Senior Fraud Investigator
Virtual Vocations Inc
Focusing on fraud and risk operations within financial products, the full-time remote Senior Fraud Investigator will manage investigations related to identity verification, account misuse, and fraud prevention while collaborating with cross-functional teams to enhance operational controls and customer experience. Key responsibilities Execute operational risk and fraud review workflows across financial products, including identity verification investigations and account risk handling Perform manual investigations into suspicious behavior and loss events affecting financial products, while managing customer accounts Monitor fraud and operational dashboards to identify trends and recommend improvements in procedures and controls Required qualifications 3+ years of experience in fraud operations, financial crime investigations, or risk management in high-risk transactional environments Strong knowledge of fraud prevention concepts, operational risk controls, and KYC workflows Proven analytical skills with the ability to assess risk signals and investigate complex cases Ability to operate effectively in a fast-paced, cross-functional environment with shifting priorities Strong written and verbal communication skills for clear collaboration across teams
$46.99k - $122.4k
...The Hispanic Alliance for Career Enhancement is seeking a dedicated investigator for healthcare fraud cases based in Missouri, Louisiana. The role requires extensive knowledge of healthcare fraud prevention and the ability to interact effectively with various stakeholders...Senior$55.9k - $123.5k
...will invest in your professional development. Job Summary Basic function HCSC is looking for a dynamic individual to join its Fraud Investigations team. This position is responsible for planning and developing investigation tools and techniques to conduct detailed...SeniorFor subcontractorSecond jobWork at officeLocal areaWork from homeRelocationFlexible hours3 days per week$46.99k - $122.4k
CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...SeniorFull time- Health Care Service Corp. is seeking an experienced professional for a hybrid role in healthcare fraud investigations. This position involves managing complex investigations, liaising with law enforcement, and utilizing data analysis tools to detect fraudulent activities...Senior
$46.99k - $122.4k
CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have...SeniorFull time- Medica seeks an SIU Investigator IV to lead advanced investigations into suspected fraud, waste, and abuse. This role is pivotal in managing complex cases, conducting specialized audits, and ensuring compliance with legal standards. The ideal candidate will have over 7...SeniorWork at office
$46.99k - $122.4k
CVS Health, located in Town of Florida, New York, is seeking a Fraud Investigator with experience in healthcare fraud and abuse investigations. The role involves handling complex cases, conducting investigations, and documenting findings efficiently. The ideal candidate...SeniorFull time- California Bank of Commerce in Los Angeles seeks a Fraud Investigator dedicated to assessing and identifying risks linked to fraud. This role requires strong analytical skills and collaboration with various teams to conduct thorough investigations. Applicants should possess...Senior
- Ally is hiring a Senior Bank Fraud Investigator in Raleigh, NC, to investigate and deter fraud against Ally Bank. This role requires conducting fraud investigations using various analytical tools and presenting findings to leadership. The ideal candidate should have over...Senior
- Grey Street Consulting, LLC is seeking a Senior Civil Investigator (Health Care Fraud) in Newark, NJ to support the United States Attorney’s Office. The role involves conducting investigations related to health care fraud, preparing detailed reports, and collaborating...SeniorFull timeWork at office
- Grey Street Consulting LLC is seeking a Senior Civil Investigator (Health Care Fraud) to join our team supporting the United States Attorney’s Office in Newark, NJ. This full-time position involves planning and conducting investigations, preparing reports, and preparing...SeniorFull timeWork at office
$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Health Care Fraud Investigator to manage complex cases and aid in preventing fraudulent claims. The role demands 3 years of experience in health care fraud investigations, familiarity with comprehensive coding standards...SeniorFull time$77k - $97k
West Bend Insurance Company is seeking a Fraud Investigator to work remotely but may require occasional travel to Arizona for team activities. This role involves investigating suspected insurance fraud across various lines including auto and property. The ideal candidate...SeniorRemote job- River Run Services LLC is seeking a Sr. BSA Fraud Analyst to support AML/CFT and fraud prevention efforts through investigation of suspicious activity and transaction analysis. The role offers a hybrid work model, three days in-office and two days remote, balancing collaboration...SeniorWork at officeRemote work
- Allied Universal in Durham, NC is hiring a Major Case Unit Investigator to combat insurance fraud. The role involves investigating claims with suspicious behavior, utilizing innovative techniques for fraud detection. Candidates should have a Bachelor’s degree in Criminal...Senior
- ADP in San Dimas, CA is seeking a Senior Fraud, Client Svc & Prod Supt Consultant to conduct investigations into complex fraud cases. The ideal candidate will leverage strong analytical skills and advanced Excel proficiency to optimize fraud prevention strategies and support...Senior
- A leading financial institution located in McLean, Virginia, is seeking a Fraud Senior to evaluate claims of mortgage fraud and conduct investigations. In this impactful role, you will leverage your experience in the mortgage industry, specifically in filing Suspicious...Senior
$70.2k - $105.32k
Medica is looking for an SIU Investigator IV to lead advanced investigations into fraud, waste, and abuse. This role requires overseeing complex cases, conducting audits, and collaborating with law enforcement. Candidates should have a bachelor’s degree and over 7 years...Senior$90k - $134k
A financial institution seeks a Fraud Senior in Dallas, Texas. This role focuses on evaluating mortgage fraud claims and conducting complex investigations. Ideal candidates have 5-7 years of experience with SAR filings and a strong background in the mortgage industry....SeniorFull time$55.9k - $123.5k
A leading health services company in Chicago is seeking an experienced individual to join its Fraud Investigations team. The role involves developing investigation tools, conducting detailed fraud investigations, and preparing comprehensive reports. Candidates should have...SeniorWork at office3 days per week$61.5k - $136.1k
HCSC is seeking a Fraud Investigator to lead complex investigations into healthcare fraud. The candidate will conduct detailed analyses and prepare reports for legal authorities, while mentoring junior investigators. This hybrid role requires in-office presence three days...SeniorWork at office3 days per week- The Hispanic Alliance for Career Enhancement is seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit. This role involves managing complex investigations into suspected healthcare fraud, waste, and abuse while enabling remote...SeniorRemote jobWork at office
- California Bank of Commerce, N.A. is looking for a Fraud Investigator to identify risks related to fraud affecting the bank and its clientele. This role involves analyzing transactional data and collaborating with various teams to conduct thorough investigations. The ideal...Senior
- Verity Credit Union is looking for a Senior AML/Fraud Investigator to support fraud and anti-money laundering initiatives. This fully remote role based in Seattle, WA requires extensive investigative skills, compliance knowledge, and collaboration with law enforcement....SeniorRemote job
$85k - $115k
Universal Service Administrative Company in Washington, DC is seeking a Senior Compliance and Fraud Risk Specialist. This role involves analyzing fraud risk trends within the Universal Service Fund. The successful candidate should have 5-7 years of experience and relevant...Senior- Allied Universal is hiring a Major Case Unit Investigator (MCU) to investigate potentially fraudulent insurance claims. This role requires extensive knowledge of policies and fraud indicators, with responsibilities including complex investigations and detailed report preparation...Senior
- ...New York is seeking a motivated Specialist to enhance player experience by providing accurate assistance with payments and fraud investigations. Responsibilities include analyzing financial transactions, validating customer documentation, and creating internal controls...SeniorRemote job
- Shoptalk is seeking a Fraud Investigator to carry out investigations supporting fraud prevention and incident response. Engage with teams across Cyber Security, Anti-Money Laundering, and Data Science to monitor and analyze transactions across various platforms. The role...Senior
- A government agency is seeking a Law Enforcement Investigator II in West Palm Beach, Florida. Candidates must possess a high school diploma... ..., and pass a physical examination. Experience in healthcare fraud investigations and a solid background in law enforcement are preferred...Senior
- Allied Universal® is seeking a Major Case Unit Investigator in Yonkers, NY. This role involves investigating insurance claims with fraud indicators and providing expert recommendations. Candidates should have at least 5 years of complex investigative experience and possess...Senior
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