Fraud Investigator - United States

Department · Department of Labor And TrainingDivision · Regulatory ComplianceSalary · $63, $73,822.00Job Profile · JC Workplace Fraud Investigator (DLT) (C94 L2869 DOA DLT)Scheduled Work Days & Work Hours · Monday - Friday, 8:30 am - 4:00 pm · 35 Hours - Standard · Division - Wor ...

We are looking for a Fraud Investigation Specialist I to investigate fraud cases and support complex incidents. The role involves analyzing patterns, collaborating with teams and recommending improvements. · Experience in fraud investigation or compliance. · Bachelor's degree in ...

We are looking to add a Fraud Investigator Admin Action Specialist to our SGS team of talented professionals. · ...

As a Fraud Investigation Specialist I, you will investigate fraud cases, support complex, high-severity incidents, and play a proactive role in fraud prevention. You will analyze patterns, collaborate cross-functionally, and recommend policy and product improvements. You'll also ...

We are seeking a skilled SIU Field Investigator to join our team at Presbyterian. · This role supports Program Integrity Department initiatives and is responsible for conducting announced and unannounced provider onsite audits related to suspected or actual healthcare fraud, wast ...

Performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. · ...

The Manager of Special Investigation Unit leads organizational efforts to detect, investigate and prevent healthcare fraud by applying advanced fraud-detection methods, compliance strategies and deep knowledge of healthcare operations. · ...

This position will be posted until filled. The Auto Insurance Fraud Intelligence Analyst (FIA) will play a critical role in the identification and mitigation of emerging fraud trends targeting General Motors Insurance Company (GMIC) and its platforms. · Serves as subject matter r ...

Overview: · Medicaid/Medicare Program Integrity Analyst II - REMOTE · The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appropri ...

· Overview · Medicaid/Medicare Program Integrity Analyst II -  REMOTE · The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appro ...

· Overview · Experienced Investigative Clinician - Insurance Claims · Remote · Are you a licensed healthcare professional( RN or NP) with a passion for uncovering the truth behind medical claims? We're seeking an experienced Investigative Clinician to join our team and support a ...

We are seeking a dynamic and detail-oriented Manager of Investigations to lead our internal healthcare fraud, waste and abuse (FWA) investigations team. · This pivotal role will be part of a collaborative leadership team that fosters a culture of excellence. ...

Location: Atlanta · Type: Full-time · Level: Senior Analyst · Role overview · We're looking for an Application Fraud Analyst to detect, investigate, and prevent fraud at the point of application/onboarding, with a strong emphasis on identity fraud. You'll use SQL and Python or SA ...

· Description · The Amivero Team · Amivero's team of IT professionals delivers digital services that elevate the federal government, whether national security or improved government services. Our human-centered, data-driven approach is focused on truly understanding the environm ...

About NationMind LLC: · NationMind LLC is a technology consulting firm focused on software development and QA testing services. We help clients build reliable, scalable applications with a strong emphasis on automation, performance, and quality. Our team works across industries ...

Senior Financial Investigator · Employment Type: Full-Time, Mid-Level · Department: Financial Investigation · CGS is seeking a Senior Financial Investigator to join our team providing legal support and investigative services to a large federal agency. · CGS brings motivated, high ...

The Medicaid Fraud Control Unit (MFCU) is charged with investigating and prosecuting fraud in Medicaid billing schemes and nursing home abuse. · Collect, compile, analyze, and interpret trends or patterns in complex medical data sets. · Formulate analyses and prepare reports. · ...

We are a leader in fraud prevention and AML compliance. · We have hubs in the Bay Area, NYC, Austin, and Toronto. · ...

Memphis, TNJob Description: · Oversight of workers' compensation, casualty insurance and other insurance lines claim processes, including direct insurance carrier and 3rd party claim administrator relationships · Administrate a return-to-work program to ensure the availability an ...

Kafene is revolutionizing the lease-to-own space. We're the point-of-sale powerhouse making flexible lease-to-own accessible to everyone—prime and non-prime customers alike. Our secret weapon? Cutting-edge AI and machine learning that analyzes 20,000+ data inputs in real-time, em ...