Senior Fraud Investigator jobs

Now available 106 results are consistent

Sort by:relevance - date

INVESTIGATOR SENIOR

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.. Responsible for independently id...

CompanyElevance Health
AddressNORFOLK, VA
CategoryInformation Technology
Date Posted a month ago See detail

Investigator Senior

Elevance Health

NORFOLK, VA

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.. Responsible for independently id...

Lead Fraud Prevention Investigator

Acv Auctions

Ohio, United States

$92.2K - $117K a year

Multiple medical plans including a high deductible health plan that costs $0 out of your paycheck. Company-sponsored (paid) Short-Term Disability, Long-Term Disability, and Life Insurance. Comprehensive optional benefits such as D...

Senior Human Performance Investigator, GS-1801-14 (Direct Hire)

Us National Transportation Safety Board

Washington, DC

$139,395 - $181,216 a year

U.S. Citizenship. Males born after 12/31/59 must be registered for Selective Service. Resume and supporting documents (see "How to Apply" section.). Suitability for Federal employment. Financial Interest in transportation enterpri...

Senior Corporate Investigator

Equifax

Missouri, United States

$77.1K - $97.7K a year

Complete detailed, concise written reporting through case management system Preparation and analysis of monthly metrics for leadership In-person and remote interviews with persons of interest and witnesses Mentor and develop other...

Senior License Compliance Investigator - REMOTE

Ansys

Blacksburg, VA

$77.3K - $97.9K a year

Data analysis will be a daily activity for the SLC. Bringing data together from a variety of sources, the SLC should be a highly organized, detail-oriented individual who works well independently or as a global team player to get...

Senior Field Security Investigator

Geico

Florida, United States

Must be able to obtain and maintain a valid drivers license, certifications and permits in accordance with state and federal regulations, and company and departmental standards Must be able to lift and carry materials and equipme...

Senior Program Consultant (Background Investigations)

Mayvin Inc

Arlington, VA

$128,000 - $138,000 a year

Conduct internal reviews to detect case-level and systemic problems within the personnel vetting program. Review policy and recommend operational decision-making using performance data, trend analysis, and continuous improvement....

Financial Crimes Senior Lead Investigator (US)

Td Bank

Mount Laurel, NJ

$110,760 - $178,880 a year

Provides people management leadership by hiring the best talent, setting goals, developing employees, managing employee performance and compensation decisions, promoting teamwork and handling any/all disciplinary actions, as requi...

Senior Criminal Investigator (Polygraph Examiner)

Justice, Office Of The Inspector General

New York, NY

You must be a graduate of the National Center for Credibility Assessment's (NCAA) Psychophysiological Detection of Deception Program or one of its predecessors (e.g., Department of Defense Polygraph Institute, U.S. Army Military P...

Senior Manager - Sanctions Investigations

Mercury

United States

Lead a team of talented sanctions investigators, responsible for creating operational procedures, refining hits and conducting accounts and transactions investigations for sanctions, PEP and adverse media.. Mentor, coach and su...

Senior Manager, Global Investigations

Walmart

Bentonville, AR

Receiving allegations from a variety of channels and conducting complex investigations across multiple business segments. Working with Ethics, Legal, and other business units to strategize and thoroughly investigate allegations of...

Fraud Prevention and Detection Specialist Senior - Phoenix, United States - USAA

Usaa

United States

Serves as a subject matter expert on a variety of fraud management tools and systems used to identify and investigate suspicious financial and non-financial activity on a vast range of products and services. Serves as a subject ma...

Fraud Prevention and Detection Specialist Senior - San Antonio, United States - USAA

Usaa

United States

Serves as a subject matter expert on a variety of fraud management tools and systems used to identify and investigate suspicious financial and non-financial activity on a vast range of products and services. Serves as a subject ma...

Senior Counsel, Workplace Investigations

Modus Closing

New York, NY

$136,300 - $203,900 a year

Manage and directly conduct Workplace Investigations. Collaborate with human resources, legal colleagues, and business partners. Champion the standards of integrity, objectivity, thoroughness, and of treating investigation partici...

Special Investigations Fraud Analyst

Mass General Brigham Health Plan

Somerville, MA

$74.1K - $93.9K a year

Use knowledge of healthcare coding conventions to develop and run reports, analyze data to identify suspicious billing patterns, assess the merits of allegations, and present those findings to leadership. Analyze claims data to fi...

Senior Field Security Investigator

Geico

Washington, DC

Must be able to obtain and maintain a valid drivers license, certifications and permits in accordance with state and federal regulations, and company and departmental standards Must be able to lift and carry materials and equipme...

Senior Associate, Product Management, Card Fraud

Capital One

New York, NY

Human CenteredYou'll collaborate with tech teams to build comprehensive acceptance criteria, identifying and elevating any need for additional research to define future feature design.You'll breakdown business epics into features...

Senior Special Investigations Retail Auditor

Bmw

United States

$91,490 - $134,544 a year

Complete audits from data development/analysis to audit settlement. Conduct fair, ethical, transparent, and comprehensible audits/reviews. A Retail Auditor believes high ethical standards are the basis to support dealers in conduc...

Special Investigation Unit, Senior Investigator (Pharmacy)

Cvs Health

Hartford, CT

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

TikTok Shop - Anti Fraud Operations Lead - Intelligence & Special Investigations

Tiktok

Seattle, WA

$139,650 - $256,500 a year

Research fraud-related trends and gain industry insights; build effective intelligence tools and processes to mitigate risk on the platform;. Identify vulnerabilities and how it is being by fraudsters to abuse the platform;. Build...

Associate Director/Senior Research Investigator/Research Investigator, PBPK

Bristol-Myers Squibb

Sacramento, CA

in appropriate field with significantly more experience may be consideredExcellent understanding of the theory and principles in pharmacokinetics and pharmacodynamics, drug metabolism and transportersUnderstanding of the theory, p...

Investigator Senior

Elevance Health

Washington, GA

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. . Responsible for independently id...

Fraud and Waste Investigator

Humana

Lahoma, OK

$63,400 - $87,400 a year

Coordinates investigation with law enforcement authorities Assembles evidence and documentation to support successful adjudication, where appropriate Conducts on-site audits of provider records ensuring appropriateness of billing...

Senior Aviation Accident Investigator

U.s. Army Aviation And Missile Command

Corpus Christi, TX

Career transition (CTAP, ICTAP, RPL)Federal employees who meet the definition of a "surplus" or "displaced" employee. Federal employees - Competitive serviceCurrent or former competitive service federal employees. Land & base mana...

Senior AML Analyst, Investigations

Circle

Chicago, IL

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...

Senior AML Analyst, Investigations

Circle

Phoenix, AZ

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...

Senior AML Analyst, Investigations

Circle

Seattle, WA

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...

Senior AML Analyst, Investigations

Circle

New York, NY

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...

Senior AML Analyst, Investigations

Circle

Miami, FL

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...

Senior AML Analyst, Investigations

Circle

Salt Lake City, UT

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...