PFML Claims Investigator II - Impact & Compliance
State of Delaware
The State of Delaware is seeking an Investigator II to support the Paid Family and Medical Leave program. You will serve as a primary contact for claimants, ensuring claims are processed fairly and efficiently. This role involves investigating and resolving issues, maintaining accurate records, and providing excellent customer service. Candidates must have investigative experience and a strong attention to detail. Applicants must be legally authorized to work in the U.S. and will require a satisfactory criminal background check as a condition of hire. #J-18808-Ljbffr State of Delaware
$26 - $30 per hour
...Overview Claims Investigator – Part Time Brooklyn, NY Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group... ...full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop...SuggestedHourly payPart timeH1bH2bWork from homeWorldwideFlexible hoursNight shift- ...back to your community and make a real impact. Job Overview Whether you’re at the start... ...role in strategic initiatives, compliance, and the escalation of high-risk fraud... ...Collaborate effectively with the Fraud Investigation team on disputed transactions that require...SuggestedFull timeShift work
$52.35k
Social Services Investigator II Location: Tulsa, Oklahoma, or Stillwater Salary: up to $52,351.20, based on education and experience Full Time / Part Time: Full Time Work Schedule: Monday - Friday; Primary Hours 8‑5 Job Summary Positions in this job family are assigned...SuggestedFull timeContract workPart timeWork at officeMonday to FridayFlexible hoursWeekend work- Qlarant is seeking an experienced candidate to ensure integrity in claims processes. This role requires conducting thorough audits/investigations, analyzing data to assess claims validity, and providing recommendations for resolution. You will compile detailed records...Suggested
- Acquiring Fraud Investigator We are looking for a highly motivated Acquiring Fraud Investigator... ...fraud, chargebacks, and card schemes compliance risks. You will play a key role in... ...You Will Get In Return Make a genuine impact on the product Join our upward trajectory...SuggestedRemote work
- ...products and operations. You’ll combine investigation, analytics, and risk management to... ...actionable insights Partner cross‑functionally (Compliance, data teams, vendors, and business... ...balance How to Apply Ready to make an impact? Apply now. We’re excited to meet you....Work at officeRemote workFlexible hours
- ...Fraud Analyst, Fraud Investigations United States - Remote Operations – Fraud / Full Time /... ...between fiat and crypto end to end, with compliance, identity checks, fraud prevention, and... ...responder focused on mitigating immediate impact from fraud while ML and Product build...Permanent employmentFull timeImmediate startRemote workWorldwideHome office
$107.7k - $199.3k
...leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor... ...matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion...Full timePart timeWork at officeRemote workFlexible hours- ...system performance and ongoing identification of technical defects impacting our fraud ecosystem. Identify and support operational changes... ...safeguarding Citigroup, its clients, and assets by driving compliance with applicable laws, rules and regulations, adhering to...
- ...Great American Insurance Group is seeking a Special Claims Investigator for their Special Investigation Unit. This fully remote role involves detecting and preventing fraudulent claims through investigation and analysis, preparing detailed reports, and ensuring accurate...Remote work
$156k - $213.6k
...responding to fraud and abuse events, investigating claims, and triaging incidents. We also partner... ...decisions and strategies, directly impacting Plaid's ability to prevent future incidents... ...effectively with internal Legal, Compliance, Comms and other risk management teams...Work experience placementLocal area$57.75k - $75k
Conduent is seeking a Business Operations Analyst II - Fraud to analyze complex transaction data, identify fraud risks, and design operational dashboards. The ideal candidate will have a relevant bachelor's degree and experience in fraud detection or analysis, as well...Remote job$32 - $40 per hour
Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow...- ...is seeking a Senior Equal Opportunity Investigator to manage investigations of discrimination... ..., providing guidance, and ensuring compliance with equal opportunity laws. The role requires... ...This position offers opportunities to impact the agency's commitment to diversity...
- Centene Corporation is seeking a remote Fraud Investigator to conduct reviews of medical records and claims to identify fraud and abuse. The role involves analyzing... ...in transforming healthcare and making a positive impact on the lives of our members. #J-18808-Ljbffr...Remote job
- Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is... ...to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow...Full timeWork at officeLocal area
$25 - $28 per hour
...Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow...Work experience placement- ...Deputy Medical Examiner to provide essential medico-legal death investigation services. This role requires conducting death investigations,... ...emotional resilience and a valid driver's license are necessary for this impactful position. #J-18808-Ljbffr Sheboygan CountyWork at office
$79.8k - $139.6k
Bioanalytical Principle Investigator-BiomarkersSyneos Health is a leading fully-integrated... ...that have the ability to dramatically impact someone’s life.We are continuously building... ...writing and prioritization.Ensure compliance and evaluate, identify and communicate...Contract workTemporary workFlexible hours$25 - $28 per hour
Company Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow...Full timeWork at officeLocal area- ...responsible for assisting in fraud risk policies and minimizing fraud impact. This entry-level role requires relevant experience in fraud... ...perform forecasting and fraud assessments while adhering to compliance regulations. A Bachelor's degree or relevant experience is...
- ...Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky... ..., fully committing to addressing fraud and ensuring compliance. The role includes tasks such as data analysis, audit organization...Remote job
$121.6k - $220.4k
...minimize reputational damage, mitigate legal risks, and ensure compliance. Our efforts help protect the Company's integrity and build... ...managing problems before they escalate. Responsibilities Conduct investigations of policy violation, data leakage, fraud and financial abuse...Temporary workLocal area- Centene Corporation is looking for a dedicated investigator to monitor healthcare fraud activities. You will utilize your investigation skills to ensure compliance, assist with complex fraud allegations, and provide critical analytical insights. The role requires a Bachelor...Remote jobFlexible hours
$168.5k - $228k
...edge AI technology to detect and prevent fraud while minimizing impact on good customers. As a Staff Fraud and Risk Analyst, you will... ...collaborate with Risk Operations, Data Science, Product, Engineering and Compliance teams to design and implement fraud mitigation risk strategies....Work experience placementSelf employmentWorldwide$135k - $155k
...by modeling fraud losses, operational impacts, and fraud trend assumptions. Lead the... ...matter expertise during fraud incidents, investigations, and root cause analyses. ABOUT YOU 6+... ...weeks ago Internal Audit Financial Crimes Compliance Analyst Charlotte, NC $170,000.00-$220,...Full timeTemporary workWork at office- A regional insurance provider is seeking a Customer-Focused Casualty Field Claims Representative to join their remote claims team in Virginia. The successful candidate will investigate claims, comply with company procedures, and provide tailored support to members. Ideal...Remote jobWork at office
$97.59k
The City of New York is seeking a Digital Forensic Examiner II for the Bronx District Attorney’s Office. This role involves the forensic analysis of various digital evidence, including mobile devices and computers, while also providing court testimonies on findings. Candidates...Work at office- Qlarant in the United States seeks a Claims Auditor to ensure the integrity of claims processes. This role involves conducting audits, analyzing data, and implementing strategies to prevent fraud. The ideal candidate has a Bachelor's Degree and 2-4 years of experience,...
- CoventBridge Group is looking for a part-time Claims Investigator based in Brooklyn, NY. In this role, you will conduct investigations, document findings, and generate client-ready reports. Ideal candidates have 3-5 years of experience in claims and strong report writing...Remote jobPart timeWork from homeFlexible hours
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