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Fraud Investigator / BI Analyst

CSC
NASHVILLE, TN

Nov 27

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Job Title: Fraud Investigator / BI Analyst Job Number: 0900BKC Job Category: Business Process Primary Location: USA-TN: TENNESSEE-NASHVILLE Schedule: Full-time Job Type: Regular Employee Status: Regular Job Posting: 2009-Nov-26 Description Essential Job Functions Performs in-depth evaluation of potential healthcare fraud directed at Medicare's payment systems, developing complex investigations tha ... More

Surveillance Investigator - Springfield, MA

GlobalOptions Group
Springfield, MA

Nov 26

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GlobalOptions Fraud and SIU Services, a division of the GlobalOptions Group, is a nationwide investigative firm servicing the insurance, legal, government, and legal communities. We perform surveillance, activity checks, and conduct background investigations on potential fraudulent worker's compensation, auto liability, general liability, and long and short term disability claims. We are currently ... More

Fraud Specialist

HSBC
Buffalo, NY

Nov 25

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Make the Right Move and join a winning team! Build your career with us. HSBC - North America is a part of HSBC Group, one of the largest banking and financial service organizations in the world. Our domestic strength and extensive global network provides our employees with the best of both worlds - the friendliness of a local organization and the resources of a worldwide network - for diverse expe ... More

Healthcare Claims Investigator - Eden Prairie, MN

UnitedHealth Group
Eden Prairie, MN 55344

Nov 24

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UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most majo ... More

Medical Review Nurse

Integriguard LLC
Omaha, NE 68164

Nov 24

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Getting Results. Making a Difference. IntegriGuard relies on the highest caliber employees to achieve results for our clients. The experience, dedication, and innovative thinking of our staff is integral to our position as a national leader in the field of detection and deterrence of improper payments, fraud, and waste. Our employees get results. Our work makes a difference. Our corporate culture m ... More

SR Post Market Quality Manager (Twin Cities)

MRINetwork
Minneapolis, MN

Nov 24

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Position ID: 8463BER SR Post Market Quality Manager (Twin Cities) With Very Strong Clinical experience 110-180 Video Ad to watch a video!! Our client is a leader in the implantable space of Medical devices. They are experiencing some excellent growth due to a soaring need for their exclusive product line. This growth has created a VERY good opportunity to join a team that is poised to take off now ... More

Corp. Sec. Investigator -Worthington Regional - FL

TD Bank
FL

Nov 24

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Description This position is responsible for the investigation of both internal and external fraud will include mortgage and lending fraud and acting on findings as appropriate. Perform investigations to develop suspects responsible for external crimes against the bank and prepare those cases for criminal or civil prosecution. Act as liaison with local, state and federal authorities, as well as as ... More

Fraud & Risk Spec.I-CheckControl-FT-Mt.Laurel

TD Bank
Mount Laurel, NJ

Nov 24

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Description Work Hours: Mon - Fri 10:00am - 6:30pm Job Functions: Review and evaluate fraud system reporting to identify and prioritize potentially fraudulent activity or transactions. Act as single point of contact for branches, risk, audit, and security depts. Conduct research as needed to ascertain risk/exposure and initiate corrective acctions. Contact customers or banks by telephone with unus ... More

Utilization/Medical Review Manager

Integriguard LLC
Omaha, NE 68164

Nov 23

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Getting Results. Making a Difference. IntegriGuard relies on the highest caliber employees to achieve results for our clients. The experience, dedication, and innovative thinking of our staff is integral to our position as a national leader in the field of detection and deterrence of improper payments, fraud, and waste. Our employees get results. Our work makes a difference. Our corporate culture m ... More

Risk Management Assistant--Media, PA

Company Confidential
Media, PA

Nov 23

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Risk Management Assistant (Account Manager/Account Assistant) In general, the role is to support the organization in the broking area in accordance with the Value Statement, Mission Statement, Policies & Procedures and Employee Handbook. Specific responsibilities include: Respond to clients and carriers requests on a daily basis in collaboration with Risk Management Specialist (RMS) Work in collab ... More

Integriguard LLC
Multiple locations

Nov 23

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Getting Results. Making a Difference. IntegriGuard relies on the highest caliber employees to achieve results for our clients. The experience, dedication, and innovative thinking of our staff is integral to our position as a national leader in the field of detection and deterrence of improper payments, fraud, and waste. Our employees get results. Our work makes a difference. Our corporate culture m ... More

Integriguard LLC
Omaha, NE 68164

Nov 23

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Getting Results. Making a Difference. IntegriGuard relies on the highest caliber employees to achieve results for our clients. The experience, dedication, and innovative thinking of our staff is integral to our position as a national leader in the field of detection and deterrence of improper payments, fraud, and waste. Our employees get results. Our work makes a difference. Our corporate culture m ... More

Private Investigator Needed

Summit Investigations
Springfield, MA 01103

Nov 23

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PRIVATE INVESTIGATOR - needed for growing company. Position requires daily surveillance of suspected fraudulent insurance claims in our service area. We are currently in need of investigators in the Central and Western Massachusetts areas. We are currently looking for people who have 1-2 years of experience for full time surveillance positions. We are willing to train an ideal candidate having a 4 ... More

Fraud Representative

Nexon America Inc.
Los Angeles, CA 90010

Nov 20

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A CAREER WITH THE MMOG INNOVATOR AND DEVELOPER/PUBLISHER OF ONLINE FAMILY-FRIENDLY GAMES. The Fraud Representative is to assist the Fraud Manager with billing and account issues. The Fraud Representative reviews accounts in question, investigate under the direction of the Fraud Manager, data entry, filing, and adhere to legal protocols for fraudulent accounts. This person will be thoroughly famili ... More

Fraud Operations Lead - Banking

ING DIRECT
Delaware, DE 19801

Nov 20

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Description: The role Customer Operations Customer Security team is monitoring, identifying, analyzing, measuring and controlling potential operational losses. The department encompasses Customer Security, Bank Card Transaction and Deposit Account Monitoring, Investigations and Enforcement, Projects and Development and Card Analysis. All of these functions work together performing reviews, assessm ... More

Claims Investigator

GlobalOptions Group
Sacramento, CA 95833

Nov 19

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A national investigations firm is currently accepting resumes for experienced insurance claims investigators in the San Francisco Bay Area, San Diego County, Idaho and Utah. Applicants should have excellent report writing and verbal communication skills in addition to experience conducting AOE/COE, psyche, subrogation, apportionment, liability, fatality and serious and willful investigations. Mort ... More

Fraud Investigator (085730)

Maryland Insurance Administrat
Baltimore, MD 21202

Nov 18

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Insurance Job Announcement Maryland Insurance Administration Fraud Investigator (085730) The Maryland Insurance Administration (MIA) is at the forefront of consumer protection. Through our dedicated and professional staff, we ensure that consumers receive the rights and benefits to which they are entitled under insurance contracts. This is a civilian investigation position in which the employee co ... More

Click Fraud Investigator - Senior Analyst

Technisource
San Jose, CA 95110

Nov 17

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This is a permanent position in San Jose, CA as a Click Fraud Investigator - Senior Analyst. We are not accepting : Corp-to-Corp, 1099's, or anyone that requires sponsorship (H-1B visas). Only candidates that can work a permanent position within the salary range without any sponsorship will be considered. (Salary range is $80,000 - $100,000 plus full benefits, 401k, and other major eBay perks!) Th ... More

Director of Quality Assurance & Compliance (Fortune 200 International Medical Device Corporation)

MRINetwork
Multiple locations

Nov 17

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**IMPORTANT: TO APPLY FOR THIS ROLE YOU MUST SUBMIT AN ATTACHED RESUME IN EITHER WORD OR PDF FORMATS TO THE E-MAIL ADDRESS PROVIDED UNDER 'TO APPLY', BELOW. ONLY CANDIDATES SENDING AN ATTACHED RESUME CAN BE CONSIDERED. **Candidates must either be U.S. Citizens or have Permanent Resident Status (Green Card) for consideration for this role. ** It is our strict company policy that all communication i ... More

Fraud Investigation & Dispute Services Manager - Life Sciences

Ernst & Young
New York, NY

Nov 14

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Location: United States Job Number: UNI000M9 Employee Status : Regular Job Type : Experienced Schedule : Full-time Description Our Fraud Investigation & Dispute Services (FIDS) practice advises corporations and their outside legal counsel on complex business matters that involve financial, fraud and forensic investigations and economic damages arising from disputes pertaining to intellectual prope ... More

Background Investigator

Photofax, Inc.
Elgin Area, IL 60140

Nov 04

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Leading national investigative firm located outside of Elgin, IL specializing in insurance fraud surveillance is seeking an in-house investigator to conduct background investigations and skip tracing. The investigator will possess high ethical standards and a strong motivation to succeed. The goal of the investigator will be to find any and all information as well as verify given information on th ... More

Company Confidential
Cleveland 44101

Nov 01

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Investigator The Federal Public Defender for the Northern District of Ohio is accepting applications for the position of Investigator to be located in the Toledo, Ohio office. The Federal Public Defender operates under authority of the Criminal Justice Act, U.S.C. 3006A, to provide defense services in federal criminal cases and related matters in federal courts. See www.fpd-ohn.org for complete ap ... More

Financial Industry Technology Forensics Analyst: Senior Level Role, Expansion Opportunity

MRINetwork
New York City, NY

Oct 30

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Major NYC Financial Firm is Seeking a Forensics with a heavy I.T. Background. Newly Created Role with a Growing Team at a Very Stable Company. Excellent Working Environment, Great People, Terrific Atmosphere. Desired Skills/Experience: Experience working for Financial Company in a similar role is preferred. Must have a Proactive/Aggresive Investigatory Style, Must have excellent documentation expe ... More

Senior Fraud Analyst

XLHealth
Baltimore, MD

Oct 16

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Job Description: Position Summary: The Sr. Fraud Analyst will be responsible for developing and maintaining fraud investigation strategies and managing outsourced vendors in all areas pertaining to fraud, waste, and abuse. This position requires a well developed understanding of the health insurance / health care industry, and in-depth understanding of health care data and the methods of data anal ... More

Fraud Investigation & Dispute Services Manager - Pharmaceutical Pricing

Ernst & Young
Dallas, TX

Oct 15

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Location: US-TX-Dallas Job Number: DAL0007M Employee Status : Regular Job Type : Experienced Schedule : Full-time Description Our Fraud Investigation & Dispute Services (FIDS) practice advises corporations and their outside legal counsel on complex business matters that involve financial, fraud and forensic investigations and economic damages arising from disputes pertaining to intellectual proper ... More

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