Average salary: $75,079 /yearly
More stats ...Job Description Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations... ...extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state...
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Position Overview
At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all...
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...adventure awaits.
Assurance - Forensic & Integrity Services - Investigations – Intern
The EY Forensic & Integrity Services practice... ...our team, you will be on the cutting edge of current trends in fraud and forensic investigations, as well as being at the heart of...
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Summer work
Internship
Worldwide
...Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its... ...Approximately 1 year of experience relating to Work Compensation/Fraud/Mobile and Stationary surveillance
Hold a valid Private...
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Daily paid
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...Allied Universal® Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive...
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...Investigator (Full Time)
We are seeking an Investigator to conduct ongoing investigations in pending criminal matters. The Investigator supports staff attorneys in their representation of indigent adults and juveniles charged with crimes. This is an exciting opportunity...
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...Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying...
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...Job Description
Job Description Advantage Investigations is the region’s only insurance defense investigation firm that invests in the... ...communication skills with the ability to recognize potential fraud and develop a reasonable plan for investigation.
Prior related...
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Part time
...Surveillance Investigator Pittsburgh, PA area
Immediate need for a Surveillance Investigator within the largest worldwide investigative... ..., SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval...
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Full time
Immediate start
Worldwide
...A full-time Investigator / Case Worker position is available with Liberty Healthcare and the Pennsylvania Department of Human Services Adult Protective Services Program.
This mission of this program is to investigate reports of need, and if substantiated, mitigate or...
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Immediate start
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Afternoon shift
$21.22 - $35.25 per hour
...UPMC Health Plan is hiring a full-time Critical Incident Investigator to help support the UPMC Community HealthChoices Quality Improvement Department!
UPMC Health Plan is hiring a full-time Critical Incident Investigator to help support the UPMC Community HealthChoices...
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Full time
Work from home
Monday to Friday
...team member for the role of Vice President (Sr Specialist), SAR Investigations II to join our SAR Team. This role is located in Lake Marry,... ...terrorist financing, public corruption, identity theft, wire fraud, securities fraud, market manipulation, data breaches, economic...
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...Section 106 of the National Historic Preservation Act. You will manage all phases of both historic and prehistoric archaeological investigations; project work that will include development of archaeological work plans, fieldwork, artifact analysis and curation, report...
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Local area
$26.29 - $45.45 per hour
...UPMC Health Plan is seeking a full-time CHC Nursing Facility Audit Investigator I to support the CHC Nursing Facility Audit Department in Pittsburgh!
The Nursing Facility Audit Investigator I will work daylight hours, Monday through Friday, in a remote capacity! Candidates...
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Monday to Friday
...Special Agents who are logical thinkers, those with prior scientific work experience and knowledge to aid in investigations of healthcare (medical, dental and vision) fraud and insurance and government program abuse and evidence collection.
As an FBI Special Agent, you can...
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...years of experience in implementing NICE Actimize solutions for Fraud Management
Experience in designing and implementing... ...contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific...
Holiday work
Full time
Local area
...Delivers CARES model to customers and service partners.
Receives, investigates and responds to customer inquiries regarding products,... ...through the application of appropriate communication behaviors.
Fraud Detection and Prevention - Knowledge of and ability to utilize...
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Full time
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Part time
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Bank staff
Local area
Shift work
Saturday
Monday to Friday
...transcribing, translating, interpreting, and analyzing source material assisting law enforcement with their investigations into narco-trafficking, counterfeiting, terrorism, fraud and money laundering. Metlang offers rewarding project-based employment on-site. We take pride in...
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...opportunity to contribute to the company’s success. As a Detection & Investigation Analyst Lead within PNC's Technology - Security organization,... ..., reports and work for potential and actual loss. Minimizes fraud, Anti-Money Laundering and/or organizational risk. Performs...
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Full time
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Part time
Work experience placement
Monday to Friday
...office 3 days a week at our Pittsburgh office .
This job investigates factual situations and presents well-reasoned and creative... ...contracting.
Solid understanding of health system laws and fraud and abuse rules important, including, the GPO safe harbor, discount...
Full time
For contractors
Local area
Shift work
3 days per week
...of experience in the financial services industry, particularly anti-money laundering (AML), cyber threat intelligence (CTI), fraud investigations, or information security.
~1-3 years of experience in analyzing, investigating, or researching cybercrime or cyberthreats....
...Liability position. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of... ...as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit...
Holiday work
Traineeship
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...position is responsible for the implementing and maintaining of fraud models that support our retail and commercial businesses. This... ...testing, big data structuring and computation; data source investigations; process optimization. You will work closely with the fraud model...
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Part time
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Local area
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...team goals. Bachelors degree or the equivalent combination of education and experience is required. Experience in trading, brokerage, fraud or law preferred. Applicable local/regional licenses or certifications as required by the business.
The role is for an...
Hourly pay
Local area
Immediate start
Remote job
3 days per week
...and automate them.
• Business context and experience within Fraud, AML modeling ecosystems and related model scenarios a major plus... ...upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific...
Holiday work
Work experience placement
Local area
...ability to interpret complex datasets and identify patterns indicative of fraudulent behavior.
Experience developing and implementing fraud detection algorithms, machine learning models, or statistical techniques is highly desirable.
Excellent communication and...
Holiday work
...roles leveraging compliance hotline protocols and compliance investigation process and procedures;
Exhibiting familiarity with healthcare... ...CMS, Medicare, Medicaid, Affordable Care Act, Anti-Kickback, Fraud and Abuse laws, False Claims Act, Accreditation, Research and...
Remote job
Full time
H1b
...to support the organization's Code of Ethical Conduct and Compliance Program by timely reporting any actual or suspected compliance, fraud and abuse, ethics or policy violations.
Education/Experience:
1. High school graduate or equivalent required.
2. Current...
Full time
Part time
Outdoor
Flexible hours
Weekend work
...strategically and operationally leads the development, implementation, and management of a robust and effective set of Fraud, Waste & Abuse (FWA) and Special Investigations Unit (SIU) for UPMC’s large and growing Insurance Services Division. Overseeing and working with each...
Full time
Local area
...interdiction operations
Provide protective service to high-ranking dignitaries and government officials
Conduct preliminary investigations into Uniform Code of Military Justice violations
Conduct crime prevention programs
Work Environment
As an...
Part time
Work experience placement
Overseas
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