Fraud Analytics Investigator - Claims & Data
Jobsohio
Jobsohio is seeking a skilled fraud investigator to analyze fraud-detection data and collaborate with intelligence units. The ideal candidate will have significant experience in insurance claims or fraud investigation and possess strong analytical skills. Responsibilities include generating investigative leads and assisting with fraud-detection reporting tools such as Cognos and Tableau. The position offers a competitive compensation package and various benefits including medical coverage and paid time off. #J-18808-Ljbffr Jobsohio
Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Fraud Analytics Investigator - Claims & Data in Brooklyn, NY vacancy
- ...Affirm is seeking a full stack analyst to join their Fraud Strategy and Analytics team, a remote role focused on preventing fraud losses through data-driven insights. The ideal candidate will leverage data analytics to develop fraud strategies and collaborate with Product...DataRemote work
Affirm
New York, NY4 days ago - ...patient inquiries, processing insurance claims, and maintaining accounts receivables. The... ...communication skills, along with a strong analytical mindset and computer proficiency.... ...settings. Join us in creating innovative data solutions for the orthopedic business office...DataClaimsWork at office
Orthos Inc
Brooklyn, NY1 day ago $135k - $155k
.../yr ABOUT THE ROLE As a Lead Fraud Analyst at Happy Money, you'll... ...Sitting within the Risk and Analytics team, you will own fraud risk... ...Engineering to drive proactive, data-driven fraud detection... ...expertise during fraud incidents, investigations, and root cause analyses....DataFull timeTemporary workWork at officeHappy Money
New York, NY3 days ago$54.37k - $117.81k
...Molina Healthcare is seeking a Sr. Analyst, Data to join the Payment Integrity Analytics team. The role involves creating and maintaining post-pay reviews of claims to ensure accurate billing. Candidates should have experience with data analysis and reporting, and be...DataClaimsMolina Healthcare
New York, NY2 days ago- ...Analyst in the United States to lead a team in analytics and AI initiatives for Risk Control. The... ...the analytics strategy, partnering with data science to operationalize models, and... ...of insights to improve underwriting and claims outcomes. Applicants should have at least...DataClaims
Liberty Mutual Insurance
New York, NY3 days ago - ...ensure the accuracy and integrity of claims processes in Idaho. The role involves conducting audits and investigations into customer claims, analyzing data, and communicating findings.... ...years of experience, with healthcare fraud experience preferred. This position...DataClaims
- KMK USA is hiring Brand/Claims Analytics - Specialty Pharma/Oncology Location :- Morris Plains, NJ We’re looking for a confident, analytical... ...Partner with stakeholders and translate business needs into data-driven insights Present recommendations with confidence and clarity...DataClaims
- ...Systems, Inc. is looking for a Consultant to leverage complex claims and data into effective commercial strategies. The role involves... ...least a Bachelor's degree and 3+ years' experience with Patient Analytics. Key benefits include medical insurance and flexible PTO. This...DataClaimsFull timeRemote workFlexible hours
Veeva Systems
New York, NY3 days ago - A global insurance leader is seeking a seasoned Global Head of Claims Data & Analytics to define and drive their enterprise-wide analytics strategy. In this role, you will lead a high-performing team to enhance decision-making and support growth through advanced analytics...DataClaims
- Alaffia Health is seeking a Senior Data Engineer to join our healthcare AI startup. The... ...expertise in healthcare data, including payer claims. This role involves developing innovative... ...to enhance medical billing and analytics. We offer competitive compensation, medical...DataClaims
- ...Mentor – Part‑Time (Remote) Applied Data & Analytics We are seeking seasoned industry professionals with current, hands‑on experience using... ...learners Ability to work fully remote Equal Opportunity Statement Claim Academy is an equal opportunity employer. We value diverse...DataClaimsFull timePart timeRemote work
Claim Academy
New York, NY3 days ago - ...ROLE SUMMARY The Director of Healthcare Financial Analytics leads Blueprint's financial and operational analysis support on state Rural... .... Advanced Excel and financial modeling skills; comfort with claims data and APCDs. PREFERRED Prior experience at HMA, Manatt Health, Sellers...DataClaimsWork at office
Blueprint Creative Group
New York, NY3 days ago - ...solutions to manage care payors' business needs. Responsibilities include project collaboration, data collection, and providing analytical support. Two years of healthcare claims experience and proficiency in SQL and data analytics tools like Power BI and Tableau are...DataClaims
- ...health insurance sector. Responsibilities include analyzing claims data, ensuring completion of deliverables, and providing technical... ...support across the department. Candidates should possess strong analytical skills and a commitment to progress toward obtaining...DataClaimsRemote job
$90k - $115k
...Have Technical/Functional Skills Data Scientist to build a Predictive Benefit... ...Utilization Prediction Model using historical claims and member data (demographics, geography,... ...can be operationalized in reports and analytics layers • Document modeling approach,...DataClaimsTata Consultancy Services
New York, NY3 days ago$105k - $110k
...located in New York, NY is looking for a Claims and Encounter Analyst II. This vital position... ...of the claims department through data analysis and process improvement, ensuring... ...thorough claims analysis, risk adjustment analytics, and regulatory reporting. A bachelor's degree...DataClaims- ...in commercial insurance, real estate, inspection, construction, claim, loss control, underwriting, and/or fire and safety experience is... .../Females/Vets/Disabilities Please also note that the data shared through the job application will be stored and processed...DataClaimsFor contractorsWork at officeLocal areaWork from home
EXL
Brooklyn, NY16 hours ago $160k - $170k
...Insurance Analytics Lead (AVP) New York, New York, United States $ 160,000.00 - 170,00... ...leadership role will focus on client management, data-driven solutions, and strategic insights,... ...solutions to enhance underwriting, claims, and pricing strategies. Work closely...DataClaimsInizio Partners
New York, NY4 days ago$33.52 - $49.18 per hour
...Compensation: $33.52 - $49.18 per hour Responsibilities Applies claims knowledge to analyze fraud‑detection outputs from crossmatches, data exchanges, and large‑scale data sets, generating actionable investigative leads. Collaborates with Research Analysts and Intelligence...DataClaimsHourly payWork at office- ...closely with client SIU and claims organizations to... ...strategies, operationalize analytic solutions, and drive... ...Verisk anti-fraud solutions into client... ...Product, Sales, Operations, Data Science, and Development... ...Advise clients on investigative techniques and leading...DataClaimsWork at office
Verisk Analytics
Jersey City, NJ3 days ago $100.5k - $118k
...on behalf of a partner company. We are currently looking for a Data Analytics Associate in the United States. In this role, you will work at... ..., payers, and life sciences clients. You will analyze complex claims, clinical, and price transparency data, transforming it into...DataClaimsFull timeRemote workWork from homeFlexible hoursJobgether
New York, NY3 days ago- ...join a growth engine as a leader in our Data & AI Practice! Inizio Advisory & Putnam Associates... ...our Commercial Life Sciences Data, Analytics and AI Team and Solutions. We are looking... ...future client work (e.g. growth of claims analytics offerings, commercial analytics...DataClaimsWork at office
Inizio
New York, NY2 days ago $160k - $190k
...Director Of Analytics And AI Coral Care is scaling fast. We are a Series A platform that... ...influence. You will be central to how we use data and AI across the company from executive... ...with healthcare data, including claims, credentialing, or payer data structures...DataClaimsCoral Care
New York, NY3 days ago- ...ability to drive real progress. The MI and Analytics Analyst delivers trusted management... ...and Senior leadership. The role champions data quality and process improvement, while also... ...on portfolio management, pricing, claims, reinsurance efficacy and capital allocation...DataClaimsWorldwide
Starr Companies
New York, NY2 days ago $115k - $140k
...Manager, Analytics - Business Insights Judi Health is an enterprise health technology company... ...Platform (EHP), which consolidates all claim administration-related workflows in one... ...role requires strong technical skills in data analysis along with the ability to manage...DataClaimsJudi Health
New York, NY1 day ago$120k - $250k
...cloud for Life Sciences through software, data, AI, and Business Consulting working... ...As a Principal Consultant in our Global Analytics Practice, you will help customers bring treatments... ...in varying healthcare data sets (claims, engagement, and reference) and industry-...DataClaimsWork at officeLocal areaWork from homeFlexible hoursVeeva Systems
New York, NY3 days ago$60k - $140k
...Senior Analyst, Marketing Analytics New York, New York Guided by the vision of inspiring... ...Scientific precision translates complex data into stories that resonate, while our... ...performance, research tools, and healthcare claims data to inform optimization and long-term...DataClaimsOgilvy Health
New York, NY2 days ago- Engagement Manager - Insurance Analytics About the job Engagement Manager - Insurance Analytics OUR CLIENT Our client provides data-driven, action-oriented solutions to business problems... ...analytics, customer analytics, claims analytics etc. Lead entire engagement with...DataClaims
$128.5k - $196.38k
...doing Short Description: The Hospital for Special Surgery Data & Analytics team is seeking a Director with a dedicated focus on... ...hospital operations, health/insurance benefit plans, revenue cycle claims systems and complex reimbursement methodologies * Proven track...DataClaimsFull timeLocal areaFlexible hoursShift workHospital for Special Surgery
New York, NY2 days ago$220k - $240k
...deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and efficient... ...in 2025 and 2026! Your Role & Impact: As the Business Analytics Manager on the Data Science & Insights (DSI) team, you will lead a dedicated...DataClaimsFull timeTemporary workWork at officeFlexible hoursEvolutioniq
New York, NY16 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Fraud Analytics Investigator - Claims & Data. Be the first to apply!
Related searches
- fraud investigator Brooklyn, NY
- bank fraud investigator Brooklyn, NY
- fraud manager Brooklyn, NY
- fraud prevention Brooklyn, NY
- medical claims auditor Brooklyn, NY
- clinical data Brooklyn, NY
- master data coordinator Brooklyn, NY
- clinical data coordinator remote Brooklyn, NY
- data intern Brooklyn, NY
- data cabling installation Brooklyn, NY