Chief investigator jobs near me - 40 jobs

Handshake is recruiting Detectives and Criminal Investigator Professionals to contribute to an hourly, temporary AI research project-but there's no AI experience needed. In this program, you'll leverage your professional experience to evaluate what AI models produce in your field, assess content related to your field of work, and deliver clear, structured feedback that strengthens the model's understanding of your workplace tasks and language. The Handshake AI opportunity runs year-round, with project opportunities opening periodically across different areas of expertise. Details The position is remote and asynchronous; work independently from wherever you are. The hours are flexible, with no minimum commitment, but most average 5-20 hrs The work includes developing prompts for AI models that reflect your field, and then evaluating responses. You'll learn new skills and contribute to how AI is used in your field Your placement into a project will be dependent on project availability-if you apply now and can't work on this project, more will be available soon. Qualifications You have at least 4 years of professional experience in one or more of the following types of work. The examples below reflect the types of real-world responsibilities that you might have had in your role that will give you the context needed to evaluate and train high-quality AI models Conduct thorough investigations by collecting and analyzing evidence, interviewing witnesses and suspects, and documenting findings in detailed reports. Secure crime scenes, collaborate with other agencies, and prepare for court proceedings. Engage in surveillance and undercover operations, utilizing specialized equipment and techniques to gather critical information. You're able to participate in asynchronous work in partnership with leading AI labs. Application Process Create a Handshake account Upload your resume and verify your identity Get matched and onboarded into relevant projects Start working and earning Work authorization information F-1 students who are eligible for CPT or OPT may be eligible for projects on Handshake AI. Work with your Designated School Official to determine your eligibility. If your school requires a CPT course, Handshake AI may not meet your school's requirements. STEM OPT is not supported. For more information on what types of work authorizations are supported on Handshake AI.

Senior Investigative Analyst The Senior Investigative Analyst (Sr. IA) is a highly dependable position in the Asset Protection Department. The Sr. IA is responsible for reducing shrink through the identification and development of internal/external theft investigations managing the restitution procedures and vendor partnership and supporting background checks adjudication. The Sr. IA needs to be analytical and detail oriented. The role requires the ability to transition from daily tasks to managing ad-hoc requests by the leadership and field team members with agility and speed to meet deadlines. The Sr. IA will maintain a peer mentorship traveling as needed, to visit stores, attended industry conferences as directed, enhance product knowledge, and develop business acumen through such partnerships. In addition, the Sr. IA will assist and support multiple vendor partnerships in the areas of exception-based reporting, restitution, and background checks. The Sr. IA must have strong customer services skills and be able to manage workload to complete tasks with minimal supervision at times. The Sr. IA must be able to analyze data from multiple sources and consistently building new/refining existing reports. The Sr. IA needs to be self-motivated to challenge themselves by developing new skills, leverage emerging technologies, and act as leader within the Asset Protection Operations Team. The Sr. IA needs to be willing to make recommendations or call outs based on the analysis trends and results. The Sr. IA reports to the Senior Manager of Asset Protection Analytics, working a hybrid schedule with a minimum of three days in office per week. Why You Belong Here At Victoria's Secret & Co, you'll join a world-leading specialty retail brand recognized globally for innovation and excellence in lingerie and fashion. You'll work alongside industry leaders to set the standard for what a retail brand can achieve, placing customers at the center of everything we do to create products and experiences that bring them joy. We believe everyone deserves a place where they truly belong. We celebrate individuality and know that your passion, experience, and unique perspective strengthen our team and business. Here, you'll be empowered to perform, grow, and engage through unmatched opportunities to develop your skills, gain real-world experience, and learn from the best in the business. Essential Functions/Core Responsibilities: * Shrink reduction and prevention. * Internal/external case identification and development. * Data/trend analysis (POS, Internal Investigations, RFID, and background checks). * Restitution/collections (reporting, field compliance, and vendor partnerships). * Background check support. * Other duties as assigned. The Sr. IA will work on special projects involving various teams within the Asset Protection Department. The Sr. IA analyst will collaborate with members across the Asset Protection team as well as other cross-functional partners in the company. Click here for benefit details related to this position. Minimum Salary: $58,000.00 Maximum Salary: $76,125.00 VS&Co provides a range of compensation for this role as shown. Your actual salary will be determined by a number of factors, including: your specific skills and experience, geographic region, or other relevant factors. Qualifications Your Experience * 7-10 years of relevant work experience in retail or asset protection. * 5 years' experience conducting retail investigations with a focus on internal/external theft and ORC. * 2 years' experience of managing complex projects and vendor partnerships. * Advanced understanding of POS analysis, inventory systems, case management software, and exception-based reporting. * Experience managing and/or system administration support of AP software. * Proficient in Microsoft Office (i.e., Excel, PowerPoint, Outlook). * Strong team leadership, relationship building cross-functional partnership. * Excellent organizational, verbal, and written communication skills. * Must be able to work onsite Tuesday, Wednesday, and Thursday. * Must be able to travel quarterly to stores for special projects #LI-WM1 We will consider for employment all qualified applicants, including those with arrest records, conviction records, or other criminal histories, in a manner consistent with the requirements of any applicable state and local laws. Please see links: California Fair Chance Act, Los Angeles Fair Chance Initiative for Hiring Ordinance, Philadelphia Fair Chance Law, San Francisco Fair Chance Ordinance, Los Angeles County Fair Chance Ordinance An equal opportunity employer, we do not discriminate in hiring or terms and conditions of employment because of an individual's race, color, religion, gender, gender identity, national origin, citizenship, age, disability, sexual orientation, marital status or any other protected category recognized by state, federal or local laws. We only hire individuals authorized for employment in the United States.

Successfully completes high-quality, sophisticated long term care claims investigations Independently develops and drives a detailed investigative plan Acquires and reviews internal / external documents to support investigative activity and findings Conducts interviews of insureds, caregivers, and other involved parties Handles third party vendor(s) conducting long term care surveillance activities Regularly communicates findings and investigation status to Requesters Produces reports that are accurate and objective Presents case findings and recommendations for further action to department management and Requesters Optimally applies internal case management systems to keep department management updated and to plan / prioritize concurrent assignments Adheres to departmental, company and regulatory timelines, policies, and requirements When applicable, prepares and presents cases for referral to law enforcement, prosecutors, and regulators; provides depositions, grand jury, and court testimony as the need arises Mentors and trains more junior investigators on long term care claim cases and processes Ability to travel on short notice and responds to urgent long term care claim investigations Maintains knowledge of sophisticated investigative techniques, company / external sources of information, changes in the financial services industry as well as applicable laws and regulations impacting long term care claim investigations and other relevant topics Maintains and continuously expands network of professional contacts Plays a major role in the department's fraud awareness training program by developing and delivering appropriate material to employees Attends training sessions, reads pertinent trade journals, actively participates in, and makes presentations to professional organizations and associations Required Qualifications: Bachelor's degree preferably in Criminal Justice or related field required; graduate work a plus 5+ years of proven track record in the investigation profession and/or financial services industry Designations / certifications in relevant subject matter areas a plus (CFE, LTCP, LOMA) Preferred Qualifications: Highly proficient in various computer applications (Microsoft products etc.) Sophisticated written and verbal communication skills Sophisticated analytical skills Sophisticated interviewing skills Ability to work in a dynamic environment Efficient and effective organizational skills Strong presentation skills Foreign language proficiency a plus When you join our team: We'll empower you to learn and grow the career you want. We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words. As part of our global team, we'll support you in shaping the future you want to see. #LI-Remote #LI-JH About Manulife and John Hancock Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit ************************************************* Manulife is an Equal Opportunity Employer At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law. It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact ************************. Referenced Salary Location USA, Florida - Full Time Remote Working Arrangement Remote Salary range is expected to be between $88,200.00 USD - $152,880.00 USD If you are applying for this role outside of the primary location, please contact ************************ for the salary range for your location. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year, and we offer the full range of statutory leaves of absence. Know Your Rights I Family & Medical Leave I Employee Polygraph Protection I Right to Work I E-Verify Company: John Hancock Life Insurance Company (U.S.A.)

Successfully completes high-quality, sophisticated long term care claims investigations Independently develops and drives a detailed investigative plan Acquires and reviews internal / external documents to support investigative activity and findings Conducts interviews of insureds, caregivers, and other involved parties Handles third party vendor(s) conducting long term care surveillance activities Regularly communicates findings and investigation status to Requesters Produces reports that are accurate and objective Presents case findings and recommendations for further action to department management and Requesters Optimally applies internal case management systems to keep department management updated and to plan / prioritize concurrent assignments Adheres to departmental, company and regulatory timelines, policies, and requirements When applicable, prepares and presents cases for referral to law enforcement, prosecutors, and regulators; provides depositions, grand jury, and court testimony as the need arises Mentors and trains more junior investigators on long term care claim cases and processes Ability to travel on short notice and responds to urgent long term care claim investigations Maintains knowledge of sophisticated investigative techniques, company / external sources of information, changes in the financial services industry as well as applicable laws and regulations impacting long term care claim investigations and other relevant topics Maintains and continuously expands network of professional contacts Plays a major role in the department's fraud awareness training program by developing and delivering appropriate material to employees Attends training sessions, reads pertinent trade journals, actively participates in, and makes presentations to professional organizations and associations Required Qualifications: Bachelor's degree preferably in Criminal Justice or related field required; graduate work a plus 5+ years of proven track record in the investigation profession and/or financial services industry Designations / certifications in relevant subject matter areas a plus (CFE, LTCP, LOMA) Preferred Qualifications: Highly proficient in various computer applications (Microsoft products etc.) Sophisticated written and verbal communication skills Sophisticated analytical skills Sophisticated interviewing skills Ability to work in a dynamic environment Efficient and effective organizational skills Strong presentation skills Foreign language proficiency a plus When you join our team: We'll empower you to learn and grow the career you want. We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words. As part of our global team, we'll support you in shaping the future you want to see. #LI-Remote #LI-JH About Manulife and John Hancock Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit ************************************************* Manulife is an Equal Opportunity Employer At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law. It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact ************************. Referenced Salary Location USA, Florida - Full Time Remote Working Arrangement Remote Salary range is expected to be between $88,200.00 USD - $152,880.00 USD If you are applying for this role outside of the primary location, please contact ************************ for the salary range for your location. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year, and we offer the full range of statutory leaves of absence. Know Your Rights I Family & Medical Leave I Employee Polygraph Protection I Right to Work I E-Verify Company: John Hancock Life Insurance Company (U.S.A.)

Looking for a company that treats associates with respect, understanding, and appreciation? Looking for a company that is passionate about teamwork and the growth of it's associates and communities? That's WEIS! 1002 Weis Remote Road Job Description: ESSENTIAL DUTIES AND RESPONSIBILITIES The associate is responsible for the functions below, in addition to other duties as assigned: Investigate and resolve external theft (Shoplifting, Organized Retail Crime, etc.). Gathers, analyzes, and evaluates intelligence on individuals and groups involved in organizational retail crime. Thoroughly documents information gathered to aid in successful prosecution. Provides guidance to store Asset Protection teams on investigative plans. Operate the store CCTV system. Conduct undercover surveillances. Act as a liaison between Weis Markets and local, state, and federal law enforcement agencies. Refers cases to law enforcement for prosecution. Professionally represent Weis Markets in court hearings and mediations. Effectively manage time and scheduling to best suit the company's needs including evenings, weekends, and occasional overnights. Travel to multiple locations within an assigned area and provide investigative support. Partners with Store Management and associates to best protect the company assets. Supports stores in cases of significant business disruptions (robbery, protests, natural disasters, etc.). SUPERVISORY RESPONSIBILITIES This position does not directly supervise associates. QUALIFICATION REQUIREMENTS To perform this job successfully, the associate must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required: Bachelor's degree (BA/BS) Criminal Justice, Criminology, Business, or related field preferred, plus one (1) year retail loss prevention experience in a retail store environment. Non-Exempt Assistant Department Manager, or Full-Time associate RATE OF PAY AND BENEFITS The hourly pay for this position starts at $16.00/hr. and is up to $24.00/hr. Non-Exempt Assistant Department Manager, or Full-time associate Weis Markets offers a competitive salary and comprehensive benefits package such as health plan, dental, vision, flexible spending accounts, short term disability, basic life and AD&D, group whole life with long term care rider, and voluntary insurance such as hospital indemnity, accident and critical illness, 401(k) retirement savings plans, scholarship program and associate discount programs, auto and home insurance, employee assistance program, pet insurance, purchasing power, ID theft protection, legal services, paid time off, sick pay provided the eligibility and criteria specific to the position is met. Weis Markets is an Equal Opportunity Employer: Weis Markets is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of actual or perceived age, sex, sexual orientation, race, color, creed, religion, familial status, ethnicity, national origin, citizenship, disability, marital status, military or veteran status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with a disability may be entitled to a reasonable accommodation under terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the ways things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Weis Markets.

Who we are At Twilio, we're shaping the future of communications, all from the comfort of our homes. We deliver innovative solutions to hundreds of thousands of businesses and empower millions of developers worldwide to craft personalized customer experiences. Our dedication to remote-first work, and strong culture of connection and global inclusion means that no matter your location, you're part of a vibrant team with diverse experiences making a global impact each day. As we continue to revolutionize how the world interacts, we're acquiring new skills and experiences that make work feel truly rewarding. Your career at Twilio is in your hands. We use Artificial Intelligence (AI) technologies to maintain an efficient, fair and transparent hiring process. Our hiring process is never completely automated, and uses AI in conjunction with our recruiting professionals. See yourself at Twilio Join the team as our next Senior Investigator. About the job This position is needed to lead complex employee and compliance investigations. We are looking for an individual with a strong People investigations background with a focus on discrimination, harassment, retaliation, and Code of Conduct cases for Legal in the NAMER region. The main responsibilities include conducting prompt, thorough, and fair investigations consisting of background research, investigative interviews, and debrief meetings in partnership with Employment Legal, People, ER, and the business. The ideal candidate will be able to clearly communicate complex matters to business stakeholders, deliver high-quality written reports and documentation, and support the effective resolution of workplace concerns. Responsibilities In this role, you'll: Develop and optimize robust investigation standards and disciplinary matrix to ensure transparency, objectivity and consistency throughout the team; Maintain oversight and accountability for investigation case management system, keep improving efficiency and effectiveness; Conduct confidential, fair, thorough and timely internal investigations into allegations of violations of internal policies, including but not limited to bullying, discrimination, harassment, retaliation, and Code of Conduct, and produce comprehensive and clear investigation reports and/or outcomes; Conduct complex, professional interviews, often involving senior management, and prepare investigation summaries, conveying ideas clearly and concisely, both orally and in writing; Assist with the investigation and resolution of other workplace concerns to determine the appropriate approach and to ensure fair and consistent treatment of all employees; Drive the disciplinary procedure in line with the investigation findings, and align with key stakeholders to get to consensus; Monitor and implement corrective action plans to enhance controls and processes; Identify ethics, compliance, and employee relations matters that require improvement, working with our ER leader & various internal groups to amend policies and drive the training and awareness approach accordingly; Participate in the identification and delivery of continuous improvement initiatives to improve the policy framework, increase knowledge within the company; Proactively identify trends and themes to develop strategies that will mitigate risks. Qualifications Twilio values diverse experiences from all kinds of industries, and we encourage everyone who meets the required qualifications to apply. If your career is just starting or hasn't followed a traditional path, don't let that stop you from considering Twilio. We are always looking for people who will bring something new to the table! *Required: 10+ years of Employee Relations / Investigations experience gained as a Human Resource Business Partner (HRBP) role, Employee Relations advisory role, or equivalent experience as an employment attorney practicing employment law; Significant experience working with employment law principles and conducting and advising on investigations; Excellent problem-solving, analytical, and writing skills; Strong communication skills with the ability to manage various stakeholders/programs concurrently; Demonstrated ability to navigate successfully within ambiguity and with multiple priorities in a fast-paced, changing environment; Desired: Data-driven mindset with an eye toward innovation; Working experience in multiple AMER jurisdictions; Experience conducting global investigations outside AMER; Knowledge in employment and labor law; Familiarity with a case management system; Experience with analyzing investigation data. Location This role will be remote, but is not eligible to be hired in CA, CT, NJ, NY, PA, WA. Travel We prioritize connection and opportunities to build relationships with our customers and each other. For this role, you may be required to travel occasionally to participate in project or team in-person meetings. What We Offer Working at Twilio offers many benefits, including competitive pay, generous time off, ample parental and wellness leave, healthcare, a retirement savings program, and much more. Offerings vary by location. Compensation *Please note this role is open to candidates outside of California, Colorado, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington D.C., and Washington State. The information below is provided for candidates hired in those locations only. The estimated pay ranges for this role are as follows: Based in Colorado, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, Vermont or Washington D.C. : $141,520 - 176,900. Based in New York, New Jersey, Washington State, or California (outside of the San Francisco Bay area): $149,840 - $187,300. Based in the San Francisco Bay area, California: $166,400 - $208,000. This role may be eligible to participate in Twilio's equity plan and corporate bonus plan. All roles are generally eligible for the following benefits: health care insurance, 401(k) retirement account, paid sick time, paid personal time off, paid parental leave. The successful candidate's starting salary will be determined based on permissible, non-discriminatory factors such as skills, experience, and geographic location. Applications for this role are intended to be accepted until 20th January, 2026, but may change based on business needs. Twilio thinks big. Do you? We like to solve problems, take initiative, pitch in when needed, and are always up for trying new things. That's why we seek out colleagues who embody our values - something we call Twilio Magic. Additionally, we empower employees to build positive change in their communities by supporting their volunteering and donation efforts. So, if you're ready to unleash your full potential, do your best work, and be the best version of yourself, apply now! If this role isn't what you're looking for, please consider other open positions. Twilio is proud to be an equal opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Additionally, Twilio participates in the E-Verify program in certain locations, as required by law.

Fraud Analytics Lead Talent Community FinTrust Connect United States Remote For more Job Opportunities follow FINTRUST CONNECT here FinTrust Connect on LinkedIn Share Your Resume and Build Your Future! We are thrilled to invite you to join our exclusive Talent Community. Are you looking for your next career opportunity Look no further. Join our Talent Network today. By sharing your resume with us, you will be added to our database and considered for future roles with leading banks and fintechs. Whether you prefer flexible work arrangements, remote opportunities, or on site environments, we have options for you. Take the first step toward a brighter future. Share your resume with us today. As a Fraud Analytics Lead you will design rules and machine learning strategies that lower losses without hurting good customer approvals. You will tune controls across account opening and payments and card and ACH and real time rails and partner with operations to move fast on emerging patterns. Requirements 7 to 10 years in fraud analytics for a bank or fintech with measurable loss reductions Hands on rule and model tuning in one or more platforms Feedzai NICE Actimize IFM SAS Fraud Sift Forter Kount ThreatMetrix Ekata Riskified Stripe Radar Strong SQL and Python and experience with feature stores and real time scoring Kafka or Kinesis and Spark or Flink Knowledge of RTP and FedNow and ACH and card fraud patterns and first party and third party and mule activity Experience with step up controls device and behavior signals velocity limits MFA and SCA Familiarity with Reg E and network dispute flows and chargeback life cycle Clear documentation and dashboards for executives and auditors Responsibilities Own fraud strategy across the funnel identity proofing account creation login payment dispute Build and maintain rule sets and ML models and scorecards run A B tests and champion challenger designs Engineer high signal features device fingerprint geovelocity merchant and counterparty risk historical exposure Monitor loss and approval and false positive tradeoffs daily adjust thresholds with safe guards Partner with operations on playbooks and queues and investigator feedback loops Lead rapid response to fraud spikes and scams and mule rings with clear comms and actions Produce evidence and reporting for regulators and networks and audit Coach analysts and evolve documentation and runbooks Outcomes we track Fraud loss rate reduced 20% to 40% in 90 days with approval rate stable or better Chargebacks reduced 20% with recovery rate improved Precision and recall within policy bands with documented before and after Alert aging over 2 business days under 5% Documentation completeness at 100% with reproducible queries and code Compensation and terms Consultant pay $50 to $120 per hour based on rail coverage and tool depth Contract Remote US W2 or 1099 Multiple openings for a national bench and pod builds How to apply Apply on our site FinTrust Careers Prefer email send your resume to ************************** with subject [Apply] Fraud Analytics Lead Remote US Stay in the loop follow FinTrust Connect on LinkedIn and our social channels FinTrust Connect is an equal opportunity employer. Keywords Fraud Analytics, Fraud Strategy, First Party Fraud, Third Party Fraud, Account Opening, Account Takeover, Money Mule, Bust Out, Transaction Fraud, RTP, FedNow, ACH, Card Fraud, Chargebacks, Disputes, Unauthorized Returns, Device Intelligence, Behavioral Biometrics, Velocity Rules, Step Up Authentication, MFA, SCA, Rules Engine, Machine Learning, Scorecards, Feature Store, Real time Scoring, Kafka, Kinesis, Spark, Flink, SQL, Python, Feedzai, NICE Actimize IFM, SAS Fraud, Sift, Forter, Kount, ThreatMetrix, Ekata, Riskified, Stripe Radar, Precision, Recall, False Positive Rate, Alert Aging, Loss Analytics, Dashboarding, Examiner Evidence, Reg E, UCC 4A, PCI DSS, Remote

Supports the Payment Integrity line of business Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. * Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator Senior is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. How will you make an impact: * Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. * Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. * May interface internally with Senior level management and legal department throughout investigative process. * May assist in training of internal and external entities. * Assists in the development of policy and/or procedures to prevent loss of company assets. * May be called upon to represent the Company in court proceedings regarding research findings. * Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts. Minimum Requirements * Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications, Skills & Capabilities * Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD or other job related designation preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $78,400 to $141,120. Locations: California, Colorado, District of Columbia (Washington, DC), Maryland, Minnesota, New York, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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 Blockchain Tracing investigations into potential financial crimes, including AML, fraud, and sanctions violations. Ensure clients meet regulatory and compliance standards by performing EDD/ CDD checks, KYC 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 SARs to relevant authorities 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. 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 cryptocurrency blockchain tracing and blockchian 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. 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: $50/hr - $60/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.

SIU Investigator - CF08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be based out of the Richmond, VA area. The coverage territory will be all of VA and Northern North Carolina. The ideal candidate for this opportunity will spend 100% of their time traveling within their assigned region to visit loss sites, interview witnesses, conduct recorded statements, take photos, and inspect physical evidence. Additionally, the candidate will investigate all lines of business to include Medical Investigations in Auto, Worker's Compensation, General Liability and Group Benefits as well as Property losses. SIU Investigators work in partnership with claim handlers across all lines of business to investigate suspicious claims. The Field Investigators performing investigations to provide information to the claims handler which will assist in the adjudication of the claim. The mission of the SIU is to contribute to claims accuracy by building fraud awareness and investigating questionable claims. This position will report to the SIU Manager and will be responsible for conducting thorough, timely, efficient and impartial investigations to support the accurate resolution of insurance claims by the Company. Key responsibilities of the role include: • This SIU Investigator will be responsible for assignments in Virginia and the Northern North Carolina areas. • Assignments may include investigations directly referred by the claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU Involvement. • The investigator is expected to have face to face interaction with parties to a loss, including insured, claimants, witnesses, experts, and other professionals on a routine basis. • Excellent interpersonal, communication and interview skills are required. • Investigative assignments may include claims with identified suspicious loss indictors, definable inconsistencies, or those which otherwise require a high-level investigative skill and/or local in person presence. • Effective time management skills, proactive execution of investigative plans, and flexibility are necessary to ensure the effectiveness of this position. • The investigator must understand and exhibit appropriate investigative behaviors and methods while conducting investigations, including development of the facts, due diligence around evidence collection and interviews. • The Investigator must be able to effectively communicate investigative findings orally and in writing. • The Investigator will also be responsible for understanding fraud trends within his or her area of responsibility and leverage knowledge gained to SIU analytical resources. • Independently complete investigations in accordance with The Hartford's core performance values and best practices with minimal direction. • Prepare and submit investigative reports detailing and documenting all phases of an investigation to assist in the resolution of the claim. • Recognize intelligence opportunities through active investigations and shares this information within SIU. • Interface with the SIU Community and Law Enforcement; including attendance of NICB and other industry meetings. • Continually enhance investigative skills and understanding of emerging issues impacting property and casualty and group benefit claims. • Provide support to claims partners and other departments within the • Company, which may include identifying training needs; participation in developing and presenting training and mentoring of external business partners and internal staff. QUALIFICATIONS: • Bachelor's Degree preferred. • Minimum of 3 years special investigation insurance experience and/or investigative law enforcement experience required. • Reside roughly within 30 miles of Richmond, VA to cover Virginia and Northern North Carolina. • Solid understanding of SIU or relevant claim processes, practices, and applicable laws and regulations strongly preferred. • Designations in CIFI, FCLS or FCLA are strongly preferred. • Strong interviewing and communication skills (verbal and written). • The ability to work well independently and in a team environment. • Consistent high level of performance and achievement over career span. • Strong critical thinking and analytical skills; ability to make deductions; logical and sequential thinker. • Excellent written and verbal communication and diplomacy skills, inspiring confidence among main customers. • The ability to work well independently and in a team environment. • Consistent high level of performance and achievement over career span. WHAT ELSE CAN YOU TELL ME? • The SIU Investigator is a remote position and will require 100% travel within the assigned territory. The Special Investigator for this opportunity will be based out of the Richmond , VA area. • A cell phone and a wireless laptop is provided for this opportunity. A company car will be provided, and a valid driver's license is required. Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is: $87,200 - $130,800 Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age About Us | Our Culture | What It's Like to Work Here | Perks & Benefits

Our roster has an opening with your name on it This role is responsible for leading and conducting comprehensive, complex investigations related to regulator concerns related to deposit fraud, play integrity, abuse, account takeovers, organized fraud, and other fraud specific investigations. This position will be a part of internal quality assurance testing as it relates to fraud processes along with preparing and presenting findings. This role is required to stay current on fraud trends and emerging threats and present case studies to the broader team on a recurring basis. As a Fraud Investigative Lead Supervisor, you will be contributing to state-specific reporting and regulatory-related fraud reviews. In addition to completing and leading investigations, this role will be responsible for overseeing direct reports, and managing tasks such as coordinating job rotations, providing regular and consistent feedback to direct reports, reporting significant findings and activity updates to the Fraud investigative Manager, goal coaching, and other supervisory tasks. This role may assist in designing, documenting, implementing, and monitoring of new procedures/services. Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud Investigative Manager. In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs. THE GAME PLAN Everyone on our team has a part to play Train and mentor Fraud Investigators and Fraud Prevention Analysts within our department Participate in quality assurance testing related to fraud prevention efforts Prepare investigation reports, summaries, and present findings Investigate and research allegations of fraud or abuse of system controls and communicate root cause findings Lead applicable state-specific regulatory fraud form reporting and regulator investigations Research, evaluate, and analyze information and intelligence to determine risk Aid in developing fraud mitigation strategies OSINT collection and analysis Collaborate with other departments within our organization, such as Security, Risk, Compliance, and other related teams Analyze past and current fraud trends and suspicious behavior tracking Continually learn and adapt to changing fraud trends and behavior Other tasks and projects as assigned by the leadership team THE STATS What we're looking for in our next teammate 3+ years of fraud experience in daily fantasy sports, online gaming or related industries 1+ years of leadership experience preferred Proficiency with SQL required Experience with digital payments and understanding of e-Commerce platforms Cybersecurity experience a plus Experience interacting with regulators and compliance a plus Prior experience using open-source intelligence Strong verbal and written communication skills Bachelor's degree in related field preferred Demonstrated aptitude for process execution, including identification of areas for improvement In-depth knowledge and understanding of common fraud trends and emerging threats Advanced knowledge of common fraud prevention strategies and systems Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules Effective communication, organizational, problem-solving, and analytical skills Passion for sports and/or gaming industry a plus Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies ABOUT FANDUEL FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product. In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico. The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia. FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT). PLAYER BENEFITS We treat our team right We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level. FanDuel is an equal opportunities employer and we believe, as one of our principles states, “We are One Team!”. As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included. FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************. The applicable salary range for this position is $78,000 - $97,000 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-Hybrid

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.

Investigator External Audit Special Investigations Unit \*Remote* The SIU Audit Investigator supports the compliance related activities of the Special Investigations Unit (SIU) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing and monitoring activities at the Health Plan. This includes the identification, investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding, medical record documentation requirements, healthcare compliance and fraud, waste and abuse to Health Plan staff, vendors and contracted providers/facilities. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. _Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Bachelor's Degree Or equivalent combination of education and experience. + 5 years Coding experience with a healthcare provider, facility or health insurance company. + 2 years Fraud and Abuse audit experience in a health insurance company, healthcare provider, facility or other relevant healthcare environment. + Project management experience, education program development experience and group presentation experience. + Experience in use of data mining software/tools. Preferred Qualifications: + Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an Internal Auditor or Healthcare Compliance certification upon hire. + Clinical background. Salary Range by Location: California: Humboldt: Min: $29.62, Max: $45.31 California: All Northern California - Except Humboldt: Min: $33.23, Max: $50.84 California: All Southern California - Except Bakersfield: Min: $29.62, Max: $45.31 California: Bakersfield: Min: $28.41 Max: $43.47 Oregon: Non-Portland Service Area: Min: $26.49, Max: $40.52 Oregon: Portland Service Area: Min: $28.41 Max: $43.47 Washington: Western - Except Tukwila: Min: $29.62, Max: $45.31 Washington: Southwest - Olympia, Centralia & Below: Min: $28.41 Max: $43.47 Washington: Tukwila: Min: $29.62, Max: $45.31 Washington: Eastern: Min: $25.28, Max: $38.68 Washington: South Eastern: Min: $26.49, Max: $40.52 Why Join Providence Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Requsition ID: 405395 Company: Providence Jobs Job Category: Internal Audit Job Function: Finance Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 5018 COMPLI PAYMENT INTEGRITY OR REGION Address: CA Oakland 540 23rd St Work Location: Providence House Oakland-Oakland Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: * Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders. * Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders. * Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field. * Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions. * Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope. * Identifies opportunities and participates in the design and implementation of process or procedural improvements. * Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff. * Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters. * Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations. May perform additional duties as assigned. Reporting Relationship Typically Manager or Director Skills, Knowledge and Abilities * Solid knowledge of property and casualty claim handling practices * Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required. * Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues * Ability to interact and collaborate with internal and external business partners, including outside agencies * Ability to work independently, exercise good judgment, and make sound business decisions * Detail oriented with strong organization and time management skills * Strong ability to analyze complex, ambiguous matters and develop effective solutions * Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques * Ability to adapt to change and value diverse opinions and ideas * Developing ability to implement change * Ability to travel occasionally (less than 10%) Education and Experience * Bachelor's degree or equivalent professional experience. * Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field. * Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar). #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners' financial lives. We're looking to hire a Senior Account Fraud QC Investigator to support quality control for account fraud alert investigations across Mercury's consumer and business banking products. This will be the first QC hire for the Account Fraud team and a key contributor in shaping the quality framework for our newly launched BPO partnership. As a Senior Account Fraud QC Investigator, you will be responsible for designing, implementing, and executing fraud quality processes and procedures. This includes conducting quality assessments of fraud alert investigations, creating reports and dashboards, performing quality trend analysis, and translating quality insights into actionable improvements. You'll also leverage your fraud and QC expertise to contribute directly to projects that advance Mercury's account fraud program and help scale high-quality decision-making across internal teams and external partners. *Mercury is a fintech company, not an FDIC-insured bank. Banking services provided through Choice Financial Group and Column N.A., Members FDIC. Here are some things you'll do on the job: Complete manual quality assessments of account fraud alert investigations, ensuring adherence to internal policies, procedures, and applicable regulatory requirements. Partner closely with Account Fraud leadership to define and operationalize the QC program, including quality standards, scoring methodologies, and feedback loops - particularly for BPO-reviewed work. Create quality dashboards, metrics, and trend reports to surface investigation accuracy, consistency, and risks. Provide clear, actionable insights and recommendations based on quality findings to drive continuous improvement across the account fraud program. Lead and participate in quality calibration sessions with internal teams and external BPO partners to ensure consistent investigation outcomes. Assist in the development, refinement, and documentation of fraud investigation quality processes and procedures. Maintain up-to-date knowledge of fraud typologies, industry best practices, regulatory expectations, and internal policy changes to ensure quality standards remain current. Participate in special projects, internal audits, and process improvement initiatives in support of fraud quality control and program scalability. You should: Have 4+ years of experience in the finance or fintech industry with a focus on fraud investigations and quality control, ideally in an account fraud or transaction monitoring environment. Have prior experience building a QC program and/or performing QC for fraud investigations, including reviewing alerts and investigator decisioning. Have experience working with or supporting BPO or vendor-managed fraud operations. Be a highly motivated self-starter who is comfortable building structure in ambiguous, fast-moving, and high-risk environments. Have a strong understanding of banking products and fraud risk across areas such as ACH, wires, checks, debit cards, and account-level activity. Exercise empathy and sound judgment when delivering quality feedback to investigators and partners. Communicate complex findings and recommendations with efficiency and clarity to both operational and cross-functional stakeholders. The total rewards package at Mercury includes base salary, equity (stock options), and benefits. Our salary and equity ranges are highly competitive within the SaaS and fintech industry and are updated regularly using the most reliable compensation survey data for our industry. New hire offers are made based on a candidate's experience, expertise, geographic location, and internal pay equity relative to peers. Our target new hire base salary ranges for this role are the following: US employees in New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $121,700 - $152,100 US employees outside of New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $109,500 - $136,900 Mercury values diversity & belonging and is proud to be an Equal Employment Opportunity employer. All individuals seeking employment at Mercury are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected characteristic. We are committed to providing reasonable accommodations throughout the recruitment process for applicants with disabilities or special needs. If you need assistance, or an accommodation, please let your recruiter know once you are contacted about a role. We use Covey as part of our hiring and / or promotional process for jobs in NYC and certain features may qualify it as an AEDT. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. We began using Covey Scout for Inbound on January 22, 2024. [Please see the independent bias audit report covering our use of Covey for more information.] #LI-AR1

llumifin provides third party administration and technology services to individual and group insurers. The company blends insurance industry knowledge, technology leadership and operational execution to prepare insurers for the digital future. illumifin is a diverse, passionate and empowered team of insurance specialists committed to the growth and success of its customers. With illumifin, there's a brighter future A SIU/Fraud Investigator is responsible for working with multiple business units on coordination, identification, mitigation, and reporting of incidents and risks related to anti-fraud activities. Conducts and/or assists with investigative tasks Reviews referrals of potential fraud, waste, and abuse from both auto-detection programs and from claims organization, as assigned Coordinates and performs investigations with oversight of lead investigator Prepares responses for suspected or alleged fraud Works closely with cross-functional leaders to ensure appropriate resolution, accurate reporting and tracking to meet client specific service level agreements Participates as a subject matter expert during client implementations, audits and system or process development Complies with state and federal laws to meet client contractual requirements Conducts effective research, analysis, and accurate documentation for reporting to clients and illumifin's leadership Schedules surveillance once approved by the client Conducts continuing education to Claims staff May conduct phone calls or basic interviews with witnesses, as assigned Assists with administration tasks relating to Fraud Services Department, as assigned Assists with client and department reporting Interfaces with claimants, providers and clients Conducts telephonic interviews of members, providers, and/or additional witnesses to gather information to support investigation Other duties as assigned

Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ

Oklahoma City, OK Phoenix, AZ Work Arrangement: This role offers three weeks of remote company-provided training before transitioning to on-site client specific training at our Highland Hills office. After the initial on-site period (which may last 6 weeks or more, depending on performance and company needs), you may return to remote work from home. However, future office visits may be required based on work quality, client needs, and project demands. Candidates must be located within a 40-mile radius of our Highland Hills office: 23000 Millcreek Blvd. Candidates must be located within a 40-mile radius of our Oklahoma City office: 7340 West Memorial Rd Oklahoma City, OK 73142 Candidates must be located within a 40-mile radius of our Phoenix office: 40 North Central Avenue Phoenix, AZ 85004 Please note: Remote flexibility is not guaranteed long-term and may be subject to change based on company discretion. About the Role: As a Senior AML Investigator - Financial Crimes, you'll work remotely to provide expertise in detecting suspicious financial activity, ensuring regulatory compliance, and performing quality control. You will lead investigations, supervise junior analysts, and collaborate with clients to manage financial crime risks. This role offers the opportunity to work independently while making key decisions in a fast-paced, dynamic environment. Key Responsibilities: Identify data anomalies and red flags related to money laundering, terrorist financing, fraud, and sanctions violations, escalating cases for second-level review as appropriate. Verify client identities to understand the nature and purpose of their relationship with the financial institution, ensuring compliance with Know Your Customer (KYC) procedures. Perform quality control (QC) tasks as needed. Assist with advanced responsibilities, including client communication, analyzing production data, and developing client-specific aids and training materials. Provide independent support to analysts with workflow items and administrative tasks as they arise. Submit written work for review by internal and client quality control teams, make necessary adjustments based on feedback, and apply insights to future work. Meet all designated deadlines and procedures to ensure accurate and timely completion of tasks. Contribute to a collaborative, team-oriented work environment. Comply with all relevant federal and state laws, regulations, and guidance, including Anti-Money Laundering (AML) requirements, as well as company policies, procedures, and client expectations. What You Bring (Minimum Qualifications) Bachelor's degree is required. Must be located within a 40-mile radius of our Highland Hills office. At least 2-3 years of relevant AML/BSA experience. Ability to thoroughly investigate potentially suspicious activities, analyze findings, and prepare detailed Suspicious Activity Reports (SARs) in compliance with regulatory requirements and clients' internal policies. Strong knowledge of financial or banking industries and related regulations and laws. Strong written and oral communication skills with the ability to produce narrative or written summaries clearly synthesizing recommendations and conclusions. Proven ability to consistently meet and exceed daily production goals, demonstrating strong time management skills, attention to detail, and the capacity to prioritize tasks effectively. Strong analytical, problem solving and organizational skills. Proficiency in Microsoft Excel, PowerPoint, and Word, with a demonstrated ability to quickly learn new technologies. Capable of multitasking, working independently, and collaborating as part of a team to establish cooperative and productive working relationships. Receptive to feedback and able to implement changes effectively. Quick learner with adaptability to new technologies and processes. Preferred Qualifications: Demonstrated experience in MS Excel, including pivot tables, macros, filtering, and sorting. 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. Physical Requirements: Ability to sit or stand for long periods. Prolonged use of computers and office equipment. Occasional lifting, bending, and reaching required. Compensation & Benefits Salary Range: $43,888 - $69,000 annually (based on experience). Comprehensive health, dental, and vision benefits. Paid time off and holidays . Professional development opportunities . Collaborative work environment with global exposure. About Us AML RightSource is the leading technology-enabled managed services firm focused on fighting financial crime. Headquartered in Cleveland, Ohio, we operate globally as a trusted partner to financial institutions, FinTechs, and corporations. Our team of 7,000+ compliance professionals combines expertise, technology, and consulting to help clients with AML/BSA, transaction monitoring, KYC, EDD, and risk management. Together, we are Reimagining Compliance. AML RightSource, LLC will not provide sponsorship for employment visas or participate in STEM OPT for this position. AML RightSource may use AI tools to support candidate screening; however, all hiring decisions are made through human review. We are committed to providing accommodations to individuals with disabilities throughout all aspects of the recruitment process. If you require accommodation to participate in the recruitment and selection process, please email ************************* or discuss your needs when contacted for an interview. 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. Recruitment Scam Alerts We're aware of an increase in recruitment scams where individuals falsely claim to represent AML RightSource. These scammers may ask for money or personal information by offering fake job opportunities through e-mail, text message or social media. Please verify the source of any job-related communications carefully. All official AML RightSource communications are conducted through "@amlrightsource.com" email addresses. If you encounter suspicious messages, do not respond.

LOCATION: Remote -must live in North Carolina or within 40 miles of the NC border. This position is remote, but the applicant must be able to travel to Vaya's Offices or within Vaya's Catchment area as needed . GENERAL STATEMENT OF JOB The Special Investigator works under the direct supervision of the SIU Manager. The Special Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse within the Vaya Health Network of contracted providers. The Special Investigator will develop investigative summary reports and make applicable referrals to the NC Division of Health Benefits, and recommendations as necessary to providers associated with investigation findings/outcomes. ESSENTIAL JOB FUNCTIONS Investigative Activities: Utilize established Vaya procedures to conduct inquiries and investigations into complaints, allegations, and referrals regarding suspected Fraud, Waste or Program Abuse Review healthcare claims to determine if provider payments were rendered in accordance with rules, regulations, service definition, service utilization, and contractual requirements Determine correct coding, billing, documentation, delivery of services and potential violations of federal and/or state regulation or Medicaid guidelines Perform reviews (desk, virtual, and/or on-site)interview providers, members, and stakeholders, and review medical records to verify compliance with program policies and/or standards of health care, appropriateness of services or medical necessity Prepare reports and exhibits from the findings of provider investigations and develop recommendations or intervention strategies to correct or prevent abusive practices, including proposals to recover inappropriately paid moneys or to suspend or terminate program participation. Refer suspected fraud cases to the DHB Office of Compliance and Program Integrity Administrative Activities: Participate in both informal and formal appeal processes, defending their decisions before a Vaya reconsideration panel, hearing officers and/or administrative law judges Provide litigation testimony as applicable Work in conjunction with various regulatory bodies Propose new fraud prevention edits for automated claims/billing system when new fraudulent schemes are discovered Support Activities: Other duties including technical assistance and provider education may be assigned based upon need, area of expertise, special interests and availability of resources. KNOWLEDGE, SKILLS, & ABILITIES Knowledge of healthcare service definitions, service documentation, and service utilization requirements An intermediate level of knowledge of Local, State and Federal laws and regulations pertaining to insurance and/or healthcare services Possess comprehensive knowledge of fraud investigative procedures and judicial processes relating to fraud prosecutions Excellent decision-making abilities to determine the appropriate course of action during investigations and subsequent follow-up Ability to prepare detailed and comprehensive reports, to present facts clearly, and to instruct others in new methods and procedures; Excellent written communication skills for correspondence, case documentation and report writing Extensive oral and written communication with providers, state and federal regulatory agencies, licensing entities, independent contractors, and members Present investigative findings with regulatory violations citations and ability to accurately describe scheme(s) to defraud Medicaid Intermediate or better proficiency with Microsoft Word, Microsoft Outlook, and Excel and ability to adapt to new technologies and platforms Ability to work autonomously, exercising sound judgment and problem resolution skills Ability to establish appropriate and respectful relationships/partnerships with persons with a wide range of ethnicities and abilities EDUCATION & EXPERIENCE REQUIREMENTS Associate degree in Compliance, analytics, government/public administration, auditing, security management or pre-law, psychology, social work, arts, science or a related human service field. Bachelor's degree preferred. Must have three (3) years of experience in compliance, healthcare, or fraud investigation unit. Preferred work experience: Four years of Medicaid Behavioral Health and/or physical health service delivery Preferred Licensure/Certification: Qualified Professional, Accredited Healthcare Fraud Investigator, Certified Fraud Examiner, or Certified Professional Coder preferred. PHYSICAL REQUIREMENTS: Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading. Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers. Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time. Mental concentration is required in all aspects of work. RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border. SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation. DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit ****************************************** Vaya Health is an equal opportunity employer.