Fraud & AML QA Specialist Elevate Investigations
PLP Group
PLP Group is seeking a candidate in Columbus, Ohio, to support fraud and AML financial crime monitoring. This role involves reviewing cases, assessing investigator decisions, and providing data-driven insights. The ideal applicant will have a degree in Finance, Law, or a related field, along with several years of experience in AML and fraud operations. Strong analytical and communication skills are essential. The company is an equal opportunity employer and offers a comprehensive benefits package. #J-18808-Ljbffr
$26.42 per hour
...- US Recruitment | Talent Acquisition Specialist | MBA (HR & Marketing) | Tech & Non-Tech... ...Crimes Operations Specialist to support our fraud investigations and regulatory reporting team. This... .... Background in fraud investigation, AML/BSA, accounting, auditing, or financial...FraudContract work- ...is seeking an experienced Dentist for the position of Dental Fraud and Waste Lead. This role focuses on conducting clinical reviews... ...and providing educational guidance within a team of dental investigators. The ideal candidate must have a DDS or DMD degree, a minimum...FraudRemote job
- What you will do In this position, you will support high-quality fraud and AML financial crime monitoring by reviewing cases across both disciplines, identifying deviations, and strengthening investigative accuracy across operations. You will act as a key contributor in...FraudLocal area
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- ...Description: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients...FraudFlexible hours
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$71.2k - $106.8k
Elevance Health is seeking an Investigator II based in Columbus, OH, with a hybrid work model requiring 1-2 in-office days per week. The role involves identifying healthcare fraud cases to recover funds paid on fraudulent claims. Candidates should have a BA/BS degree with...FraudWork at office2 days per week1 day per week- Travelers Canada is seeking a dedicated investigator based in Columbus, Ohio, to conduct thorough investigations into fraudulent claims. The successful candidate will manage complex cases while ensuring compliance with legal statutes. A Bachelor’s degree and prior experience...Fraud
- ...enterprise financial crimes risk programs related to BSA/AML, OFAC, and fraud management. This role involves designing and executing strategies... ...crime, ensuring regulatory compliance, and leading investigations. Candidates should have over 10 years of relevant experience...Fraud
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$71.2k - $106.8k
...Investigator II Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while... ...and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on...FraudWork at officeLocal areaMonday to Friday2 days per week1 day per week- ...ABOUT US Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making...FraudLocal areaNight shiftWeekend work
- Overview Travelers Investigative Services provides industry‑first resources designed to detect and deter fraudulent claims. Responsibilities... ...and others. Serve as the subject‑matter expert (liaison) on fraud to business and industry partners. Apply rules of evidence, recognize...FraudWork at officeLocal areaShift work
- ...The Home Depot in Powell, Ohio is seeking an Asset Protection Specialist to prevent financial loss caused by theft and fraud while supporting safety and environmental compliance. This role requires monitoring physical security, identifying theft incidents, and preparing...Fraud
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- ...website at eliquent.com. We at Eliquent are looking for a QA Calibration Specialist to immediately join our Eliquent Consulting: Columbus... ...and templates for certificates and Out-Of-Tolerance (OOT) investigations. Configure and maintain the CMMS (e.g. Blue Mountain...Full timePart timeImmediate startFlexible hours
- ...Boehringer Ingelheim GmbH is seeking a Quality Assurance Specialist to ensure compliance in complaint handling and product distribution... ...to uphold high standards. Your responsibilities will include investigating complaints, performing compliance reviews, and participating...
$29.87 - $39.62 per hour
...Ohio Investigative Enforcement Agent The Ohio Investigative Unit enforces Ohio's alcohol, tobacco, and SNAP fraud laws. OIU agents are sworn peace officers responsible for enforcing criminal violations that occur in relation to their investigative duties. Compensation...FraudHourly payFull timePart timeWork at officeLocal areaShift workNight shift- ...The Vice President, Financial Crimes (AML & Fraud) provides enterprise leadership for the... ...risk-based strategy to prevent, detect, investigate, and report suspicious activity; ensures... ...investigations, OFAC, fraud risk, analytics, and/or QA as applicable). Establish role...FraudLocal areaImmediate start
- ...of new and existing payments programs, with a strong focus on BSA/AML and OFAC compliance. This role will oversee program managers and... ...assessments during onboarding and program changes, and identify AML, fraud, and regulatory compliance risks across payments and card...FraudWork at office
$49.77k
...and experience to ensure you're up for the challenge! You will investigate customer concerns, help create and implement process... ...Google Suite or Microsoft Office experience At least 1 year of Fraud or Disputes experience Preferred Qualifications: At least...FraudFull timePart timeWork at officeLocal areaWork from homeHome officeFlexible hours$46.99k - $112.2k
...Summary Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and...FraudHourly payFull timeTemporary workWork at officeLocal area- ...oversee compliance for payments programs. This role focuses on BSA/AML and OFAC regulations and requires collaboration with fintech... ...assessments, assist with audits, and monitor industry trends related to fraud and compliance. This is a hybrid position requiring in-office...FraudWork at office3 days per week
$60k - $75k
The QA Specialist ensures day-to-day quality oversight across pharmacy operations with a focus on internal auditing, supplier quality,... ...agreements, and risk profiles. Manage supplier complaints, investigations, and corrective actions; monitor supplier performance (OTIF,...Full time- ...Two River Consulting Partners is seeking a Deviation Investigator/Senior Quality Specialist Consultant in Columbus, OH. This role focuses on initiating quality records and conducting thorough investigations on identified deviations. The ideal candidate must ensure alignment...Weekend work
- ...Description Description: Position Summary We are seeking a QA Specialist – Process Automation to join our Gifthealth team. This is... ...to be reminded. Curious when something looks wrong — investigates before escalating and documents what was tried. Communicates...Full timeTraineeshipShift work
$70.49k - $108.98k
...Deviation Investigators / Senior Quality Specialist Columbus, OH Verista's 500 experts team up with the world's most recognizable brands in the life science industry to solve their business needs. The nature of our business is to empower growth and innovation within...Temporary workWork experience placementWeekend work
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