Payments Fraud Claims Investigator
City National Bank
City National Bank is seeking a Payments Claims Specialist to investigate and process payment fraud claims and disputes with precision. You will interact with clients and colleagues by phone, letter, or email to discuss decisions and gather information, while ensuring timely credits and adherence to regulations. The role emphasizes ownership, empathy, and accuracy in a fast-paced banking environment, with a focus on quality and client experience. #J-18808-Ljbffr
- ...Vice President, Risk & Underwriting Manager, Payments About the Company Fast-paced payments business strengthening risk, compliance... ...or compliance, with a strong knowledge of ACH, card payments, fraud prevention, and regulatory compliance. Experience with NACHA...Fraud
$46.99k - $112.2k
...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...that are national in scope. Investigates to prevent payment of fraudulent activities. Researches and prepares cases for...FraudHourly payFull timeTemporary workLocal area$56.2k - $101k
...Position Purpose: Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence... ...partners, compliance, legal, provider and payment integrity teams, and external agencies to...FraudFull timePart timeWork at officeRemote workFlexible hours$46.99k - $112.2k
...a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will... ...or suspected acts of healthcare fraud and abuse. This position will routinely... ...matters of program integrity to prevent payment of aberrant claims submitted to the Medicaid lines of...FraudHourly payFull timeTemporary workWork at officeLocal area- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying fraud patterns proactively and working collaboratively with the team to enhance user experience. Candidates should have experience...FraudWork at officeRemote workWork from home
- ...Command Investigations LLC seeks an Insurance Claims Investigator with at least 1 year of field investigations experience. You will conduct investigations, interview involved parties, and prepare detailed reports for clients in a fast‑paced environment. The role requires...
- 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...Remote work
$25 per hour
...utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada,... ...investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery...Contract workPart timeFor contractorsWork experience placementLocal areaRemote work- Insurance Claims Investigator Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity...Part timeRemote workFlexible hoursNight shift
- ...The primary purpose of this Criminal Investigator position is to serve as a Special... ...property, theft of personal property, fraud in worker's compensation claims, and mismanagement of government... ...hours). TSA will not make a monetary payment for any leave forfeited under these...FraudPermanent employmentFull timePart timeSecond jobWork at officeLocal areaImmediate startRemote workRelocationOverseasTrial periodFlexible hours
$72.7k
...developing and maintaining an anti-fraud program which includes... ...is responsible for conducting investigations of organizational or functional... ...to prevent further improper payments.Forwards case to the... ...facility payment methodology, claims processing systems and coding...FraudContract workFor contractorsWork at officeLocal area- A leading live shopping platform is seeking a Fraud Agent to help prevent and mitigate fraud on their platform. The ideal candidate will have 1 to 5 years of experience in customer service or fraud operations and a proactive problem-solving mentality. Team members can work...FraudRemote jobWork from homeWeekend work
- ...impact. Join us!The Global Financial Crimes Compliance (GFCC) Investigator performs end-to-end investigations across one or more lines of... ..., the Investigator conducts complex investigations, including fraud committed by external parties, securities fraud, money laundering...FraudFull timeWork at officeDay shift
$95k - $110k
...accounts payable process, ensuring timely and accurate invoice payments while fostering strong vendor relationships. This role includes... ...management. Implement and monitor internal controls to prevent fraud, errors, and promote best practices and automation. Ensure proper...FraudFull time- ...Criminal Investigator This Criminal Investigator position is located at a TSA Field Office determined by the Agency need... ...of government property, theft of personal property, fraud in worker's compensation claims, and mismanagement of government property. Handles...FraudWork at officeLocal area
$30 - $35 per hour
...determined, and highly motivated Part-Time SIU INVESTIGATORS that would like to join our team of... ...efforts to deter and combat insurance fraud. We have several work from home, part-... ...property, Workers' Compensation, and liability claims of varying complexity in which specific...FraudBi-weekly payHourly payFull timePart timeWork at officeWork from home- ...products, including First-Party Trust, Return Risk Intelligence and fraud solutions. The role emphasizes revenue optimization, customer... ...with Sales, Marketing and Technology to scale secure payment offerings across North America. The position supports a remote NAM...FraudRemote job
- TriWest Healthcare Alliance in Phoenix, AZ is seeking a PI Investigator to identify, analyze, and report suspected fraud, waste and abuse (FWA) within the TRICARE program under DoD contracts. You will review medical claims, coordinate with federal agencies, and support...FraudRemote job
- ...GFC Investigator (Brokerage - AML) Charlotte, North Carolina;Charlotte, North Carolina; Plano, Texas; Phoenix, Arizona; Fort Worth, Texas... ..., the Investigator conducts complex investigations, including fraud committed by external parties, securities fraud, money...FraudWork at officeShift workDay shift
$103.75k - $174.75k
...ExpressDescriptionThe Senior Manager, Internal Fraud Rules Development plays a key role... ...with partners across Fraud Analytics, Investigations, Technology, and Operational Risk to maintain... ...preferably within financial services or payments.Demonstrated success designing and...Fraud- ...Regional Office. The incumbent of this position will adjudicate claims, authorize payments, and input data necessary to generate the award and... ...Penal Code, related attorney fees, administrative error, and fraud. Authorizes administrative decisions made by other Veterans...FraudWork at office
$7.5k
...from Mercury, Stripe, and Circle, and a Payments Engineer from Microsoft and Goldman Sachs... .../provider reports and the tooling to investigate mismatches fast. Minimize operational... ...infrastructure, processor integrations, and fraud and credit risk controls. Ledger...FraudWork at officeDay shift$103.75k - $174.75k
...ExpressDescriptionAmerican Express Fraud Risk is a place to create,... ...organization, the Suspect Claims team is responsible for leading... ...role expects to identify, investigate, and resolve those risks.Qualifications... ..., fraud strategy, disputes, payments risk, or a closely related...Fraud- ...Ascensus’ mission and client commitments.”Be aware of employment fraud. All email communications from Ascensus or its hiring managers... ...com or @futureplan.comemail addresses. We will never ask you for payment or require you to purchase any equipment. If you are suspicious...FraudFull timeSecond jobRemote work
- ...and pricing prescriptions Process insurance forms and verify payments Keep counter and work areas clean and organized at all times... ...or issues, and illegal activity, including: robbery, theft or fraud Must be able to perform the essential functions of this position...FraudPart timeLocal areaFlexible hoursShift workAfternoon shift
- ...General Counsel About the Company Innovative provider of payment fraud prevention & detection solutions Industry Internet Type Privately Held Founded 2014 Employees 501-1000 Categories Information Technology & Services Compliance & Certifications...Fraud
$143.62k - $229.79k
..._______________________________JOB ALERT FRAUD We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of... ...or interviews and never requires payment or fees from job applicants. All our career...FraudLocal area- ...Python• Candidate should have had exposure to Credit Risk domain or Fraud analytics domain• At least 2 years of experience working in... ...and track it to closure.• Experience in credit cards and Payments domain would be a plus.• Experience and desire to work in a Global...FraudPermanent employmentFull timeH1b
- ...remediation when necessary. • Partner with Risk, Compliance, Fraud, and Legal teams to identify and mitigate risks associated with... ...workflows, and customer/client journeys. • Familiarity with payments, entitlements, onboarding, fraud controls, or digital servicing...Fraud
$18.5 - $23.47 per hour
...This role supports daily operational functions, performs fraud review and investigation, resolves exceptions, and helps ensure compliance with internal... ...mitigation. • Stay current on applicable regulations, payment rules, and internal policies related to wires, ACH, check...FraudHourly payWork at officeLocal area
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