Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

AVP, Special Investigations & Anti-Fraud Leader (Remote)

Cfins

Crum & Forster (C&F) seeks an AVP, SIU to lead its investigatory and anti-fraud program across a diversified specialty portfolio. You will direct an SIU team, align with Claims, Underwriting, and Legal, and drive governance, regulatory reporting, and continuous improvement. The role requires executive-level leadership, strong commercial insurance acumen, and the ability to position SIU as a trusted business partner. Hybrid work from Morristown, NJ with travel as needed. #J-18808-Ljbffr Cfins

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the AVP, Special Investigations & Anti-Fraud Leader (Remote) in Convent Station, NJ vacancy
  • $175 per hour

     ...&F’s Commercial Lines division delivers specialized insurance solutions for mid-sized and large...  ...seeking an Assistant Vice-President (AVP), Special Investigations Unit (“SIU”), to lead Crum & Forster’s investigatory and anti-fraud program across a diversified specialty product... 
    Remote work
    Fraud
    Work at office
    Home office

    Crum & Forster

    Morristown, NJ
    3 days ago
  • $24 - $46.81 per hour

     ...DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities....  ...recovery of money related to health care fraud, waste, and abuse (FWA). Responsible...  ...to achieve and maintain appropriate anti-fraud oversight. Required Qualifications... 
    Remote work
    Fraud
    Hourly pay
    Contract work
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    United States
    3 days ago
  •  ...Anti-Money Laundering (AML) Sr. Investigator I - Enhanced Due Diligence (EDD) Location-based remote work: Must live within 50 miles driving distance of...  ...responsibilities. Perform special projects as needed. Basic...  ...certification. At least 1 year of fraud, investigative or... 
    Remote work
    Fraud
    Local area
    Home office

    Capital One

    Chicago, IL
    1 day ago
  • Crum & Forster seeks an AVP, SIU to lead the investigatory and anti-fraud program across a diversified specialty portfolio. You will direct the SIU’s strategy...  ...and cross‑functional collaboration to detect, investigate and resolve complex fraud across lines of business.... 
    Fraud

    Crum & Forster

    New York, NY
    1 day ago
  • $21.82 - $51.06 per hour

     ...JOB DESCRIPTION Provides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational... 
    Remote work
    Fraud
    Hourly pay
    Contract work
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    United States
    5 days ago
  • $80.4k - $109.5k

     ...Role Overview: The Investigator is responsible for conducting...  ...alleged or suspected fraud involving the full...  ...roles that are 100% remote or hybrid, you must have...  ...related to Special Investigation Units and...  ...generation of health care leaders. At AmeriHealth Caritas... 
    Remote work
    Fraud
    Contract work
    Work experience placement
    Work at office
    Local area
    Flexible hours

    AmeriHealth Caritas

    Washington DC
    3 days ago
  • $82k - $106k

     ...office or client sites four days per week and work remotely one day. A member of our recruitment team will provide more details. WORK EXPERIENCE • Investigative or related experience with specific emphasis on fraud investigations at a financial institution,... 
    Remote work
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area

    MUFG Bank, Ltd.

    Tempe, AZ
    24 days ago
  • $58.2k - $83.6k

     ...role of BSA/AML Team Leader. The BSA/AML Team...  ...of various Anti-Money Laundering (...  ...CT. The role has a remote option of one day...  ...review and report/investigate questionable activities...  ...FinCEN Section 311 Special Measures review....  ...Familiarity with various Fraud/BSA/AML detection... 
    Remote work
    Fraud
    Full time
    Temporary work
    1 day per week

    Newtown Savings Bank

    Newtown, CT
    2 days ago
  • $130k - $150k

     ...information about Fortitude Re. The AVP, Financial Close Leader will play a key role in directing and...  ...Finance. This role will be based remotely. What You Will Do: Finance...  ...Notice . Concerned about recruitment fraud? Learn how to verify Fortitude Re's... 
    Remote work
    Fraud
    Full time
    Work at office

    Fortitude Re

    Remote
    2 days ago
  • $115.6k - $144.5k

     ...integrity through disciplined investigations, regulatory expertise,...  ...action. Location: Remote Role Overview...  ...strategic and hands-on leader with required prior...  ...improvement of the pharmacy Fraud, Waste, and Abuse (FWA)...  ...the False Claims Act, Anti-Kickback Statute, and... 
    Remote work
    Fraud
    Full time
    Work at office
    Local area
    Flexible hours

    Judi Health

    Remote
    15 days ago
  • Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations into provider/member fraud, waste, and abuse, and coordinate with law enforcement. The role requires interviews, field investigations, and the ability... 
    Fraud

    Highmark Health

    Columbus, OH
    3 days ago
  • $100k - $165k

     ...team as a Blockchain Investigator. This role will assist...  ...of our hub-cities or remote and report to the VP of...  ...executing advanced and specialized on-chain investigations...  ...against established fraud typologies to make data...  ...stakeholders to support anti-financial crimes... 
    Remote work
    Fraud
    Full time
    Local area

    Crypto.com

    Chicago, IL
    5 days ago
  •  ...with the benefits of remote work. We provide the necessary...  ...for handling investigations by assisting members who...  ...of detecting financial fraud through the...  ...the Bank Secrecy Act/Anti-Money Laundering Act which...  ...minorities, disabled veterans, special disabled veterans,... 
    Remote work
    Fraud
    For contractors
    Work experience placement
    For subcontractor
    Work at office
    Local area
    Work from home
    Flexible hours

    Georgia's Own

    Eastern, KY
    3 days ago
  •  ...Services is a leading insurance claims investigation and medical management company committed...  ...JOB SUMMARY: We are seeking a full-time Special Investigations Unit (SIU) Team Lead to join...  ...Bonus: Fluent in Spanish and English REMOTE WORK & BENEFITS This is a 100% remote U.... 
    Remote work
    Full time
    Temporary work
    Local area
    Work from home
    Visa sponsorship

    Ethos Risk Services

    Dallas, TX
    2 days ago
  • $96.35k - $128.44k

     ...: This position can work remotely from a home office for day-to...  ...: The Manager of the Special Investigations Unit (SIU) leads ACG’s enterprise...  ...on serious incidents of fraud, internal misconduct, security...  ...ensures compliance with specific anti-fraud regulations and... 
    Remote work
    Fraud
    Full time
    Temporary work
    Part time
    For contractors
    Work experience placement
    Local area
    Immediate start
    Work from home
    Home office
    Monday to Friday
    Flexible hours
    Shift work

    AAA-The Auto Club Group

    Remote
    2 days ago
  •  ...acting as the CMS liaison for administrative actions related to investigations, developing actions for approval, and maintaining a fast-paced...  ...of Medicare requirements, experience with claims reviews or fraud cases, and strong organizational and communication skills. #J... 
    Remote job
    Fraud

    Peraton

    New York, NY
    2 days ago
  • Jobgether SRL seeks a senior investigations leader to oversee teams focused on program integrity in the United States. You will drive fraud prevention, conduct complex investigations, and coordinate with government agencies to ensure compliance and high-quality outcomes... 
    Remote job
    Fraud

    Jobgether SRL

    New York, NY
    5 days ago
  •  ...Kemper is seeking a remote SIU Investigator to conduct field and desk investigations of insurance claims referred to the Special Investigative Unit. The role is based from home and serves...  ...actions, diary system, state fraud reports, coordinating with agencies, and... 
    Remote work
    Fraud
    Work from home

    Kemper

    New York, NY
    2 days ago
  •  ...Compliance Operations Specialist for a remote role based in Estonia. You will monitor...  ...requirements, and industry standards. You’ll investigate cases, protect customers, and detect non...  ...ideal candidate has 1-2 years in KYC/fraud/compliance, strong data skills, and excellent... 
    Remote job
    Fraud

    Twilio Inc.

    New York, NY
    1 day ago
  • $43.89k - $85.07k

     ...community at a time. Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II...  ...through data mining, claims analysis, and investigative research. As a key contributor to the...  ...Participate in fraud trend discussions and special projects aimed at strengthening fraud... 
    Fraud
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    Florida
    3 days ago
  •  ...Parkland Community Health Plan (PCHP) Special Investigations Unit is to implement an effective compliance...  ..., investigation and pursuit of fraud, waste, and abuse violations. The Clinical...  ...with one of the following: Health Care Anti-Fraud Associate (HCAFA), Accredited Health... 
    Fraud
    Work at office

    Parkland Health and Hospital System

    Dallas, TX
    3 days ago
  • $165k - $200k

     ...enhance the company's global Anti-Bribery Program, providing subject...  ...also lead the company's Anti-Fraud Program, including prevention...  ...and program requirements.Investigations & Audits: Conducts or...  ...presenting training to business leaders.Experience supporting and managing... 
    Fraud
    Work experience placement

    Cargill

    Wayzata, MN
    4 days ago
  •  ...driving laws, to being an industry leader in pricing sophistication,...  ...-oriented environment. This remote-based position requires...  ...reports with a strong focus on fraud indicators, compliance, and litigation...  ...to submit to a background investigation. Joining our team isn’t just... 
    Remote job
    Fraud
    Contract work
    Work at office
    Work from home
    Work visa

    Allstate

    Newark, NJ
    3 days ago
  • $72.7k - $116.6k

     ...responsible for developing and maintaining an anti-fraud program which includes development and...  ...is responsible for conducting investigations of organizational or functional activities...  ...work necessary to complete a review of a special project, potential fraud, waste and... 
    Remote work
    Fraud
    Contract work
    Work at office
    Local area

    Highmark Health

    United States
    3 days ago
  •  ...do not need to reapply. Are you ready to combat recycling fraud, while also working with the best team around? Then you have...  ...flexible work hours. Under direction of the Supervising Special Investigator II, the Supervising Special Investigator I (SSI I) provides... 
    Remote work
    Fraud
    Full time
    Second job
    Work at office
    Flexible hours
    Night shift

    Department of Resources Recycling & Recovery

    Los Angeles, CA
    3 days ago
  •  ...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention, detection, and investigation...  ...healthcare fraud, waste, and abuse, while working remotely. Key responsibilities Conducts... 
    Remote work
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  • $500 per month

     ...headquartered, global leader in agent-first brokerage...  ...’ dynamic and fully remote Compliance team dedicated...  ...the firm’s BSA/AML, Anti-Fraud, and Securities Fraud...  ...will lead and support investigations, ensure adherence to regulatory...  ...and contribute to special projects, compile... 
    Remote work
    Fraud
    Full time
    Home office

    Alpaca

    Remote
    24 days ago
  •  ...To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated...  ...fraud laws, including the False Claims Act and Anti-Kickback Statute Experience in developing case... 
    Remote work
    Fraud

    Virtual Vocations Inc

    United States
    2 days ago
  • $62.7k

     ...responsible for developing and maintaining an anti-fraud program which includes development and...  ...is responsible for conducting investigations of organizational or functional activities...  ...work necessary to complete a review of a special project, potential fraud, waste and... 
    Remote work
    Fraud
    Contract work
    For contractors
    Work at office
    Local area

    Highmark Health

    United States
    5 days ago
  • $72.04k - $94.55k

     ...a Senior Analyst, SIU Investigator to join our SIU team....  ...The Senior Analyst, Special Investigations Unit Investigator...  ...improvements for Fraud Waste and Abuse (FWA) recoupments...  ...: This is a remote position, open to...  ...recoupments and other anti-FWA activity Bonus... 
    Remote work
    Fraud
    Full time
    Work from home
    Home office

    Oscar Health

    Texas
    14 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to AVP, Special Investigations & Anti-Fraud Leader (Remote). Be the first to apply!