manuals; ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Fraud Investigator AMOCO Federal Credit UnionFraud InvestigatorTexas City, TexasThe Fraud Investigator assists AMOCO in achieving its mission of "serving the financial needs of our members" by investigating and documenting potential fraud and suspicious activities across various types of transactions. The goal of every interaction is to create member loyalty and to serve and satisfy the financial needs of our members and employees at every touchpoint in the member service chain.
L1 - Fraud Investigator Artech LLCL1 - Fraud InvestigatorMilford, OH$20–$25 / hourInvestigate potential fraud involving Debit/Credit Cards, ACH Transactions, Wire Transfers, Check Fraud, Account Takeover, Identity Theft, and Digital Banking Fraud. This position requires performing initial fraud assessments, identifying suspicious patterns, documenting findings, and escalating complex cases to higher investigation levels.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorAlbany, NY$85,000–$105,000 / yearCommunication 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.
NewFraud Investigator II University of Massachusetts Medical SchoolFraud Investigator IIWestborough, Massachusetts5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries.
Fraud Investigator I Global Credit UnionFraud Investigator IAnchorage, Alaska$69,557–$112,677 / yearFull timeConduct investigations into fraud claims related to online transactions, pre-authorized drafts, altered checks, forged endorsements, unauthorized third-party transfers, financial exploitation, identity theft, and additional fraudulent activities. Handle high-priority and high-risk cases, such as outgoing wires, recovering funds, consumer complaints, large transactions, and potential Bank Secrecy Act or SDN list violations.
Healthcare Claims Investigator - San Juan, PR UnitedHealth Group Inc.Healthcare Claims Investigator - San Juan, PRSan Juan, PRThe work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Investigator UnitedHealth Group Inc.InvestigatorWarwick, RI$49,700–$88,800 / yearToday, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Investigator- Remote In Nebraska UnitedHealth Group Inc.Investigator- Remote In NebraskaOmaha, NERemote$49,700–$88,800 / yearToday, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Senior Investigator UnitedHealth Group Inc.Senior InvestigatorRio Rancho, NM$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
Senior Investigator Pharmacy - Los Angeles County, CA UnitedHealth Group Inc.Senior Investigator Pharmacy - Los Angeles County, CALos Angeles, CA$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
Senior Investigator - Rhode Island UnitedHealth Group Inc.Senior Investigator - Rhode IslandWarwick, RI$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
NewPrincipal Investigator Pharmacy - Dallas And Houston, TX UnitedHealth Group Inc.Principal Investigator Pharmacy - Dallas And Houston, TXHouston, TX$72,800–$130,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
Senior Fraud Investigator Texas Capital BankSenior Fraud InvestigatorRichardson, TexasHeadquartered in Dallas with offices in Austin, Fort Worth, Houston, Richardson, Plano and San Antonio, Texas Capital was recently named Best Regional Bank in 2024 by Bankrate and was named to The Dallas Morning News ’ Dallas-Fort Worth metroplex Top Workplaces 2023 and GoBankingRate’s 2023 list of Best Regional Banks. Work related experience should consist of in-depth background conducting bank fraud investigations of all types (i.e., kite schemes, elder fraud, BEC, wire fraud, ACH fraud, counterfeit checks, forgeries, etc.), banking operations, government regulations, proven usage and knowledge of UCC codes and industry defenses to adverse claims and compliance/operational support.
Senior Fraud Investigator Texas Capital Bancshares, Inc.Senior Fraud InvestigatorRichardson, TXHeadquartered in Dallas with offices in Austin, Fort Worth, Houston, Richardson, Plano and San Antonio, Texas Capital was recently named Best Regional Bank in 2024 by Bankrate and was named to The Dallas Morning News' Dallas-Fort Worth metroplex Top Workplaces 2023 and GoBankingRate's 2023 list of Best Regional Banks. Work related experience should consist of in-depth background conducting bank fraud investigations of all types (i.e., kite schemes, elder fraud, BEC, wire fraud, ACH fraud, counterfeit checks, forgeries, etc.), banking operations, government regulations, proven usage and knowledge of UCC codes and industry defenses to adverse claims and compliance/operational support.
Fraud Investigator I United Community BankFraud Investigator IGreenville, South CarolinaRemote$19.10–$28.52 / hourFull timeOverview: The Fraud Investigator I plays a key role in protecting the bank and its customers from financial loss by investigating fraud claims and suspicious activity across deposit, payment, card, and digital banking channels. Working in a fast-paced environment, the Fraud Investigator I partners with customers and internal teams to resolve fraud cases, maintain regulatory compliance, and identify emerging fraud trends and recovery opportunities.
Clinical Special Investigations Unit Investigator- Health Plan Parkland HealthClinical Special Investigations Unit Investigator- Health PlanMust be currently certified and in good standing or obtain certification within twelve (12) months of hire with one of the following: Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA). Responds to Requests for Information (RFIs) from National Benefit Integrity MEDIC, U.S. Office of Personnel Management Office of the Inspector General (OPM OIG), State Departments of Insurance (DOI), and other law enforcement agencies, as appropriate.
NewFraud Investigator KoalafiFraud InvestigatorRichmond, VARemoteFraud Investigators have several tools available to assist in their research, such as application data, internal system of record data, internet search data, and third-party fraud prevention tools. Leverage tools such as application data, internal system of record data, internet search data, and third-party fraud prevention tools to reach accurate investigation conclusions .
NewClaim Investigator (CSIU) Auto Club GroupClaim Investigator (CSIU)MichiganRemoteInvestigative activities may also involve hiring experts for specialized tasks such as home fire cause and origin analysis, surveillance, vehicle accident reconstruction, forensic accounting, and legal counsel, and managing those vendors through setting clear expectations, monitoring results, and reviewing and paying associated expenses. Maintain a comprehensive understanding of claim fraud, including the fraud scenarios and methods by which insureds, claimants, service providers, and other parties may engage in opportunistic fraud, and also the ways in which businesses, professionals and organized crime groups, such as fraud rings, operate.