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  • Special Investigation Unit Investigator-Healthcare

    Community Care Plan

    Remote Chief Investigator Job

    based in Sunrise, Florida. The Special Investigations Unit Investigator is responsible for the investigation of potential fraud, waste, and abuse cases involving health plan providers and members. The Special Investigations Unit Investigator responsibilities include but are not limited to case management, research, investigation, documentation, and overpayment recovery. FWA investigations experience in healthcare. Essential Duties and Responsibilities: Accountable for managing a caseload of referrals and investigations involving potential member and/or provider fraud, waste, and abuse. Documents all appropriate case activity in case tracking system. Ensures compliance with all state and federal requirements related to FWA and FWA investigations. Performs data-mining activities to identify potential cases for investigation. Analyzes data as part of the investigative process. Performs research to analyze aberrant claims billing and practice patterns. Investigates and documents all fraud, waste, and abuse referrals and cases with a focus on thoroughness and attention to detail, quality, timeliness, and cost control. Testifies on investigations documented, as needed. Conducts comprehensive interviews with providers, members, and witnesses to obtain information which would be considered admissible under generally accepted criminal and civil rules of evidence. Conducts investigative steps out in the field throughout the service area as needed. Prepares and submits investigative reports covering all phases of the investigation. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. SKILLS AND ABILITIES: Ability to communicate effectively, verbally and written. Ability to self-motivate. Strong time management skills Ability to prioritize and organize FWA program activities. Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable Ability to collaborate. Results oriented skills. Work Schedule: As a continued effort to provide a safe and productive work environment, Community Care Plan is currently following a hybrid work schedule. Staff are able to work from home 3 days a week and will report to the office 2 days a week. *****The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee may occasionally be required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. Qualifications Bachelor level education Minimum 3-5 years experience conducting comprehensive health care FWA investigations. Ability to work independently with minimal supervision and manage a high volume of assignments. High degree of integrity and confidentiality required handling information that is considered personal and confidential. Analytical skills and ability to make deductions, logical and sequential thinker. Strong verbal and written communication skills. Health care industry and/or Florida Medicaid knowledge required. Advanced knowledge and experience working on various approaches to health care fraud, waste, and abuse. Working knowledge of Microsoft applications, especially Excel, required. Knowledge of available resources (internal and external) to assist in investigations. Medical terminology knowledge and/or experience with CPT and ICD-10 coding preferred. Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators. Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) preferred.
    $35k-55k yearly est. 7d ago
  • Lead Employee Relations Investigator

    Openai 4.2company rating

    Remote Chief Investigator Job

    About the team OpenAI's People team aims to hire, engage, and retain world-class talent who will safely build and deploy universally beneficial Artificial General Intelligence (AGI). The Global Employee Relations and People Policy team is a Center of Excellence within the People team, providing subject-matter expertise in employee relations, workplace investigations, policy development, and strategic guidance and support for high-stakes, complex, and sensitive employee matters across OpenAI's global offices. About the role We are looking for an experienced Employee Relations and Investigations Lead to join our Global Employee Relations, Investigations, and People Policy team. This role will report to the Global Head of Employee Relations and will be instrumental in leading and scaling a high-performing global employee relations and workplace investigations team. You will conduct and guide complex investigations into potential policy violations, provide subject-matter expertise on high-stakes employment matters, and work closely with senior leadership to influence and implement strategic initiatives while supporting informed decision-making. Additionally, you will provide day-to-day guidance to other team members on complex investigations and help scale and define our global investigations and employee relations strategy. You'll have several responsibilities, including: Mentor, develop, and scale a global team of employee relations and investigations professionals. Oversee and conduct comprehensive investigations into employee concerns, including misconduct, harassment, discrimination, and policy violations across OpenAI's global offices. Ensure adherence to best practices and gold-standard investigative procedures, including meticulous documentation and report writing. Provide subject matter expertise on high-stakes and complex employment matters, ensuring compliance with employment laws and company policies. Collaborate with Legal, HR, and cross-functional teams to resolve complex personnel matters in a manner that is consistent with company policies and complies with labor and employment laws. Develop and implement innovative strategies to enhance workplace culture and align with OpenAI's values. Analyze employee relations data to inform and refine People programs and policies. Stay informed on U.S. and global employment law trends and best practices. Drive continuous improvement of employee relations processes and tools, focusing on speed, efficiency, and innovation. We'll look for these qualities, experience, and skills: A JD degree and 10+ years of experience as an employment or workplace investigations attorney, or in another in-house investigations role, or advising on complex employee relations issues. Global employment law experience or AWI-CH designation is a plus. Demonstrated experience in leading and scaling high-performing employee relations or investigations teams at global companies. Proven ability to manage highly sensitive and complex employee relations issues with a strong record of de-escalating charged situations. Exceptional analytical, written, and verbal communication skills, with the ability to produce clear, rigorous, and legally defensible investigation reports. Strong interpersonal skills and emotional intelligence, with the ability to build trust and influence at all organizational levels. Data-driven and proactive approach with a commitment to continuous improvement and dynamic problem-solving. Unwavering integrity and professionalism, with a commitment to maintaining confidentiality and handling sensitive information with the utmost discretion. Ability to think strategically and creatively in high-pressure environments. Location and Workplace This role is based in our San Francisco, CA office and we offer relocation assistance to new employees. Our offices use a hybrid work model: three days in the office per week with optional work from home on Thursdays and Fridays. Our open-plan offices have height-adjustable desks, conference rooms, phone booths, well-stocked kitchens full of snacks and drinks and more. About OpenAI OpenAI is an AI research and deployment company dedicated to ensuring that general-purpose artificial intelligence benefits all of humanity. We push the boundaries of the capabilities of AI systems and seek to safely deploy them to the world through our products. AI is an extremely powerful tool that must be created with safety and human needs at its core, and to achieve our mission, we must encompass and value the many different perspectives, voices, and experiences that form the full spectrum of humanity. We are an equal opportunity employer and do not discriminate on the basis of race, religion, national origin, gender, sexual orientation, age, veteran status, disability or any other legally protected status. For US Based Candidates: Pursuant to the San Francisco Fair Chance Ordinance, we will consider qualified applicants with arrest and conviction records. We are committed to providing reasonable accommodations to applicants with disabilities, and requests can be made via this link. At OpenAI, we believe artificial intelligence has the potential to help people solve immense global challenges, and we want the upside of AI to be widely shared. Join us in shaping the future of technology. #J-18808-Ljbffr
    $54k-98k yearly est. 18d ago
  • Fire Investigator - Sr. Principal Consultant

    Crawford & Company 4.7company rating

    Remote Chief Investigator Job

    Certified Fire Investigator / Certified Fire & Explosion Investigator (CFI/CFEI) responsible for analyzing and interpreting fire and explosion scenes. Responsibilities Perform all required analysis and work necessary to determine the cause and origin of fires and explosion incidents. Convey findings and conclusions to others in a clear and concise manner, typically through written reports. Defend opinions in court or litigious settings when necessary. Complete required corporate training and development programs. Mentor and train subordinate investigators. Qualifications Bachelors in degree field commensurate with duties. (Experience may be accepted and converted on a case by case basis in order to meet educational standard.) Masters or higher preferred. Must have CFI certification through IAAI. Must be familiar with NFPA 921. Must meet all the requirements for qualification as a fire investigator per NFPA 1033. 15+ Years Public and/or Private fire investigative duties- actively engaged in Origin and Cause. Must have documented testimony history. Must be willing to travel and/or work a flexible schedule during periods of peak demand. Must have the willingness to work remotely and from home office. Must have employee-provided, high-speed internet that is reliable and accessible at remote office. To meet description minimum standards the candidate must possess at minimum a documented previous history in legal process testimony, possess the IAAI-CFI credential, and have at least 15 yrs. experience. Any other requirement not listed “at minimum” may be accomplished with education and experience considerations. Provide expert testimony, supported by previous experience. Maintain organization and deliver fast, accurate turnaround times. Manage multiple projects and handle high-stress periods, especially during peak business demand. Conduct hands-on investigations, including climbing ladders and roofs, and crawling in tight spaces as needed. Work on assigned projects unless significant hazards are identified, following OCI's/C&C Safety Protocol guidelines. Meet all standards for the pre-employment physical examination. Hold a valid driver's license with an acceptable driving record in accordance with firm guidelines. About Us Why Crawford? Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time. At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at ************** . When you accept a job with Crawford, you become a part of the One Crawford family. Compensation and Benefits Pay and incentive plans that recognize performance excellence Benefit programs that empower financial, physical, and mental wellness Training programs that promote continuous learning and career progression while enhancing job performance Sustainability programs that give back to the communities in which we live and work A culture of respect, collaboration, entrepreneurial spirit and inclusion Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means. Job Info Job Identification 2025-26823 Job Category Support Role Posting Date 01/27/2025, 12:00 AM Job Schedule Full time #J-18808-Ljbffr
    $54k-73k yearly est. 19d ago
  • Senior Financial Investigator

    Arizona Department of Administration 4.3company rating

    Remote Chief Investigator Job

    AUDITOR GENERAL The Arizona Auditor General serves as an independent source of impartial information concerning State and local governmental entities and provides specific recommendations to improve the operations of those entities. We achieve our mission through the thoroughly specific research, audits, and investigations of our professional team members who educate stakeholders through our reports, alerts, and reviews. Since 1969, our office has continued to innovate, grow, and become one of the most highly regarded leaders in our field. Senior Financial Investigator Job Location: Address: 2910 N. 44th Street Phoenix, AZ 85018 Posting Details: YOU MUST APPLY ON OUR WEBSITE FOR THIS POSITION. Depending on experience: With Bachelor's degree $80,000-$83,000 With Master's degree $83,000-$86,000 With CPA $86,000-$89,000 What you'll need: Conducting financial analysis and internal control reviews related to fraud allegations. Writing interview memos and completing comprehensive investigative reports issued to prosecuting agencies, legislative bodies, and the public. Ability to analyze financial investigation materials and apply judgment. Acting as a liaison with criminal prosecutors and law enforcement. Testifying in front of grand juries and at trials or hearings. Assisting other Auditor General divisions with fraud issues and concerns. Providing fraud detection and deterrence trainings to internal personnel as well as outside agencies. Conducting high risk reviews for outside governmental entities. Ability to work in a fast-paced environment, juggling multiple projects and deadlines. Ability to be thorough, precise, accurate, and detail oriented. What you'll do: Lead and supervise assigned staff by monitoring investigations' progress, evaluating conclusions, and providing on-the-job training. Interviewing involved parties, including employees, public officials, and potential suspects. Conducting financial analysis and internal control reviews related to fraud allegations. Writing interview memos and completing comprehensive investigative reports issued to prosecuting agencies, legislative bodies, and the public. Ability to analyze financial investigation materials and apply judgment. Acting as a liaison with criminal prosecutors and law enforcement. Testifying in front of grand juries and at trials or hearings. Assisting other Auditor General divisions with fraud issues and concerns. Providing fraud detection and deterrence trainings to internal personnel as well as outside agencies. Conducting high risk reviews for outside governmental entities. Ability to work in a fast-paced environment, juggling multiple projects and deadlines. Ability to be thorough, precise, accurate, and detail oriented. Knowledge, Skills & Abilities (KSAs): Bachelor's or master's degree preferred.6 years or more experience with law enforcement working on white collar crime or conducting financial analysis and internal controls related to fraud allegations. Minimum 2 years of supervisory experience. Strong interest in public service and improving State government. Strong analytical, research, critical thinking, time management, and verbal and written communication skills. Obtained or interest in obtaining a Certified Fraud Examiner (CFE) designation. Well-developed interpersonal skills. Must have valid Arizona driver's license and reliable transportation. Pre-Employment Requirements: If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements. All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits: The Arizona Auditor General offers a comprehensive benefits package to include: • Generous paid vacation and sick leave with 10 paid holidays per year. • Medical insurance, with the employer covering 90% of the premium cost. • Retirement plan with 100% employer match of the employee contribution and additional deferred compensation options. • Business casual dress. • Flexible Monday through Friday work schedules and telecommuting options. • Continuing education provided and paid for by the employer. • Tuition assistance program for those who qualify. • Clear path to advance your career. • Dental and vision insurance. • Long-term disability insurance and optional short-term disability insurance. • $15,000 life insurance policy and options to purchase additional coverage and supplemental coverage for dependents. • Optional flexible spending accounts. For a complete list of benefits provided by The State of Arizona, please visit our benefits page. By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement: Arizona State Retirement System Contact Us: If you have any questions, please contact Beth Entringer or Melanie Scala at ************ or *********************** for assistance.
    $86k-89k yearly 21d ago
  • Financial Crimes Investigator - Cryptocurrency/Blockchain

    Treliant 4.2company rating

    Remote Chief Investigator Job

    Treliant is a global consulting firm serving banks, mortgage originators and servicers, FinTechs, and other companies providing financial services. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challenges. We provide data-driven, technology-enabled advisory and consulting, implementation, staffing and managed services solutions to the regulatory compliance, risk, financial crimes, and capital markets functions of our clients. Founded in 2005, Treliant is headquartered in Washington, DC, with offices across the United States, London, Belfast, and Łódź, Poland. For more information visit ***************** Treliant is committed to fostering a diverse, equitable and inclusive environment that values and embraces all races, religions, ages, abilities, gender, sexual orientations, ethnicities, languages, nationalities, political parties, socioeconomic groups and other characteristics that inform an individual worldwide view and experiences and systems of beliefs (“the principles”). We believe in championing every voice and ensuring everyone's full potential. We are looking for Financial Crimes Investigators with an expertise in blockchain and cryptocurrencies to join our team for remote, project-based opportunities. Responsibilities While the scope of each project may be different, your duties & responsibilities may include: Conduct thorough investigations into potential financial crimes, including money laundering, fraud, and sanctions violations, using advanced techniques and tools. Perform Ehanced Due Diligence (EDD) checks on high-risk clients, including analyzing complex financial transactions, assessing risk, and identifying suspicious activities. Ensure clients meet regulatory and compliance standards by performing CDD checks, including KYC (Know Your Customer) assessments and analyzing source of funds. Analyze cryptocurrency transactions and wallet addresses, leveraging blockchain explorers and analytics tools to track illicit activity or suspicious behavior. Draft and submit Suspicious Activity Reports SARs to relevant authorities, ensuring timely and accurate reporting in accordance with local and global regulations. Identify and assess potential financial crime risks across all client portfolios, leveraging both traditional and crypto-related financial systems. Work closely with regulatory agencies, and financial institutions to ensure compliance with global anti-money laundering (AML) and counter-financing of terrorism (CFT) regulations. Investigate high-volume or high-value transactions, including cross-border transfers, to identify red flags or signs of illegal activities. Maintain detailed records of investigations, providing clear reports on findings, conclusions, and recommendations. Keep up to date with new developments in the financial crime landscape, particularly regarding cryptocurrency regulations and AML/CFT compliance. Qualifications Strong education background; Bachelor's Degree preferred. 3+ years of experience in Financial Crime; either directly with a bank/financial institution or via a third party providing consulting services. Strong background in AML, CTF or Sanctions, with an understanding of the compliance and regulatory frameworks that apply. Familiarity with handling high-risk clients and performing EDD checks on complex financial transactions. Familiarity with cryptocurrency and blockchain technologies, including investigating transactions on blockchain platforms and identifying risks associated with digital assets. Familiarity with blockchain forensics tools such as Chainalysis, Elliptic, or CipherTrace to trace and analyze crypto transactions. Knowledge of global regulatory frameworks for crypto - understanding of evolving cryptocurrency regulations, including FATF's Travel Rule, KYC/AML compliance for digital assets, and the legal landscape around crypto in different regions. Experience in developing risk mitigation strategies for crypto-based financial crimes, including fraud prevention and transaction monitoring in the crypto space. Strong writing skills to produce clear SARs, investigative reports, and recommendations for senior management or regulatory authorities. Experience working with cross-functional teams, as well as strong communication skills to interact effectively with internal stakeholders and regulators. Strong decision-making skills in a fast-paced and pressurized environment Strong MS Office skills (PowerPoint, Excel, Word). We are committed to being an Equal Opportunity Employer and want to build a diverse, inclusive and authentic workplace. If you are interested in working for Treliant but don't tick all the boxes, we encourage you to apply as you may be the perfect candidate for this or other roles. Benefits Primary Location: Remote Primary Location Salary Range: $40/hr - $45/hr Treliant offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefit package that reflects our commitment to creating a diverse and supportive workplace. In addition to a competitive base salary, candidate is eligible for incentive pay as well as a full range of health benefits, vacation plan, and 401k plan. If you want to be part of a dynamic team of professionals, we invite you to join the team at Treliant. We invest in people, and challenge you to advance your career while achieving your aspirations and goals. Here at Treliant, we pride ourselves on our collaborative team culture, where we embrace diversity of thought and innovation. If you strive for excellence and seek an inclusive environment apply on line treliant.com and follow us on LinkedIn. Right to Work Treliant is not in the position to provide sponsorship for this current position and so applicants must be able to work in the United States without requiring sponsorship. Please note, Treliant receives a high volume of applications for all roles. While we will endeavor to respond to all applicants, this is not always possible. Should you not receive a response to your application within 2 weeks, it is likely that you will have been unsuccessful on this occasion. However, we would like to retain your details on our systems and may contact you should another potentially suitable vacancy arise. Treliant LLC is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, sexual orientation, genetic information, religion, age, disability, or military status in employment or provision of services. When contacted for an interview, an applicant who requires special accommodations due to a disability should notify the office so that proper arrangements can be made.
    $40 hourly 5d ago
  • Entry-Level AML Investigator - Financial Crimes (Remote) - South Carolina

    AML Rightsource 3.6company rating

    Remote Chief Investigator Job

    Work Arrangement: This is a remote, work-from-home opportunity for candidates currently located in South Carolina. The role includes three weeks of company-provided remote training. Please note: Remote work flexibility is not guaranteed long-term and may be subject to change based on company needs. About the Role: No prior experience required! We offer comprehensive on-the-job training to help you develop your skills in financial crime compliance. As an Entry-level AML Investigator, you'll analyze financial transactions, identify suspicious activity, and ensure compliance with regulatory policies, including KYC. Key Responsibilities: Evaluate and monitor transactional activity to identify potential suspicious activity. Verify client identities and assess their relationships with financial institutions for Know your Customer (KYC) purposes. Interpret and implement client-operating policies related to financial data. Identify data anomalies and red flags for money laundering, terrorist financing, fraud, sanctions violations, and escalate for second level review. Write clear, concise reports summarizing findings and recommendations. Use basic Excel functions and technology applications (Microsoft, internet) for analysis. Adhere to designated timeframes and procedures to ensure timely and accurate completion of tasks. Submit written work product for review by internal quality control teams and make necessary adjustments based on feedback. Meet production and quality standards while working collaboratively in a team-oriented environment. Ensure compliance with federal and state laws, regulations and company policies, and client requirements related to Anti-Money Laundering. What You Bring (Minium Qualifications) Bachelor's Degree required. Must currently reside in South Carolina. Strong writing and communication skills to produce clear, accurate, well-organized summaries and articulate recommendations. Strong verbal and written communication skills. Ability to accept feedback positively and implement necessary changes quickly. Strong analytical, problem solving and organizational skills. Technical aptitude for using Microsoft Excel and other technology tools. Ability to work independently and collaborate effectively in a team environment. Quick learner with the ability to adapt to feedback, new technologies and processes. Preferred Qualifications: Ability to adapt to change quickly and identify opportunities for improvement. Demonstrated experience in MS Excel, including pivot tables, macros, filtering, and sorting. Strong entrepreneurial spirit and collaborative mindset. Knowledge of effective internet search techniques. Normal Working Hours and Conditions: Core hours are 8:00 am - 5:00 pm, with potential flexibility required based on operational needs across different time zones. About Us: We are AML RightSource, the leading technology-enabled managed services firm focused on fighting financial crime for our clients and the world. Headquartered in Cleveland, Ohio, and operating across the globe, we are a trusted partner to our financial institution, FinTech, money service business, and corporate clients. Using a blend of highly trained anti-financial crime professionals, cutting-edge technology tools, and industry-leading consultants, we help clients with their AML/BSA, transaction monitoring, client onboarding (KYC), enhanced due diligence (EDD), and risk management needs. We support clients in meeting day-to-day compliance tasks, urgent projects, and strategic changes. Globally, our staff of more than 4,000 highly trained analysts and subject matter experts is the industry's largest group of full-time compliance professionals. Together with our clients, we are Reimagining Compliance. Physical Requirements: Ability to sit or stand for long periods. Prolonged use of computers and office equipment. Occasional lifting, bending, and reaching required. AML RightSource is committed to fostering a diverse work environment and is proud to be an equal opportunity employer. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
    $39k-74k yearly est. 20h ago
  • Part Time Bilingual (Spanish) Private Investigator - Special Investigations Unit (SIU)

    The Robison Group 4.2company rating

    Remote Chief Investigator Job

    Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks. For this position, you will also need to be fluent in writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified. Complete scene investigations, including photographing. Conduct in-person visit of medical clinics. Complete neighborhood canvasses. Make sound judgments during the course of the investigation. Provide timely progress updates. Complete detailed investigative reports. WHO SHOULD APPLY: Candidates with at least five (5) years of investigations experience are strongly encouraged to apply. We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity, and respect. POSITION QUALIFICATIONS: MUST have current and active Private Investigation License to be eligible for hire. Self-motivated, determined, and intuitive with a strong initiative and work-ethic. Ability to identify critical issues quickly and accurately. Demonstrate observational, organizational, and listening skills. Excellent oral and written communication. Fluent in Spanish language (writing, reading, speaking). Ability to work independently, as well as in a team. Flexible schedule working weekends, holidays, and possible evenings. Candidate must own a reliable computer, preferably a laptop, with access to high-speed internet and a scanner or fax machine. Must have strong computer and internet skills. Proficient with a digital camera. Must possess a valid driving license and own your reliable vehicle. Applicants must pass an extensive background check. Must be able to pass a drug test with negative results (except when undergoing documented medical treatment). College Degree preferred. COMPENSATION & REIMBURSEMENTS: Hourly Rate is commensurate with education and experience. Paid travel time and reimbursement for mileage, tolls, and other per diem items. READY TO APPLY? Please submit your FULL resume, including salary requirements.
    $52k-81k yearly est. 5d ago
  • Fraud Investigator - UT, NV, AZ

    California Bank & Trust 4.4company rating

    Remote Chief Investigator Job

    Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets. Zions is regularly recognized by American Banker as one of the "Best Banks to Work For" and as having a top banking team in its list of "The Most Powerful Women in Banking." Our customers consistently vote us as the best bank in our local markets. We value our employees, and we are committed to search out, recognize and create fulfilling opportunities for outstanding people within our organization, rewarding them for their contributions to our success. We recognize that banking is a "local" business, and that to be successful, we must have very strong ties to the communities we serve and strong relationships with our customers. With benefits starting on day one, 12 bank holidays, profit sharing and company-matched 401(k) contributions, Zions is dedicated to being an employer of choice in our communities. At Zions, the possibilities are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time remote, working from in the Salt Lake City, Utah; Las Vegas, Nevada; or Phoenix, Arizona area. What you'll do: * Conducts financial crimes investigations of external and customer activity. * Writes clear and concise reports in an accurate and timely manner. * Communicates with branch, department managers, BSA Officers, and frontline groups as necessary, in researching and investigating cases. * Makes recommendations for closing account relationships to the Investigations management. Escalates identified risks to team leadership. * Uses various bank systems to conduct research of customer transaction activity including the case management system. * Keeps current on fraud and BSA/AML investigative operations and the application of the BSA and USA PATRIOT Act requirements along with training requirements for the investigative role. * Perform other duties as assigned. Qualifications: * A bachelor's degree in a related field or combination of investigative experience. Financial crime investigation experience preferred. A combination of education and experience may meet requirements. * Relevant Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association of Certified Financial Crime Specialists (ACFCS) is a plus. * Basic working knowledge of fraud detection/prevention principals, BSA/AML Compliance as it applies to suspicious activity for money laundering, terrorist financing and fraud. * Basic understanding of complex financial transactions and business relationships and relationships between business entities. * Good understanding of bank operations as it relates to the flow of funds through financial institutions. * Good understanding of fraud, AML and terrorist financing red flags related to the identification of suspicious activity. * Ability to meet deadlines, work independently and adapt to changing priorities. * Good analytical skills, customer service and communication skills, both verbal and written. * Ability to manage deadlines, be organized, detail-oriented and high degree of accuracy. * Ability to write and translate complex situations into easily understood narratives. * Ability to be an independent thinker and to handle confidential, delicate and/or sensitive information or situations. * Strong PC skills desired with an emphasis in MS Excel and Word. This position is eligible to earn a base salary in the range of $44,625 to $65,450 annually depending on job-related factors such as level of experience and location Benefits: * Medical, Dental and Vision Insurance - START DAY ONE! * Life and Disability Insurance, Paid Parental Leave and Adoption Assistance * Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts * Paid Training, Paid Time Off (PTO) and 11 Paid Federal Holidays, and any applicable state holidays * 401(k) plan with company match, Profit Sharing, competitive compensation in line with work experience * Mental health benefits including coaching and therapy sessions * Tuition Reimbursement for qualifying employees enrolled in an accredited degree program related to the needs of the business, maximum of $5,250 per calendar year, employees are eligible for the program upon hire * Employee Ambassador preferred banking products
    $44.6k-65.5k yearly 4d ago
  • Senior Investigator, Illicit Finance & Sanctions

    Opensea 3.2company rating

    Remote Chief Investigator Job

    As the world's first and largest NFT marketplace, OpenSea is pioneering a new frontier where art, games, technology and commerce converge in fascinating and unprecedented ways. Our platform empowers millions of creators, collectors and developers to easily showcase, discover, buy and sell unique digital items. We're a team of rigorous problem solvers, visionary futurists, proactive doers and effective communicators. As a remote-first company, we enable our team members to work from anywhere, while making time to come together as a team to collaborate and connect in person throughout the year. OpenSea's Counter-Illicit Finance & Sanctions Compliance program is seeking a qualified and experienced individual to fill the role of Senior Investigator. The individual in this role must have a proven ability to independently perform financial crimes and/or OFAC sanctions related investigations. The individual will be expected to be an immediate contributor to our program and must have a proactive mentality, be willing to work on alerts and investigations, and contribute broadly to the success and ongoing development of the program. This position is fully remote. Responsibilities: Perform blockchain investigations. Analyze transactional activity to identify potential money laundering, terrorist financing, or sanctions evasion. Investigate potential sanctions hits. Collaborate with the broader team to improve procedures and processes as they relate to financial crimes and sanctions related investigations. Support other areas of the Counter-Illicit Finance and Sanctions Compliance program as required. Apply previous financial crimes or sanctions compliance experience to support the overall development of the program, its projects, policies, and procedures. Requirements: 4+ years experience working in financial crimes or OFAC sanctions compliance programs. Previous experience working in crypto/Web3. Ability to compile case documentation accurately and with detail. Ability to utilize various internal tools and systems. Ability to communicate clearly and concisely. Ability to identify issues or gaps and propose solutions. Ability to read, understand, and consistently apply procedure. Preferred Qualifications: Familiarity with blockchain analytics tools such as TRM Labs, Elliptic, or Chainalysis. Familiarity with Transaction Monitoring Systems and rulesets. The base salary for this full-time position, which spans across multiple internal levels depending on qualifications, ranges between $95,000 to $150,000 plus benefits & equity. If you don't think you meet all of the criteria below but still are interested in the job, please apply. Nobody checks every box, and we're looking for someone who is excited to join the team. #LI-Remote Benefits & Perks 🏥 Health Benefits: We cover 100% Dental/Vision/Medical for employees and 80% for dependents 🌴 Flexible Time Off Policy: Our flexible time off policy is aimed at letting our employees take as much time off as they'd like to refresh so long as it doesn't interfere with their ability to meet their goals and contribute effectively to company velocity 👶 Parental Leave: 16 Weeks of Paid Parental Bonding & up to 8 additional weeks for the birthing parent 💛 Mental Health: We offer access to Spring Health, covering 8 therapy & 8 coaching sessions per year 📅 11 Company Holidays 🏦 Fidelity 401K Plan 📱 Internet/Mobile Reimbursement Plan 🧘 Reimbursement or Monthly Snack Delivery ✈ Company & Team retreats to get together for fun and collaboration ☕ Team Member Co-Working and Gathering Expense 🖥 MacBook Pro & WFH Stipend to make sure you are set up for success 🌯 Weekly $50 Uber Eats credit By clicking submit an application below, you consent to our use and processing of your data as described in our Candidate Privacy Notice. Please be aware that OpenSea participates in E-Verify to confirm employment eligibility.
    $95k-150k yearly 23d ago
  • Fraud Investigator - UT, NV, AZ

    National Bank of Arizona 4.4company rating

    Remote Chief Investigator Job

    Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets. Zions is regularly recognized by American Banker as one of the "Best Banks to Work For" and as having a top banking team in its list of "The Most Powerful Women in Banking." Our customers consistently vote us as the best bank in our local markets. We value our employees, and we are committed to search out, recognize and create fulfilling opportunities for outstanding people within our organization, rewarding them for their contributions to our success. We recognize that banking is a "local" business, and that to be successful, we must have very strong ties to the communities we serve and strong relationships with our customers. With benefits starting on day one, 12 bank holidays, profit sharing and company-matched 401(k) contributions, Zions is dedicated to being an employer of choice in our communities. At Zions, the possibilities are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time remote, working from in the Salt Lake City, Utah; Las Vegas, Nevada; or Phoenix, Arizona area. What you'll do: * Conducts financial crimes investigations of external and customer activity. * Writes clear and concise reports in an accurate and timely manner. * Communicates with branch, department managers, BSA Officers, and frontline groups as necessary, in researching and investigating cases. * Makes recommendations for closing account relationships to the Investigations management. Escalates identified risks to team leadership. * Uses various bank systems to conduct research of customer transaction activity including the case management system. * Keeps current on fraud and BSA/AML investigative operations and the application of the BSA and USA PATRIOT Act requirements along with training requirements for the investigative role. * Perform other duties as assigned. Qualifications: * A bachelor's degree in a related field or combination of investigative experience. Financial crime investigation experience preferred. A combination of education and experience may meet requirements. * Relevant Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association of Certified Financial Crime Specialists (ACFCS) is a plus. * Basic working knowledge of fraud detection/prevention principals, BSA/AML Compliance as it applies to suspicious activity for money laundering, terrorist financing and fraud. * Basic understanding of complex financial transactions and business relationships and relationships between business entities. * Good understanding of bank operations as it relates to the flow of funds through financial institutions. * Good understanding of fraud, AML and terrorist financing red flags related to the identification of suspicious activity. * Ability to meet deadlines, work independently and adapt to changing priorities. * Good analytical skills, customer service and communication skills, both verbal and written. * Ability to manage deadlines, be organized, detail-oriented and high degree of accuracy. * Ability to write and translate complex situations into easily understood narratives. * Ability to be an independent thinker and to handle confidential, delicate and/or sensitive information or situations. * Strong PC skills desired with an emphasis in MS Excel and Word. This position is eligible to earn a base salary in the range of $44,625 to $65,450 annually depending on job-related factors such as level of experience and location Benefits: * Medical, Dental and Vision Insurance - START DAY ONE! * Life and Disability Insurance, Paid Parental Leave and Adoption Assistance * Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts * Paid Training, Paid Time Off (PTO) and 11 Paid Federal Holidays, and any applicable state holidays * 401(k) plan with company match, Profit Sharing, competitive compensation in line with work experience * Mental health benefits including coaching and therapy sessions * Tuition Reimbursement for qualifying employees enrolled in an accredited degree program related to the needs of the business, maximum of $5,250 per calendar year, employees are eligible for the program upon hire * Employee Ambassador preferred banking products
    $44.6k-65.5k yearly 5d ago
  • Fraud and Abuse Investigator

    Humana Insurance Company 4.4company rating

    Remote Chief Investigator Job

    Become a part of our caring community and help us put health first The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Fraud and Waste Professional 2 coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact WORK STYLE: Primarily work at home/remote, but must be able and willing to perform site visits in Kentucky approximately once a month (as this role supports Kentucky Medicaid) WORK HOURS: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. Required Qualifications At least 3 years of healthcare fraud, waste, and abuse investigation and auditing experience Knowledge of healthcare payment methodologies Strong organizational, interpersonal, and communication skills Inquisitive nature with ability to analyze data to metrics Computer literate (MS, Word, Excel, Access) Strong personal and professional ethics Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Bachelor's degree Resident of Kentucky or a bordering state Familiarity with Kentucky Medicaid Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). Understanding of healthcare industry, claims processing and investigative process development. Experience in a corporate environment and understanding of business operations Additional Information Work at Home Requirements • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested • Satellite, cellular and microwave connection can be used only if approved by leadership • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $65k-88.6k yearly 40d ago
  • Fraud Investigator

    Goatgroup

    Remote Chief Investigator Job

    About the Team At GOAT Group, our Fraud team is essential in maintaining trust between our buyers and sellers. Tasked with everything from auditing purchases to verifying credit card information, you will be part of a group dedicated to protecting our customers as well as the integrity of our platforms. In this vital role, you will use best-in-class technology alongside our own proprietary analytical models to ensure superior fraud prevention. In this role, you will: Review all orders and alerts on a daily basis in a timely manner to identify valid and fraudulent transactions while adhering to department and company service level agreements Maintain or exceed review volume expectations with minimal errors or complaints Review and analyze various notifications and escalations to identify fraudulent transactions Provide timely and accurate response to emails and/or voicemails to ensure that customers are getting the best service especially when being asked for verification, etc. Analyze fraud transactions, chargebacks and terms of use abuse to identify, summarize, communicate and report fraud trends Monitor and review daily, weekly and monthly fraud and abuse rates to assist in the development of strategies to help mitigate losses and reduce loss and abuse rates Manage and maintain fraud strategy by identifying, creating, and reviewing fraud rules and processes Conduct periodic review of rule performance and adjust as needed to ensure maximum efficiency and effectiveness Work closely with other members of the team by handling questions and escalations and continuously improving internal processes Mentor fraud specialists to improve and sustain performance Maintain effective working relationships across internal and external teams as necessary Manage law enforcement requests and maintain working relationships with third-party fraud solution providers, merchant fraud teams and issuing banks Maintain a positive attitude and be willing to adjust daily responsibilities to meet the needs of the business Manage the queue volumes with little to no supervision Must be able to work weekends and non-traditional shifts We are looking for: 3-5 years of experience in e-commerce fraud and payments environment 2+ years experience in fraud data analytics, ideally in e-commerce or at a startup SQL experience required Strong attention to detail with consistent accuracy Working knowledge of Customer Service and valuing the customer experience The ability to follow stringent processes and regulations Must have the ability to meet critical deadlines in a fast paced environment Excellent communication skills, both verbal and written Self-starter and comfortable taking initiative while quickly grasping concepts, processes and ideas Must be highly organized Ability to think analytically and make accurate decisions Must be able to work within a team environment and must be a team player Strong proficiency working with web browsers and web based too The hiring range for this position is below, plus benefits (401K, paid time off, dental, medical, vision, disability, life insurance options). To determine starting pay within the hiring range, we carefully consider a variety of factors, including primary work location, role/level, a candidate's skills, experience, market demands, and internal parity. You may reach out to a recruiter for additional information. Hiring Range:$66,800—$83,500 USD GOAT Group represents the leading platforms for authentic sneakers, apparel and accessories. Operating four distinct brands-GOAT, Flight Club, Grailed and alias-GOAT Group has a global community of more than 60 million members across 170 countries. GOAT is the global platform for the greatest products from the past, present and future. Since its founding in 2015, GOAT has become one of the leading and most trusted sneaker platforms in the world, and has expanded to offer apparel and accessories from select emerging, contemporary and iconic brands. Through its unique positioning between the primary and resale markets, the company offers styles across various time periods on its digital platforms and in its retail locations, while delivering products to over 60 million members across 170 countries. Established in New York City over 15 years ago, Flight Club revolutionized sneaker retail as the original consignment store for rare shoes. Carrying the rarest exclusives and collectible sneakers, Flight Club has evolved from a one-stop sneaker destination, to a cultural hub for sneaker enthusiasts and novices alike. With three brick-and-mortar locations in New York City, Los Angeles and Miami, Flight Club remains the premier source for authentic, rare sneakers. Founded in 2013, Grailed is the leading community-driven marketplace for rare luxury, streetwear and vintage fashion. The marketplace was built for enthusiasts, by enthusiasts, and features products from brands including Supreme, Raf Simons, Gucci, Saint Laurent, Balenciaga, Prada and more. With a highly curated selection of resale pieces including inventory exclusive to the platform, Grailed makes fashion accessible. The company is backed by strategic investor Foot Locker, Inc. as well as some of the leading names in venture capital including Park West Asset Management, T. Rowe Price Associates, Inc., Franklin Templeton, Adage Capital Management, Ulysses Management, D1 Capital Partners, Accel, Andreessen Horowitz, Index Ventures, Matrix Partners, Upfront Ventures, Webb Investment Network and Y Combinator. GOAT Group will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, if applicable. By applying, you authorize GOAT Group to send you text messages regarding your job application, interview and/or onboarding process, and other job opportunities at GOAT Group. If you are a California resident, please review our California Privacy Rights Notice for Job Applicants. If you are an EU or UK resident, please review our EU / UK Candidate & Employee Privacy Notice.
    $66.8k-83.5k yearly 7d ago
  • Fraud Investigator

    State Department Federal Credit Union 4.5company rating

    Remote Chief Investigator Job

    Recognized by the city of Alexandria as a Gold Employer, the State Department Federal Credit Union (SDFCU) is dedicated to providing outstanding opportunities and professional development. Headquartered in Alexandria, Virginia, with assets exceeding $2.4 billion, we understand that our success is driven by our talented team members. At State Department Federal Credit Union, we are committed to attracting and retaining top talent to ensure our continued success. Our tradition of exceptional service extends not only to our members but also to our employees. Through comprehensive internal training and workshops, we nurture professional strengths and provide ample opportunities for career advancement. Are you ready to join our dynamic team? We offer competitive salaries, exceptional Health, Dental, and Vision insurance within the first 30 days of service, a matched 401(k) plan with up to 4% SDFCU contribution, and much more. Benefits and Perks of Working at State Department Federal Credit Union Include: Diversity and Inclusion: Work in an environment that values and respects all team members. Paid Holidays: Enjoy 12 paid holidays a year, including your birthday. Flexible Work Options: Potential work-from-home options after the introductory period. Generous Paid Time Off: Ample vacation and personal days to maintain a healthy work-life balance. Tuition Reimbursement: Support for your ongoing education and career development. Commute/Parking Incentives: Financial incentives for your daily commute. Comprehensive Insurance: Access to excellent medical, dental, and vision insurance packages. Gym Reimbursement: Stay healthy with our gym membership reimbursement program. Team Bonding: Participate in company and team bonding events that foster a collaborative work environment. Join us at SDFCU and be part of a team that values excellence, innovation, and professional growth. About the Role: State Department Federal Credit Union is seeking a Fraud Investigator who will monitor transactions, analyze data for suspicious activity, and investigate and process fraud claims. This role involves working closely with various departments to ensure compliance with regulations, thoroughly investigate fraud cases, and minimize financial losses. The investigator will utilize data analytics and industry best practices to identify emerging fraud trends and implement effective fraud controls to mitigate risks. Additionally, they will report fraud cases and trends to relevant departments and law enforcement, as needed. The role also includes monitoring physical security devices across SDFCU properties, ensuring access to secure areas is restricted, and maintaining appropriate security protocols. Required Skills and Competencies: Minimum five years' experience in fraud analysis, risk management, or a related area, preferably in the financial services industry. AA or B.A. in Business, Criminal Justice or related field or (2) equivalent combination of education, credit union, banking, compliance and law enforcement experience. Knowledge of relevant laws and regulations (e.g. BSA, AML) Must be capable of passing a security investigation in order to obtain and maintain a U. S. Department of State building passes. Strong analytical, time management, organizational, and problem-solving skills with the ability to multi-task and work in a deadline-driven environment. Strong computer skills and experience working with Microsoft Word, Excel and Adobe is necessary. Proficient written and verbal communication skills and the ability to work independently and collaboratively with other business units. Ability to work independently and as part of a team
    $48k-73k yearly est. 60d+ ago
  • Special Investigations Unit Investigator (24867)

    Careoregon 4.5company rating

    Remote Chief Investigator Job

    Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Special Investigations Unit Investigator Requisition # 24867 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Special Investigations Unit Manager Department Audit and Compliance Pay and Benefits Estimated hiring range $71,340 - $87,200 /year, 5% bonus target, full benefits. ******************************************** Posting Notes This is a fully remote role, but you must reside in one of the listed 9 states. Job Summary This position is responsible for administering the fraud, waste, and abuse (FWA) duties for CareOregon and its affiliated lines of business. Core work includes ensuring effective measures are in place and operating effectively to prevent, detect, and correct any instances of fraud, waste, and abuse. This includes performing fraud investigations and providing regular FWA reporting. Additionally, this position helps ensure that appropriate procedures are in place and followed consistently to safeguard its assets, verify the accuracy and reliability of data, and promote efficient and effective operations. Essential Responsibilities Assist in the development and operation of an effective FWA program in accordance with CMS requirements, OHA/OHP requirements, and the Federal Sentencing Guidelines with guidance from department leadership. Perform routine FWA investigations, audits, and corrective actions as assigned, including maintaining documents and providing routine updates; may assist senior investigator with more complex or advanced investigations. Prepare reports of audit findings; provide recommendations regarding improvements or corrective actions where a deficiency may exist. Prepare, proofread, and distribute correspondence, forms, and other information of a specialized and confidential nature. Respond to routine and ad hoc requests from external regulatory agencies as assigned, such as annual reviews, quarterly repor Prepare routine and ad hoc reports for internal and external leaders, committees, and governing body, including collecting, analyzing, and displaying data. Assist in developing and maintaining an organized, methodical documentation system for communicating, implementing, and administering new and existing FWA regulatory requirements. and one-off requests. Review and recommend policy and procedure revisions that support the FWA/SIU program. Attend internal and external FWA and compliance-related meetings as assigned. Assist in providing effective FWA training and education to staff, both internal and external. Educate providers on appropriate documentation and coding. Participate in FWA program-related risk assessment and mitigation processes. Meet departmental metrics for key performance indicators. Organizational Responsibilities Perform work in alignment with the organization's mission, vision and values. Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Strive to meet annual business goals in support of the organization's strategic goals. Adhere to the organization's policies, procedures and other relevant compliance needs. Perform other duties as needed. Experience and/or Education Minimum 2 years' experience in FWA, compliance and/or audit including in an operational setting within a highly regulated industry CPC (Certified Professional Coder) or RHIT (Registered Health Information Technician) or CFE (Certified Fraud Examiner Preferred Fraud, waste, and abuse experience in healthcare or with health insurance Knowledge, Skills and Abilities Required Knowledge Understanding of healthcare fraud, waste, and abuse Knowledge of State and Federal compliance and FWA requirements for Medicare and Medicaid Knowledge of investigative techniques including interviews, data analytics, evidence gathering, case documentation Understanding of information systems Skills and Abilities Strong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills
    $71.3k-87.2k yearly 8d ago
  • Special Investigation Unit Investigator

    South Florida Community Care Network 4.4company rating

    Remote Chief Investigator Job

    Job Details Experienced Community Care Plan - Sunrise, FL Hybrid Full Time DayDescription The Special Investigations Unit Investigator is responsible for the investigation of potential fraud, waste, and abuse cases involving health plan providers and members. The Special Investigations Unit Investigator responsibilities include but are not limited to case management, research, investigation, documentation, and overpayment recovery. Essential Duties and Responsibilities: Accountable for managing a caseload of referrals and investigations involving potential member and/or provider fraud, waste, and abuse. Documents all appropriate case activity in case tracking system. Ensures compliance with all state and federal requirements related to FWA and FWA investigations. Performs data-mining activities to identify potential cases for investigation. Analyzes data as part of the investigative process. Performs research to analyze aberrant claims billing and practice patterns. Investigates and documents all fraud, waste, and abuse referrals and cases with a focus on thoroughness and attention to detail, quality, timeliness, and cost control. Testifies on investigations documented, as needed. Conducts comprehensive interviews with providers, members, and witnesses to obtain information which would be considered admissible under generally accepted criminal and civil rules of evidence. Conducts investigative steps out in the field throughout the service area as needed. Prepares and submits investigative reports covering all phases of the investigation. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. SKILLS AND ABILITIES: Ability to communicate effectively, verbally and written. Ability to self-motivate. Strong time management skills Ability to prioritize and organize FWA program activities. Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable Ability to collaborate. Results oriented skills. Work Schedule: As a continued effort to provide a safe and productive work environment, Community Care Plan is currently following a hybrid work schedule. Staff are able to work from home 3 days a week and will report to the office 2 days a week. *****The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee may occasionally be required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. Qualifications Bachelor level education Minimum 3-5 years experience conducting comprehensive health care FWA investigations. Ability to work independently with minimal supervision and manage a high volume of assignments. High degree of integrity and confidentiality required handling information that is considered personal and confidential. Analytical skills and ability to make deductions, logical and sequential thinker. Strong verbal and written communication skills. Health care industry and/or Florida Medicaid knowledge required. Advanced knowledge and experience working on various approaches to health care fraud, waste, and abuse. Working knowledge of Microsoft applications, especially Excel, required. Knowledge of available resources (internal and external) to assist in investigations. Medical terminology knowledge and/or experience with CPT and ICD-10 coding preferred. Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators. Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) preferred.
    $31k-45k yearly est. 60d+ ago
  • Fraud Investigator - UT, NV, AZ

    Zions Bancorporation 4.5company rating

    Remote Chief Investigator Job

    Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets. Zions is regularly recognized by American Banker as one of the "Best Banks to Work For" and as having a top banking team in its list of "The Most Powerful Women in Banking." Our customers consistently vote us as the best bank in our local markets. We value our employees, and we are committed to search out, recognize and create fulfilling opportunities for outstanding people within our organization, rewarding them for their contributions to our success. We recognize that banking is a "local" business, and that to be successful, we must have very strong ties to the communities we serve and strong relationships with our customers. With benefits starting on day one, 12 bank holidays, profit sharing and company-matched 401(k) contributions, Zions is dedicated to being an employer of choice in our communities. At Zions, the possibilities are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time remote, working from in the Salt Lake City, Utah; Las Vegas, Nevada; or Phoenix, Arizona area. What you'll do: · Conducts financial crimes investigations of external and customer activity. · Writes clear and concise reports in an accurate and timely manner. · Communicates with branch, department managers, BSA Officers, and frontline groups as necessary, in researching and investigating cases. · Makes recommendations for closing account relationships to the Investigations management. Escalates identified risks to team leadership. · Uses various bank systems to conduct research of customer transaction activity including the case management system. · Keeps current on fraud and BSA/AML investigative operations and the application of the BSA and USA PATRIOT Act requirements along with training requirements for the investigative role. · Perform other duties as assigned. Qualifications: · A bachelor's degree in a related field or combination of investigative experience. Financial crime investigation experience preferred. A combination of education and experience may meet requirements. · Relevant Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association of Certified Financial Crime Specialists (ACFCS) is a plus. · Basic working knowledge of fraud detection/prevention principals, BSA/AML Compliance as it applies to suspicious activity for money laundering, terrorist financing and fraud. · Basic understanding of complex financial transactions and business relationships and relationships between business entities. · Good understanding of bank operations as it relates to the flow of funds through financial institutions. · Good understanding of fraud, AML and terrorist financing red flags related to the identification of suspicious activity. · Ability to meet deadlines, work independently and adapt to changing priorities. · Good analytical skills, customer service and communication skills, both verbal and written. · Ability to manage deadlines, be organized, detail-oriented and high degree of accuracy. · Ability to write and translate complex situations into easily understood narratives. · Ability to be an independent thinker and to handle confidential, delicate and/or sensitive information or situations. · Strong PC skills desired with an emphasis in MS Excel and Word. This position is eligible to earn a base salary in the range of $44,625 to $65,450 annually depending on job-related factors such as level of experience and location Benefits: · Medical, Dental and Vision Insurance - START DAY ONE! · Life and Disability Insurance, Paid Parental Leave and Adoption Assistance · Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts · Paid Training, Paid Time Off (PTO) and 11 Paid Federal Holidays, and any applicable state holidays · 401(k) plan with company match, Profit Sharing, competitive compensation in line with work experience · Mental health benefits including coaching and therapy sessions · Tuition Reimbursement for qualifying employees enrolled in an accredited degree program related to the needs of the business, maximum of $5,250 per calendar year, employees are eligible for the program upon hire · Employee Ambassador preferred banking products Req ID: 066745 Equal Opportunity Employer It is the policy of this corporation to provide equal employment and advancement opportunities to all employees and applicants for employment, without regard to race, color, religion, age (40 and over), sex, pregnancy, gender, disability, national origin, ethnic background, citizenship, veteran status, sexual orientation, gender identity and expression or any other characteristic protected by applicable law. This policy is established and administered in accordance with all applicable federal, state, and local laws. If you are an individual with disabilities who needs accommodation, or you are having difficulty using our website to apply for employment, please contact us at **************, Mon.-Fri. between 9 a.m. - 5 p.m. MST. Click here to view applicable Federal, State and/or local employment law posters.
    $44.6k-65.5k yearly 16d ago
  • Fraud Investigator: West Tennessee

    Tennessee Comptroller of The Treasury

    Remote Chief Investigator Job

    The Tennessee Comptroller of the Treasury is seeking an Investigator to investigate allegations of fraud, waste, and abuse in government and publicly funded entities. This will involve: Applying accounting principles and techniques to analyze data from large books and records (manual and accounting information systems) to find evidence of complex manipulation and/or concealment Conducting and documenting interviews Researching laws and regulations Recognizing and reporting process and transaction deficiencies Preparing to present investigations and testimony in all phases of the judicial process Partnering with law enforcement; prosecutors; staff of local, state, and federal agencies; contract auditors; vendors; and citizens on investigating criminal allegations Increasing the likelihood of compliance with relevant laws, rules, regulations, standards, best practices, and policy Travel Investigators must be able travel throughout Tennessee as needed; however, they travel primarily within an assigned region. This position is assigned to the West Tennessee region, and the individual selected for the position may live anywhere within that region. Work related travel is reimbursed. The standard work week for this position is 37.5 hours; however, Investigators may be required to work a flexible schedule to meet deadlines. Candidate A successful Investigator exhibits familiarity with accounting, auditing, and/or investigative procedures and has: A 4-year degree in: Accounting, Business Administration with an Accounting Emphasis, or Criminal Justice with a minimum of 18 semester hours in accounting and a minimum of 2 years financial investigative experience Valid driver's license Certified Fraud Examiner (CFE) and/or Certified Public Accountant (CPA) preferred Uses a high degree of tact and diplomacy in all interactions Exercises common sense and good judgment in evaluating situations and making decisions Communicates ideas clearly, concisely, and convincingly, both verbally and in writing Exhibits professionalism and a high level of integrity in all situations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The qualifications listed are representative of the competency, knowledge, skill, and ability required to be successful in this position. Other combinations of education and experience, if equivalent, may qualify an applicant for consideration. About Our Office The Office of the Tennessee Comptroller of the Treasury is responsible for the audit of state and local governmental entities and participates in the general financial and administrative management and oversight of Tennessee state government. In the Comptroller's Office, we strive to deliver on our mission to make government work better. Through dedicated hard work and commitment, every Comptroller's Office employee accepts personal responsibility to accomplish our mission and uphold it. Our Office is recognized nationally for its professional expertise and commitment to making government work better. We consistently rank as a Top Workplace and we are proud to foster an environment that values accountability and supports your growth. We are looking for a professional to join our team who will commit to delivering exceptional work that helps us make government work better. Learn more about us at *********************** The Division of Investigations supports the Comptroller's mission of making government work better by investigating allegations of fraud, waste, and abuse in government and publicly funded entities and by working closely with law enforcement and prosecutors on criminal allegations. The Division of Investigations has teams in four regions - West, Middle, Mid East, and Upper East - based on geography and judicial districts. These regions are shown in the map below. Compensation The Comptroller's Office offers a competitive salary and comprehensive benefits package that includes twelve days each of annual leave and sick leave, insurance plans, retirement plan, 401(k), college fee waivers, and much more. The Office also offers a flexible work schedule that includes an opportunity to occasionally work from home. Equal Opportunity Employer Pursuant to the Comptroller of the Treasury's Workplace Discrimination and Harassment policy, the Office is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the Comptroller's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status, or any other category protected by state and/or federal civil rights laws. NOTICE: This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
    $28k-44k yearly est. 54d ago
  • Fraud Investigator

    Healthequity 4.3company rating

    Remote Chief Investigator Job

    Our Mission Our mission is to SAVE AND IMPROVE LIVES BY EMPOWERING HEALTHCARE CONSUMERS. Come be part of remarkable. How you can make a difference The Fraud Investigator is responsible for conducting thorough investigations of suspicious activities, analyzing evidence, and determining whether fraud has occurred. This role requires strong analytical skills, attention to detail, and the ability to collaborate with internal teams and external agencies. Additionally, the role requires the ability to conduct in-depth research of complex situations, use subject matter disciplines to solve difficult problems, execute various risk mitigation efforts and provide clear documentation of all findings. The Fraud Investigator will work to minimize financial losses, uphold regulatory standards, and maintain the company's reputation for integrity. What you'll be doing Lead investigations of suspected fraud cases, gather evidence, document findings, and report activity to the appropriate agency. Conduct interviews with relevant parties to gather information regarding fraud cases, document the interviews, and analyze the findings to support investigations. Maintain accurate records of fraud incidents, investigations, and outcomes for litigation preparation. Analyze transaction data, account information, and other relevant records to detect patterns indicative of fraud. Collaborate with legal, compliance, risk management, and law enforcement teams to ensure proper handling of cases. Prepare detailed investigation reports, including findings, conclusions, and recommendations for prevention. Prepare and present regular reports on fraud trends, incidents, and prevention efforts to management and stakeholders. Identify and implement opportunities for process improvement in fraud prevention systems and procedures. Stay updated on the latest fraud trends, schemes, and regulatory requirements. Maintain confidentiality and ensure all investigations are handled with discretion and professionalism. Conduct root cause analysis of cases, and perform link analysis to identify and escalate control weaknesses Provide testimony or present findings during legal proceedings if required. What you will need to be successful Bachelor's degree in criminal justice, finance, accounting, or a related field. 5+ years of experience in fraud investigations, financial crime, or forensic accounting. Deep understanding of fraud dynamics across both digital and payment card channels. Strong analytical and problem-solving skills, with the ability to interpret complex data sets. Knowledge of fraud detection and prevention methods, tools, and technologies. Ability to develop a detailed understanding of HealthEquity systems, process and controls to drive root cause analysis. Familiarity with regulatory requirements related to financial fraud investigations. Experience preparing detailed investigative reports and presenting findings. Ability to work both independently and as part of a team. Strong communication and interpersonal skills, with the ability to interact with customers and colleagues professionally. High level of integrity and discretion in handling sensitive and confidential information. Experience working in financial services or law enforcement. Proficiency in data analysis tools and fraud detection systems. Certification in fraud investigation (e.g., CFE - Certified Fraud Examiner) is a plus. #LI-Remote This is a remote position. How you can make a difference Salary Range $87,500.00/Yr.-$111,500.00/Yr. Benefits & Perks The compensation range describes the typical minimum or maximum base pay range for this position. The actual compensation offer is determined based on job-related knowledge, education, skills, experience, and work location. This position will be eligible for performance-based incentives as part of the total compensation package, in addition to a full range of benefits including: Medical, dental, and vision HSA contribution and match Dependent care FSA match Uncapped paid time off Adventure accounts Paid parental leave 401(k) match Personal and healthcare financial literacy programs Ongoing education & tuition assistance Gym and fitness reimbursement
    $87.5k-111.5k yearly 20h ago
  • SIU Senior Investigator

    Frasco 4.1company rating

    Remote Chief Investigator Job

    Full-time Description ABOUT US: Frasco Investigative Services, a division of Frasco, Inc., provides unparalleled quality investigations throughout the entire United States. Frasco is a full-service investigation corporation serving the insurance, legal, employment, and entertainment communities. Our client base includes many of the nation's largest insurance carriers in the workers' compensation, liability, and disability arenas; corporate and independent counsel; risk management for entertainers and public figures; and many municipalities and public agencies. Services we provide include surveillance, statement & interviews, activities checks, background checks, and other investigative endeavors. Through our Frasco Profiles division we provide national and international pre-employment screening. We are looking for an experienced SIU Investigator to join our team! The SIU Senior Investigator is a fully remote position ideally located in the Eastern or Central time zones . This position is responsible for conducting complex thorough and timely investigations involving potential insurance fraud where questionable or suspicious activity has been identified. This role involves the ability to effectively protect, prevent, and detect fraud by actively being involved in anti-fraud efforts. Requirements Essential job functions include, but are not limited to: Identify, analyze and conduct thorough investigations of suspicious claims in a timely manner Ensure accurate, detailed, and timely interviews are completed on applicable parties Evaluate, analyze, verify and obtain material evidence relevant to the investigation Locate, extract, and review data from multiple sources and systems to assist in the course of the investigation to ensure accuracy in findings Evaluate and coordinate vendor involvement when deemed necessary by establishing a cost-effective budget when utilizing SIU vendors and experts Ensure all investigative findings are properly and thoroughly documented in a timely manner Evaluate, determine and complete referrals to State Insurance Departments, Fraud Bureaus, and NICB when suspicious and fraudulent activity has been identified Facilitate and coordinate investigations with external SIU contacts, NICB, Department of Insurance Fraud, and various law enforcement agencies Facilitate and maintain effective professional communication by providing best in class service to both internal and external customers · Develop and present anti-fraud training to claims personnel Participate in decision making discussions with Company personnel on cases worked and resolution on investigative results · Provides effective technical advice on SIU related investigative issues in addition to communication of industry data, trends, government and legal updates Produce investigative reports to SIU leadership through data mining, pattern analysis and claim trends Essential qualifications and equipment include, but are not limited to: Bachelor's Degree preferred Completion of one or more of the following designations: CIFI, FCLS, FCLA, and/or CFE Must have 5 or more years of prior SIU experience handling multi line claims with focus on commercial lines Exhibit knowledge of basic insurance principals pertaining to claims processes and procedures Knowledge of good faith claims practices Demonstrate knowledge of investigative methods in regards to laws, rules and regulations involving insurance fraud Knowledge of privacy regulations and compliance requirements Proficiency with MS Office products Easily adapts to new or changing situations and priorities Ability to be flexible and multi-task Dedicated to meeting the expectations of internal and external customers Strong organizational and prioritization skills Ability to properly handle sensitive and confidential information Ability to work both independently and in a team environment Demonstrate a strong work ethic with a positive attitude Excellent verbal and written communication skills Working Conditions and Physical Requirements: Ability to sit at a desk and work on a computer for extended periods of time. May occasionally lift and/or move up to 10 pounds. Vision abilities required by this job include close vision and ability to adjust focus. SIU Investigator compensation is competitive and commensurate with experience. This is an Hourly / Full -Time Non-Exempt Position. Frasco offers an excellent benefits package for Full-Time employees, including, Health, dental, vision, and life insurance; Paid Time Off, Paid holidays and 401(k) Plan with company match; as well as Ancillary Benefit and Employee Discount Programs. Join a leader in the investigations industry that is financially stable, is experiencing growth, and whose history spans over 60 years! All replies will remain confidential. EOE
    $32k-59k yearly est. 55d ago
  • Fraud Investigator

    Huntington National Bank 4.4company rating

    Remote Chief Investigator Job

    The Fraud Investigator role within the Fraud Investigations Departments at Huntington National Bank is responsible for investigating various types of more complex suspicious activity to determine fraud exposure to the bank. Utilizing multiple systems, tools and investigative techniques including conducting informational and admission seeking interviews to gather relevant data to assess the level of risk to the bank. Maintain accurate, complete, and detailed fraud case records within the case management system for trend and link analysis and for building comprehensive cases for presentment to law enforcement. The Fraud Investigator is also responsible for filing accurate, complete and timely Suspicious Activity Reports (SARs), identifying and escalating fraud trends, mitigating losses to the bank, communicating and assisting law enforcement. Types of case investigations conducted include Check, Electronic and Identity Theft Fraud. Duties and Responsibilities: + Investigate referrals of suspicious activity related to potential external fraud and financial crimes + Understand all types of financial transactions and related rules and statues + Utilize multiple bank systems to assist with analysis of suspicious activity + Responsible for timely and complete documentation of investigative activity in the designated case management system, the collection and compilation of relevant evidence to support the case, and the filing of well-constructed, complete, and accurate Suspicious Activity Reports (SARs) on applicable cases. + Maintain subject matter expertise and ensure work completed adheres to applicable regulations, policies, and procedures + Understand all types of financial transactions and related rules and statutes + Evaluate and conduct Loss and Risk Mitigation efforts + Work independently as part of a team + Act as a liaison to local, state, and federal law enforcement on matters relating to fraudulent, illegal activity. + Work with internal and external partners to identify and communicate organized crime or fraud trends. + Communicates significant issues to management and makes recommendations when weaknesses are identified + Performs other duties as assigned Basic Qualifications: + High School Diploma + 1 year experience in Investigations that includes work with Financial Crimes related to Check Fraud, Electronic Fraud, and/or Identity Theft + 2 years of professional experience working in Fraud, Compliance, Risk, or Financial Investigations + 1 Year Writing Suspicious Activity Reports Preferred Qualifications: + Strong proficiency with various Microsoft Office programs including Excel + Strong written and verbal communication skills + Strong organizational and time management skills + Ability to multitask, maintain variable workloads and follow established timeframes + Bachelor's Degree (Business, Criminal Justice, Legal, or Communications preferred) + Experience in investigations that includes work with financial crimes related to Check Fraud, Electronic Fraud, Elder Financial Exploitation and/or Identity Theft + Comprehensive knowledge of banking regulations and Suspicious Activity Reporting requirements + Certified Fraud Examiner (CFE), Certified Forensic Investigator (CFI), Certified Anti-Money Laundering Specialist (CAMS), Certified Financial Crimes Specialist (CFCI) + Experience with ActOne, Lexis Nexis, OneNote, Excel, Word #Hybrid #LI-SG1 Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay) No Workplace Type: Office Our Approach to Office Workplace Type Certain positions outside our branch network may be eligible for a flexible work arrangement. We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team. Huntington is an equal opportunity and affirmative action employer and is committed to providing equal employment opportunities for all regardless of race, color, religion, sex, national origin, age, disability, sexual orientation, veteran status, gender identity and expression, genetic information, or any other basis protected by local, state, or federal law. Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details. Agency Statement: Huntington does not accept solicitation from Third Party Recruiters for any position Huntington will not sponsor applicants for this position for immigration benefits, including but not limited to assisting with obtaining work permission for F-1 students, H-1B professionals, O-1 workers, TN workers, E-3 workers, among other immigration statuses. Applicants must be currently authorized to work in the United States on a full-time basi
    $46k-67k yearly est. 48d ago

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