AVP, Special Investigations & Anti-Fraud Leader (Remote)
Cfins
- Remote job
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
$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 workFraudWork at officeHome office$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 workFraudHourly payContract workWork experience placementWork at officeLocal area- ...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 workFraudLocal areaHome office
- 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
$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 workFraudHourly payContract workWork experience placementWork at officeLocal area$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 workFraudContract workWork experience placementWork at officeLocal areaFlexible hours$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 workFraudFull timeWork experience placementWork at officeLocal area$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 workFraudFull timeTemporary work1 day per week$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 workFraudFull timeWork at office$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 workFraudFull timeWork at officeLocal areaFlexible hours- 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
$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 workFraudFull timeLocal area- ...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 workFraudFor contractorsWork experience placementFor subcontractorWork at officeLocal areaWork from homeFlexible hours
- ...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 workFull timeTemporary workLocal areaWork from homeVisa sponsorship
$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 workFraudFull timeTemporary workPart timeFor contractorsWork experience placementLocal areaImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift work- ...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 jobFraud
- 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 jobFraud
- ...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 workFraudWork from home
- ...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 jobFraud
$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...FraudHourly payFull timeTemporary workLocal area- ...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...FraudWork at office
$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...FraudWork experience placement- ...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 jobFraudContract workWork at officeWork from homeWork visa
$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 workFraudContract workWork at officeLocal area- ...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 workFraudFull timeSecond jobWork at officeFlexible hoursNight shift
- ...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 workFraudFull time
$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 workFraudFull timeHome office- ...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 workFraud
$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 workFraudContract workFor contractorsWork at officeLocal area$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 workFraudFull timeWork from homeHome office
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