Senior Fraud Investigator
Downtown Boulder Partnership
The University of Massachusetts Medical School seeks a Fraud Investigator II in Healthcare to combat fraud and abuse within the Medicaid program. This role involves data analysis and collaboration with senior investigators to develop detection algorithms and communicate findings.
Qualified candidates will hold a relevant degree and have 5-7 years of fraud examination experience in healthcare. Strong analytical skills and proficiency in Microsoft Office are essential. The position is remote, allowing for flexible work arrangements.
#J-18808-Ljbffr- ...Leading complex fraud investigations in healthcare billing, coding, and claims, the full-time remote Senior Fraud Investigator will analyze large data sets to identify patterns of fraud, prepare detailed reports, and collaborate with clients and internal teams while mentoring...SeniorFull timeRemote work
- ...Travelers Insurance seeks a Senior SIU Specialized Investigator to analyze highly complex technical information with minimal oversight, identifying major case and underwriting investigations with regional and national implications. You will work across multiple lines of...Senior
- ...Highmark Inc. is seeking a qualified investigator to develop and maintain an anti-fraud program, conduct investigations into potential fraud, and coordinate with providers, members, and regulators. The role includes testimony in court, field work, and audits to ensure...Senior
$60k - $70k
...Dime Commercial Bank (Dime) in Hauppauge, NY is hiring a Senior Fraud Specialist to detect and prevent fraud, ensuring the safety of our customers' accounts. This role requires a strong analytical mindset and thrives in a fast-paced environment. Salary is commensurate...Senior- ...Louisville, Kentucky, is seeking a data analytics professional to strengthen our Anti-Fraud & Anti-Corruption program. This role involves fraud monitoring, data analytics, and investigations across the enterprise, with collaboration across Legal, HR, Security and Finance....Senior
- ...Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain an enterprise fraud program, conduct investigations across providers, members, facilities, and staff, and prepare cases for law enforcement or regulatory review. The role includes...Senior
- ...profit health plan based in Mountlake Terrace, WA, is hiring an Investigator III for its Special Investigations Unit. Hybrid role, located... ...for Anchorage or Spokane. The investigator leads complex fraud cases, analyzes data, conducts interviews, delivers thorough case...Senior
- ...First National Bank of Omaha is seeking a Fraud Investigations Specialist to protect customers from fraud. The role involves investigating disputes, communicating with victims, and coordinating with law enforcement when needed. Remote work from multiple states is supported...SeniorRemote work
- ...Highmark Inc. in Helena, MT seeks an anti-fraud program leader responsible for developing and maintaining the fraud program, training, and filing plans and reports. The role conducts investigations across providers, members, facilities, pharmacies, and employees, with...Senior
- ...Department of Regulatory Agencies (DORA) in Colorado is seeking a seasoned investigator to conduct complex criminal and civil investigations under the Colorado Securities Act and/or the Colorado Commodities Code. You will provide litigation support to civil attorneys...Senior
$56 - $64 per hour
...or GED or Bachelor’s degree 8 years of experience in fraud, waste & abuse (FWA) investigations or special investigations unit (SIU) including 1 yr experience... ...assigned by the Director of Controls and Compliance. Seniority level Mid-Senior level Employment type Contract Job...SeniorContract workFor subcontractor- ...Byline Bank is seeking a Fraud Analyst II to serve as a senior investigator, reviewing transactions and documentation to detect fraud and comply with SAR/SAIR reporting. The role partners with Fraud Operations, AML, Compliance, Risk, and Law Enforcement as needed. The...Senior
- ...Medica is seeking an SIU Investigator III to join our Minnetonka, MN office. This onsite role conducts complex fraud, waste and abuse investigations, performs onsite audits and provider reviews, and collaborates with Legal, Regulatory, and law enforcement partners to advance...SeniorWork at office
$24 - $29 per hour
...Electric Vehicle) Referral Bonus Quarterly lunches Daily fresh fruit And a lot more! About The Position Position Summary The Fraud Investigator / Loss Mitigation Analyst is responsible for identifying, investigating, and resolving fraudulent activities and losses related...SeniorHourly payContract workTemporary workWork at officeFlexible hours- ...advice so that across Vanguard leaders and crew drive faster, stronger, risk-informed decisions.Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection of Vanguard crew, property, data, and client assets. We are the trusted...SeniorFull timeVisa sponsorship
- ...opportunities to connect, grow, and make an impact.SUMMARYAs a Senior Fraud Response Analyst, you will play a key role on the Fraud... ...end-to-end fraud response process, including incident intake, investigation support, stakeholder communications, escalation management,...SeniorFull timeWork experience placementWork visa
$72.8k - $130k
.... Join us to start Caring. Connecting. Growing together.The Senior Fraud Analyst is a member of the Bank Fraud team and acts as a subject... ...Senior Fraud Analyst will be responsible for reviewing and investigating potential cases of financial fraud on both bank accounts and...SeniorMinimum wageFull timeWork experience placementBank staffWork at officeLocal areaRemote work3 days per week- The Office of the Attorney General in Florida's Medicaid Fraud Control Unit is seeking a Senior Investigator in Miami. The role involves independent investigations of Medicaid fraud and patient abuse, gathering evidence, interviewing witnesses, and preparing reports and...SeniorWork at office
- ...Praescient Analytics is searching for a Senior Investigative Analyst to enhance federal fraud detection and program integrity initiatives. The role encompasses analyzing various forms of data to uncover fraud indicators and producing high-quality intelligence for governmental...SeniorRemote work
- Premera Blue Cross is hiring an Investigator III in our Hybrid SIU team. You will lead medium to high complexity fraud cases from start to finish, analyze claims data, and coordinate with law enforcement as needed. The role requires healthcare fraud investigation experience...Senior
- ...path to value creation. Work You’ll Do As a Project - Senior Consultant, Forensics and Investigations,on the project, you will: Work independently to solve... ...banking anti-money laundering regulations and practices or fraud detectionAbility to perform job responsibilities...SeniorLocal area
- GEICO is seeking a Senior Field Security Investigator to join the SIU team in a role focusing on investigations of suspected fraud and other illegal activities against the Company. You will interview, collect statements, locate information and witnesses, and coordinate...Senior
- Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare...SeniorWork at office
- Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees. The role also covers onsite audits, collaboration with legal and law enforcement, and guiding investigative processes...SeniorWork at office
- The Fraud Investigator (L2) is responsible for conducting advanced fraud investigations, analyzing complex fraud patterns, mitigating financial losses, and supporting fraud prevention initiatives. The role serves as an escalation point for cases referred by L1 investigators...Senior
- ...better. We are building the future, today. About the Role As our Senior Fraud Analyst for Consumer Lending , you will be the gatekeeper... ...to build, optimize, and scale automated block and manual investigation policies. Advanced Risk Tooling: Liaison with the central Fraud...SeniorRemote work
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Senior
- ...Enterprises in California seeks an experienced claims professional to handle moderate to complex homeowner property claims. You will investigate, evaluate damages, negotiate settlements, and document claims in our system while ensuring compliance with state and federal law....Senior
- ...Claims Specialist to handle high-complexity claims, requiring analysis of policies and customer communication. This role involves investigating claims, negotiating resolutions, and providing recommendations on processes. The ideal candidate will demonstrate strong...Senior
- Chubb seeks a Sr. Auto Examiner (Commercial) to manage complex Auto Claims, including property damage and related coverages. The role demands excellent time management, precise analysis, and clear communication with insureds and claimants. The position requires 2-4 years...SeniorRemote work
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