Senior Investigator remote jobs

Stripe is a financial infrastructure platform for businesses. Millions of companies-from the world's largest enterprises to the most ambitious startups-use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone's reach while doing the most important work of your career. About the team Stripe is both a technology company and a financial services company, and you will need to be comfortable straddling both of those worlds every day. The right person for the role will enjoy dealing with that puzzle, seeking creative solutions and moving quickly, often in the face of ambiguity. The right person for the role will also be comfortable getting their hands dirty by directly working on critical parts of the Americas financial crimes program, as well as being an effective people manager. The Financial Crimes, Compliance, and Risk Oversight (FinCRO) Investigations Management team is responsible for providing second line of defense (2LoD) financial crime risk oversight and coordination over casework, the management of user risk and other investigative oversight responsibilities for Stripe's global operations. The Investigations Management function will take part in local exams, field financial partner inquiries, and respond to law enforcement or other external inquiries. What you'll do We are looking for an Americas Financial Crimes Investigations Lead based in the US. This role focuses on leading a team of investigators and analysts conducting anti-money laundering (AML), counter-terrorist financing (CTF), sanctions, and other financial crimes and regulatory compliance investigations in support of Stripe's growing business. Responsibilities Lead a team of Financial Crime Analysts located across the Americas region (US, Canada, and Latin America) Provide guidance and support to the Americas team, in order to conduct a wide variety of analyses, potentially including: Investigations into money laundering, terrorist financing and other financial crimes and reporting of this activity through Suspicious Activity Reports (SARs) or Suspicious Transaction Reports (STRs) Conduct OFAC and BIS screening ("watchlist") and sanctioned jurisdictions screening (“keyword”) reviews, manually reviewing Stripe merchant accounts, and reviewing investigations work products, as part of Stripe's sanctions program Assessments of customer risks, including KYC and Due Diligence investigations for high risk customers, inclusive of Politically Exposed Persons (PEPs) Management of customer risk to Stripe, including the assessment of user retention and offboarding of users Assist the team in the investigation and response to requests for information from banking and financial partners, including the direct management of financial partner relationships Drive complex intelligence investigations and analytical workstreams, coordinating with Stripe's Complex and Major investigations teams Demonstrate sound judgment and an ability to navigate non-binary, high-risk decisions, and effectively communicate these decisions to the wider team Adhere closely to process while still constantly questioning assumptions, suggesting improvements, and following up implementation of those improvements Effectively and clearly communicate, including with other Stripes, Stripe's users, and Stripe's financial partners Demonstrate ownership of the Americas Financial Crimes program, and constantly seek improvements and accountability both within the team, as well as with our Financial Crimes Operations teams Who you are We're looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. Minimum requirements 5+ years experience in investigations, operations, or advisory roles within financial crimes, AML, sanctions, risk, fraud, research, or a related field 2+ years experience leading financial crimes investigation teams of varying size and complexity Investigative expertise and strong knowledge of BSA, AML, US Patriot Act, and OFAC regulations Excellent research and writing skills Ability to synthesize large amounts of information, including transaction data Ability to work efficiently and independently in a fast-paced environment Ability to work cross-functionally with internal stakeholders Preferred qualifications ACAMS, ACAMS CGSS or ACSS Certification Familiarity with evaluating STRs and other regulatory reports to FINTRAC and Canadian Law Enforcement, as well as SAR reporting and regulatory requirements in Brazil. MS Excel experience SQL abilities Familiarity with MacOS and Google products Technical curiosity and an interest in evolving sanctions, AML, or regulatory compliance trends Foreign language fluency, including Spanish or Portuguese

Responsive recruiter KENTECH Consulting Inc. is an award-winning background technology screening company. We are the creators of innovative projects such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech and high-touch investigative case management system. MISSION We're on a mission to help the world make clear and informed hiring decisions. VALUE In order to achieve our mission, our team embodies the core values aligned with it: Customer Focused: We are customer-focused and results-driven. Growth Minded: We believe in collaborative learning and industry best practices to deliver excellence. Fact Finders: We are passionate investigators for discovery and truth. Community and Employee Partnerships: We believe there is no greater power for transformation than delivering on what communities and employees care about. IMPACT As a small, agile company, we seek high performers who appreciate that their efforts will directly impact our customers and help shape the next evolution of background investigations. KENTECH Consulting Inc. is seeking a highly skilled and detail-oriented Background Investigator to conduct impartial, fact-based pre-employment investigations for municipal government agencies. This role requires strong investigative skills, excellent research abilities, and a commitment to maintaining accuracy and confidentiality. As a remote investigator, you will analyze applications, conduct interviews, research public records, and compile detailed reports. If you have a background in journalism, criminal investigations, or investigative reporting, this is an excellent opportunity to apply your skills in a fast-paced and high-impact environment. Key Responsibilities • Conduct pre-employment investigations on law enforcement and government candidates. • Research and analyze applications, employment records, criminal histories, and public records to verify candidate qualifications. • Conduct in-depth interviews through phone or virtual platforms to gather insights. • Execute criminal background checks and civil lawsuit verifications using public records. • Identify gaps or inconsistencies and determine the best approach to obtain accurate information. • Prepare comprehensive investigative reports with a high level of accuracy and clarity. • Maintain professional and timely communication with clients and agency stakeholders. • Organize information and manage caseloads efficiently to meet deadlines. Qualifications and Experience • College degree in Journalism, Criminal Justice, Political Science, Pre-Law, Paralegal, or a related field. • Five or more years of investigative or related experience, including journalism, investigative reporting, or criminal investigations. • Strong interviewing skills for both remote and in-person interviews. • Strong analytical and writing skills with the ability to interpret findings and deliver clear reports. • Proven ability to handle confidential information with professionalism and discretion. • Proficiency in Google Docs, Excel, and investigative tools or software. • Ability to pass a Security Clearance to obtain a Permanent Employee Registration Card (PERC) or already possess one. • Ability to complete a minimum of five cases per week. Key Soft Skills • Attention to detail with a focus on accuracy and clarity. • Ethical integrity and the ability to conduct unbiased investigations. • Clear and professional communication across interviews, reporting, and client interactions. • Strong investigative mindset with the ability to identify gaps and analyze findings. • Effective time management and the ability to handle multiple cases while meeting deadlines. Compensation and Benefits • 1099: 200 dollars per case. Apply Now If you are a meticulous investigator with a strong analytical mindset, we would love to hear from you. KENTECH Consulting Inc. is an equal opportunity employer. We celebrate diversity and remain committed to fostering an inclusive workplace. This is a remote position. Compensation: $200.00 per day We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. 🌐 WHO WE ARE KENTECH Consulting, Inc. is a premier U.S.-based background investigation solutions firm and licensed Private Detective Agency. Our team of investigative experts blends cutting-edge technology with industry insight to deliver fast, accurate, and comprehensive reports. With deep cross-industry experience, we provide fully compliant investigative services that meet the high demands of today's business environment. 🔎 WHAT WE DO We offer customized background screening solutions tailored to meet the needs of diverse industries. Our advanced tools and digital platforms allow us to conduct background and security checks up to 75% faster than traditional methods. With real-time access to over 500 million records, KENTECH is a trusted authority in background checking technology across the U.S. 🌟 OUR VISION To help the world make clear and informed decisions. 🎯 OUR MISSION To deliver fast, accurate, and secure background investigations on a global scale-supporting safer hiring decisions and stronger communities. 🚀 CAREERS AT KENTECH We're building a team of remarkable individuals who are: ✅ Critical thinkers and problem solvers who see challenges as opportunities ✅ Driven professionals who create meaningful impact through their ideas and results ✅ Mission-driven collaborators who believe in the power of digital identity to create safer environments ✅ Naturally curious and eager to innovate in an ever-changing landscape ✅ Team players who believe in the value of camaraderie, laughter, and high standards 💼 WHO THRIVES HERE? People who never back down from a tough challenge Professionals who bring their best every day-and uplift others around them Individuals who value purpose, performance, and a good laugh Teammates who want to shape the future of digital security and identification You, if you're reading this and thinking: “This sounds like my kind of place.” 🎉 YOUR NEXT CHAPTER STARTS HERE Ready to do work that matters with people who care? Explore our current openings-your future team is waiting.

About the job Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Investigator Sr. position 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. Candidate will need a strong Medicare/Medicaid background with a focus on Pharmacy. How You Will 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. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. 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 Skills, Capabilities And Experiences Pharmacy investigation experience is highly preferred. 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.

Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: Airbnb is a mission-driven company dedicated to helping create a world where anyone can belong anywhere. It takes a unified team committed to our core values to achieve this goal. Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Difference You Will Make: The Insider Threat Investigations Manager oversees the rollout, operational quality, and ongoing effectiveness of BPO (Business Process Outsourcing) investigations into insider threats impacting Airbnb. This leader is responsible for building, scaling, and managing a global insider investigations program that empowers external (BPO) teams to deliver high-quality, compliant, and thorough investigations. As the program grows, the Manager will develop and oversee regional investigations leads, who will manage onboarding and ongoing support for BPO investigations teams in their geographic areas. For high-complexity and high-severity cases, the Manager acts as both lead and partner, driving joint investigations alongside BPO personnel to ensure delivery of best-in-class investigative outcomes. They will closely collaborate with their program counterpart within Security Engineering, collating security control vulnerabilities, building feedback channels, closing the loop of investigative findings, detection gaps, and emerging threats, to inform ongoing improvements in detection rules and workflows. They will collaborate extensively with Information Security, Legal, HR, and Risk & Compliance to safeguard Airbnb's assets and reputation. A Typical Day: Program Leadership, Scalability & Operational Oversight Deploy, and evolve the BPO Insider Threat Investigations program to support global operations and future growth. Develop the framework to scale the program regionally by recruiting, onboarding, and managing regional investigations leads. Oversee directly, then delegate operational oversight to regional leads in the delivery of standardized BPO onboarding, ongoing training, operational review and maintenance for both new and existing BPO investigation teams. Conduct continuous assessments of BPO investigations and regional teams to ensure thoroughness, technical accuracy, compliance, and alignment with Airbnb standards. Lead global feedback cycles, and knowledge-sharing sessions across internal teams, regional leads, and all BPO investigators. Serve as an escalation point for high-impact cases, ensuring prompt response and resolution in collaboration with regional leads and BPO teams. Coordinate with Security Engineering on the rollout, scaling and performance review of detection models, ticketing systems, and remediation action specifically designed for the BPO use case. Investigation Management & Joint Case Leadership Oversee BPO and regional investigation workflows for diverse insider threat risks (financial misconduct, IP theft, production abuse, unauthorized access, etc.). Prioritize and define key performance indicators (KPIs) for BPO investigation teams to ensure investigations are thorough, compliant, and aligned with Airbnb standards. Oversee and enforce SLAs for investigations, ensuring investigations begin promptly and final reports are delivered within defined timeframes. Personally lead and coordinate joint investigations and subject interviews in partnership with BPO teams and regional leads on complex, high-severity matters. Assure all investigations reflect proper evidence handling, digital forensics, interview practices, and documentation in line with legal, regulatory, and corporate requirements. Guidance for Investigations Set investigation and response standards and provide log analysis guidance to BPO teams, then to internal regional leads. Align regional leads and BPO investigators with internal resources, tools, and subject matter expertise as needed. Legal Acumen, Compliance, and Reporting Ensure global investigations comply with employment law, data privacy regulations, company policies, and relevant commercial frameworks. Collaborate with Legal, Talent, Privacy, and Risk and Compliance both centrally and via regional leads to support effective risk management and remediation. Deliver structured, cross-functional and executive-level reports and briefings on regional and global threat, vulnerability, and BPO security health metrics and synthesize lessons learned for continuous improvement. Your Expertise: Experience & Expertise 10+ years of professional experience in insider threat investigations, enterprise security, investigations into applications, production environments, or equivalent. Demonstrated experience overseeing investigation teams and/or managing vendor/BPO programs at scale, preferably including global/regional operations. Experience establishing and managing regional leadership structures in investigations, with a track record of onboarding, training, and supporting geographically distributed teams. Strong background in technical investigation, digital forensics, and operational quality assurance. Managerial & Program Skills Proven ability to build and scale enterprise investigation programs, including development of regional leadership/oversight capabilities. Skilled in mentoring, enabling, and coaching both direct and indirect (e.g., BPO/regional) investigation teams. Capable of designing and implementing regional onboarding programs and maintaining operational standards worldwide. Legal Acumen Deep understanding of employment law, data privacy, and regulatory compliance relevant to large-scale, cross-border investigations. Preferred Certifications General/Corporate/Workplace Investigations CFE, PCI, CPP, CFI, SHRM-Internal Investigations Cyber Security Awareness Courses(e.g. Google Cybersecurity Certificate) Insider Threat & Threat Assessment CERT ITPM, NaBITA, Behavioral Science. Project Management Professional (PMP); Agile Certified Practitioner (PMI-ACP) Additional Attributes Demonstrated ability to communicate program strategy, status, and risk effectively to senior leaders and cross-functional teams globally. Analytical thinker with a commitment to operational excellence, scalability, and continuous program improvement. Your Location: This position is US - Remote Eligible. The role may include occasional work at an Airbnb office or attendance at offsites, as agreed to with your manager. While the position is Remote Eligible, you must live in a state where Airbnb, Inc. has a registered entity. Click here for the up-to-date list of excluded states. This list is continuously evolving, so please check back with us if the state you live in is on the exclusion list If your position is employed by another Airbnb entity, your recruiter will inform you what states you are eligible to work from. How We'll Take Care of You: Our job titles may span more than one career level. The actual base pay is dependent upon many factors, such as: training, transferable skills, work experience, business needs and market demands. The base pay range is subject to change and may be modified in the future. This role may also be eligible for bonus, equity, benefits, and Employee Travel Credits. Pay Range$154,000-$192,000 USD

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.

Remote - Florida Remote - Georgia Remote - North Carolina Remote - Ohio Remote - Oklahoma Remote - Pennsylvania Remote - South Carolina Remote - Tennessee Remote - Texas Work Arrangement: This is a remote, work-from-home opportunity for candidates located in one our eligible states. The role includes three weeks of company-provided remote training. Please note: Remote work flexibility is not guaranteed long-term and may be subject to change based on company needs. (Candidates must currently reside in Arizona, Florida, Georgia, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas). About the Role: As a Senior AML Investigator, 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. At least 2-3 years of relevant AML/BSA experience. Must currently reside in Arizona, Florida, Georgia, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas 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. Demonstrated experience in MS Excel, including pivot tables, macros, filtering, and sorting. 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. Normal Working Hours and Conditions: Core hours are 8:00 am - 5:00 pm, with potential flexibility required based on operational needs across different time zones. About Us: We are AML RightSource, the leading technology-enabled managed services firm focused on fighting financial crime for our clients and the world. Headquartered in Cleveland, Ohio, and operating across the globe, we are a trusted partner to our financial institution, FinTech, money service business, and corporate clients. Using a blend of highly trained anti-financial crime professionals, cutting-edge technology tools, and industry-leading consultants, we help clients with their AML/BSA, transaction monitoring, client onboarding (KYC), enhanced due diligence (EDD), and risk management needs. We support clients in meeting day-to-day compliance tasks, urgent projects, and strategic changes. Globally, our staff of more than 7,000 highly trained analysts and subject matter experts is the industry's largest group of full-time compliance professionals. Together with our clients, we are Reimagining Compliance. Physical Requirements: Ability to sit or stand for long periods. Prolonged use of computers and office equipment. Occasional lifting, bending, and reaching required. AML RightSource is committed to fostering a diverse work environment and is proud to be an equal opportunity employer. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 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.

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

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Special Investigations Unit Investigator II investigates and analyzes incidents of suspected fraud, waste, and abuse in accordance with regulatory requirements. The Special Investigations Unit Investigator II is responsible for conducting full investigations to proactively prevent, detect, and correct suspected and identified issues of fraud, waste, and abuse in the health care environment, including reporting to State and/or Federal regulatory agencies. The incumbent makes potential fraud, waste, or abuse determinations by utilizing a variety of sources including data analytics to detect unusual billing. The Special Investigations Unit Investigator II conducts monitoring and supports the Plan's Fraud, Waste and Abuse Program (FWA) to ensure compliance with State and/or Federal contracts, laws, regulations, and guidance set forth by the Centers for Medicare and Medicaid Services (CMS), the United States Health and Human Services Office of the Inspector General (HHS-OIG), the California Department of Managed Health Care (DMHC), and the California Department of Health Care Services (DHCS). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary. * Hybrid schedule. * CalPERS retirement. * State of the art fitness center on-site. * Medical Insurance with Dental and Vision. * Life, short-term, and long-term disability options * Career advancement opportunities and professional development. * Wellness programs that promote a healthy work-life balance. * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Four (4) or more years relevant professional experience in a health care environment, with an emphasis in fraud, waste, and abuse investigations, including Federal and State reporting requirements * Experience in health care fraud investigation, detection, and/or healthcare related specialty including but limited to; Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, claims, or claims processing preferred * Bachelor's degree from an accredited institution * In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position * This experience is in addition to the minimum years listed in the Experience Requirements above * Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), or similar certification/licensure preferred Key Qualifications * Strong knowledge of Managed Care, Medi-Cal, and Medicare programs as well as Marketplace * Compliance program principles and practices of managed care. Knowledge of federal and state guidelines as well as ICD, CPT, HCPCS, coding * Excellent verbal and written communication skills with thorough documentation, composing detailed investigative reports and professional internal and external correspondence * Interpersonal and presentation skills to communicate with internal departments and external agencies * Demonstrated analytical, problem solving, and resolution skills * Strong organizational skills and attention to detail. Proficiency in Microsoft Office programs including, but not limited to: Word, Excel, PowerPoint, Outlook, and Access * Demonstrated proficiency in data mining and the use of data analytics to detect fraud, waste, and abuse, including the utilization of pivot tables, formulas, and trending * Proven ability to: * Work independently and collaboratively within a team environment. * Apply knowledge, and address situations appropriately with minimal guidance * Manage multiple projects with competing deadlines and changing priorities * Research, comprehend and interpret various state specific Medicaid, Federal Medicare, and ACA/Exchange laws, rules and guidelines * Identify, research and comprehend medical standards, healthcare authoritative sources and apply knowledge to investigative approach * Minimal physical activity; may include standing, walking, sitting lifting, and pushing and carrying up to 25 lbs Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $80,059.20 USD Annually - $106,059.20 USD Annually

We are looking for qualified candidates to join our growing team of professionals. We are Looking for F/T employees who have the ability to work remotely, independently, and who enjoy a good challenge. Applicants must have an extremely flexible work schedule. This is an industry wide requirement as cases often require odd hours, to include early mornings, weekdays, weekends, and evening hours. The Special Investigations Unit (SIU/Claims) Field Investigator conducts recorded statements / interviews, accident scene investigations, online research, and witness canvassing. They recognize compensability issues, misrepresentation, and understanding insurance coverage as it pertains to claims decisions. They identify red flags and follow where the investigation leads them, doing their due diligence to conduct a thorough investigation. EXPERIENCE: Previous SIU experience with an insurance carrier or investigative firm. Former military or law enforcement. Two years' experience in property loss investigations (or adjusting) to include theft, fire, water, wind and vandalism losses. LICENCES/CERTIFICATIONS/INSURANCE Valid state-issued driver's license. May require Notary. SKILLS: A SIU / Claims investigator must possess strong computer and internet skills, as well as strong verbal and written communication skills. They should have excellent analytical and problem-solving skills, listening skills and high attention to details. They should also be persistent and organized. REQUIRED EQUIPMENT: The ideal candidate must own a well-maintained vehicle, a window-based laptop, cell phone, and have a good internet connection. In addition, they should own a Camera, or comparable equipment to obtain photographs and a Recording device to obtain statements. Company info: Ethos Risk Services is an expert in the field of risk mitigation. We help our clients fight back against fraud through the use of our full suite of services. We provide the highest level of security, real-time field updates, and shortened turn-around times. We are a nationwide risk mitigation company seeking private investigators to conduct surveillance for clients who suspect fraudulent insurance claims. * Pay is commensurate with experience. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law. A background check will be conducted, in accordance to the local state law and regulations.

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.

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

Job Description Nymbus (******************** is a high growth fintech company that enables financial institutions to transform their capabilities and drive value in today's digital finance world. At Nymbus, we believe when you set off on the path to innovation you should feel excitement and confidence, not fear and dread. With Nymbus we are bringing delight back into the banking process. We want our partners to be thrilled about the possibilities we are creating together and the lasting impact our collaboration will bring to the industry and consumers. The journey to growth begins with doing something different. And that journey starts with the great people that make Nymbus. Thank you for considering and entrusting Nymbus to be the catalyst that helps take your career through your next chapter. WORK ENVIRONMENT: We are a remote first company. This role, as most of our positions, is remote. You may be required at times to visit client sites or attend meetings at designated locations. POSITION SUMMARY: The Fraud Investigator plays a critical role in protecting the financial assets, operational integrity, and reputation of Nymbus clients by leading advanced investigations into complex and high-impact fraud cases across multiple payment channels and products. This role involves the proactive identification of suspicious patterns and anomalies through the review of transactional data, case alerts, and non-alert-based referrals from both internal and external sources. The Investigator will perform in-depth case analysis, connect cross-channel and cross-client fraud activity, and determine the root cause of fraudulent behavior. They will work directly with clients to present investigative findings, provide recommendations for risk mitigation, and ensure timely resolution of escalated cases. This includes preparing comprehensive reports, tracking key trends, and recommending targeted process enhancements. Collaboration is essential, as the Fraud Investigator partners closely with internal operations teams, external client contacts, and third-party fraud detection platforms to resolve cases efficiently and in compliance with regulatory standards. The role also involves drafting and maintaining investigative procedures, mentoring Fraud Analysts, and contributing to the development of enterprise-wide fraud prevention strategies. The ideal candidate will have proven expertise in fraud investigation, strong pattern-recognition skills, deep knowledge of financial regulations, and the ability to work effectively under pressure in a high-volume, deadline-driven environment. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Include, but are not limited to: Lead end-to-end investigations into complex and high-impact fraud cases, ensuring timely and thorough resolution. Analyze transactional data across multiple sources to identify patterns, trends, and emerging fraud typologies. Develop and maintain detailed fraud reports for clients, highlighting findings, trends, and recommended actions. Collaborate with internal operational and support teams to ensure accurate documentation, escalation, and resolution of fraud incidents. Work with clients to provide investigative updates, final case reports, and recommended preventive measures. Conduct in-depth reviews of customer claims involving Debit card, Credit card, ACH, P2P, Bill Payments, and other payment channels, with a focus on complex and recurring cases. Identify gaps and recommend procedural enhancements to strengthen fraud prevention measures. Draft, update, and maintain fraud investigation procedures and best practices documentation. Serve as a subject matter expert for escalated fraud inquiries from Fraud Analysts and other team members. Track and report investigation metrics for client review. Stay current on industry fraud trends, regulatory changes, and compliance requirements to ensure investigative processes remain effective. Provide training and mentorship to Fraud Analysts on investigative techniques and case handling. QUALIFICATIONS: Associates degree in Business, Criminal Justice, Finance, or a related field preferred. Minimum 5 years of experience in fraud investigation or advanced fraud analysis, preferably in a financial institution or fintech environment. Proven track record managing complex investigations from initiation to resolution. Strong understanding of fraud detection tools and platforms (e.g., Verafin, DataVisor) and the ability to leverage multiple systems for analysis. Fraud certification (CFE, CFCI, or equivalent) strongly preferred. Expertise in identifying patterns, connecting data points, and recognizing emerging fraud trends. Strong understanding of banking operations, payment systems, and relevant regulations. Exceptional written and verbal communication skills, including the ability to prepare and deliver investigation reports to diverse audiences. Proven analytical, research, and problem-solving skills, with a detail-oriented mindset. Ability to work independently on complex assignments while collaborating effectively with cross-functional teams. Proficient in Microsoft Office and Google applications, with strong Excel and data analysis skills. Comfortable navigating multiple systems and applications in a fast-paced, deadline-driven environment. HOURS: Monday - Friday, 8:00 AM - 5:00 PM EST Rotating weekend coverage as scheduled Occasional flexibility may be required for urgent investigations or client needs. SALARY & BENEFITS: $65,000 - $75,000 Annual Salary Annual Cash Bonus and Equity Options commensurate with the role level and experience 100% Fully Remote Robust 401(k) plan with company match Insurance - Health, Dental and Vision (Nymbus covers 100% of the Healthcare and Basic Dental premiums) Flexible Paid Time Off Ready to join? We invite you to watch this video and learn who we are and how we build and innovates together! Let's Go!

The Field Investigator (FI) directly supports national security and suitability investigations, focusing on performing background investigations on behalf of government clients. Investigators will conduct interviews, retrieve records, conduct research, and prepare reports of investigations in compliance with federal standards, all laws, and other required federal agency regulations. Investigators type comprehensive reports summarizing facts obtained from these field source interviews and record information, and submit them for quality review and completeness. Casework is performed throughout the geographic area of responsibility with travel to various places of employment, residence, and education institutions. Travel to other geographic locations (by car or by plane) may also be required as needed. ESSENTIAL FUNCTIONS The functions listed describe the business purpose of this job. Specific duties or tasks may vary and be documented separately. The employee might not be required to perform all functions listed. Additional duties may be assigned, and functions may be modified according to business necessity. All assigned duties or tasks are deemed to be part of the essential functions unless such duties or tasks are unrelated to the functions listed, in which case they are deemed to be other (non-essential) functions. Employees are held accountable for successful job performance. Job performance standards may be documented separately and may include functions, objectives, duties, or tasks not specifically listed herein. In performing functions, duties, or tasks, employees are required to know and follow safe work practices and to be aware of company policies and procedures related to job safety, including safety rules and regulations. Employees are required to notify superiors upon becoming aware of unsafe working conditions. All functions, duties, or tasks are to be carried out honestly, ethically, and professionally and are to be performed in conformance with applicable company policies and procedures. In the event of uncertainty or lack of knowledge of company policies and procedures, employees are required to request clarification or explanations from superiors or authorized company representatives. Conduct interviews and background checks that help to ensure the safety and security of the nation. Obtain and report factual information for background investigations that determine employment suitability and security clearance eligibility. Conduct face-to-face interviews with the applicant and their neighbors, coworkers, friends, and associates. Complete record searches at law enforcement agencies, courthouses, and mental health, financial, and educational institutions. Compile information in a clear, concise report on a standardized reporting format. Meet quality, timeliness, and production metrics Interact with team leader and case review officers to ensure timeliness and thoroughness of investigations. Assist in obtaining fieldwork in a rapid, time-sensitive work environment. Ensure leads are completed in a timely manner and in accordance with investigative standards. May be asked to assist with temporary details (TDYs) to high-need areas, dependent upon workload demands. Perform additional functions, duties, and specific tasks of a similar nature and scope as necessary to achieve assigned business objectives. MINIMUM QUALIFICATIONS AT ENTRY Additional qualifications may be specified and receive preference depending upon the nature of the position. Basic Qualifications Must be a citizen of the United States. At least 18 years of age. Ability to acquire and maintain the required level of U.S. Government security clearance. Must be able to complete and pass all required training successfully. Ability to acquire and maintain any other specific special clearances/access requirements and successfully pass an adjudicated SSBI clearance. Reliable personal vehicle, valid driver's license, and satisfactory driving record. Familiarity with metrics tools, processes, and delivery assurance. Strong interpersonal, writing, and communications skills. Ability to cover a local territory of approximately a 50-mile radius from home residence. Must have the ability to travel 100% of the time with coverage area that consists of assigned geography. Will require vehicle travel and may require air, train, or other commercial travel methods. Education/Experience Bachelors Degree or equivalent is required; additional relevant experience can be substituted for the required education on the basis of one (1) calendar year of experience for one (1) academic year of education. Prior background investigations, law enforcement, or personnel security experience is preferred but not required. Background Prerequisites Must undergo and meet company standards for background and reference checks, controlled substance testing, and behavioral selection survey, in addition to any mandatory licensing requirements. Competencies (as demonstrated through experience, training, and/or testing) Ability to work remotely without daily supervision. Intermediate typing and computer skills. Excellent time management and organizational skills to balance and prioritize work. Ability to handle multiple tasks concurrently. Interpersonal skills to interact with sources, customers, and team members. Ability to establish and build rapport with new people. Speak and hear sufficiently to communicate in person and by phone. Excellent written and verbal communication skills. Visual ability to include close vision, distance vision, and ability to adjust focus. Personal computer and business solutions software skills. Ability to identify, understand, and apply federal, state, and local changes and/or new regulations/laws pertaining to personnel investigations. Ability to work in a team environment. Analytical and problem-solving skills. Ability to synthesize information, identify key findings, and determine conclusions. WORKING CONDITIONS (Physical/Mental Demands) With or without reasonable accommodation, requires the physical and mental capacity to perform effectively all essential functions. In addition to other demands, the demands of the job include: Maintaining composure in dealing with executives, sources, subjects, and staff, in group and one-on-one settings and in situations requiring high performance and results. Handling and being exposed to sensitive and confidential information. Frequent sitting, standing, and walking, which may be required for long periods of time and may involve climbing stairs and walking up inclines and on uneven terrain. Occasional lifting and/or moving up to 10 pounds. Regular use of vehicle required in the performance of duties. Frequent local travel to interview sites. Speak and hear sufficiently to communicate in person and by phone. Maintain visual ability, including close vision, distance vision, and ability to adjust focus. BENEFITS - Wage range for this position is $24.24 - $41.33 with a Health and Welfare benefit of $4.60 per hour (up to a maximum of 40 hours per week). Benefits: Medical, Dental, Vision, 401k (if paid via Health and Welfare benefit, there is no separate company contribution) The paid leave for full time employees is as follows: Vacation 80 hours annually. This time increases based on years of service with the company. Sick 56 hours annually Floating Holidays 32 hours annually

UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through Friday 8:00 a.m. to 4:30 p.m. This is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste and abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The SIU Investigator is also responsible for maintaining the FWA case system with accurate and detailed investigative activities related to assigned cases. This role includes supporting current SIU staff and manager with investigations and special projects. Responsibilities: * Maintain neat and organized files and electronic databases * Prepare letters, memos, and reports * Financial tracking * Understand and adhere to HIPAA privacy requirements * Proficiency with Microsoft Office products such as Word, Excel, Outlook and PowerPoint. * Perform other duties as assigned * Support all department personnel with duties including but not limited to investigations, audits, and regulatory referrals. * High School Diploma Strongly Preferred. * Post-secondary education is preferred. * One year of administrative support working experience is highly preferred. * Must have proficiency with Microsoft Office Suite: Excel, Word, Outlook and Powerpoint. * Must possess typing skills and working knowledge of word processing, electronic mail/calendar and spreadsheets. * Must possess the ability to learn and effectively use various software programs. * General knowledge and experience with office equipment such as copiers, multi-line phone systems, fax machines and paging systems Preferred Qualification: * Experience in investigations, claims, medical coding, auditing, compliance, risk management and/or data analysis required Licensure, Certifications, and Clearances: * Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions identified through fraud operations and strategy to identify rings, scams, fraudulent activities that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and investigation activities to strengthen operational processes to reduce fraud risk. WHAT WILL YOU DO? * Perform analysis on clients' transactions identified through the monitoring system that involves various transaction types including but not limited to credit, cash, wire transfers, remote deposit capture and loans. * Conduct and document, timely investigations with well-reasoned and supported decision-making. * Utilize a variety of internal bank systems and external research tools to investigate, research, and prepare documentation related to fraud investigations consistent with the resolution of the investigation and perform root cause analysis to identify solutions to reduce future fraud risk. * Conducts follow-up with line colleagues and clients for any missing or necessary information. * Demonstrate personal excellence including punctuality, integrity, and accountability. * Think critically and exercise independent judgement. * Apply subject matter expertise in the financial services industry to drive improved fraud detection and prevention. * Champion activities across the fraud organization for identified risk events. * Provide escalation support for fraud operations. * Communicate emerging fraud trends across client operations. WHAT DO YOU NEED TO SUCCEED? *Required Qualifications** * Bachelor's Degree or equivalent * Minimum 5 years experience in risk management or fraud related functions * Minimum 5 years experience in fraud investigations *Additional Qualifications* * Must work well in a team environment, as well as independently. * Advanced computer experience required (e.g., MS Word, Outlook and Excel) * Analytical skills, use of good judgment, attention to detail, internet savvy. * Solid understanding of deposit, credit, and money movement transactions and potential fraud attack vectors. * Must have a strong and positive work ethic and follow CNB core values. * Must be flexible and adapt quickly to change. * Must be able to multi-task, adapt well to changing priorities, and meet specific performance goals. * Advanced Knowledge of PC functions in a Windows based environment. * Proficient in Excel and Word. * Effective written and oral communication skills to interact effectively with all levels of bank personnel and clients. * Demonstrated experience in root cause analysis and event management coordination. * CFE and/or CFCI certification desired * Familiarity/proficiency in programming tools such as Snowflake, Python, SAS for data queries desired *WHAT'S IN IT FOR YOU?* *Compensation*Starting base salary: $65,296 - $104,304 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. *Benefits and Perks* At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date * Generous 401(k) company matching contribution * Career Development through Tuition Reimbursement and other internal upskilling and training resources * Valued Time Away benefits including vacation, sick and volunteer time * Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs * Career Mobility support from a dedicated recruitment team * Colleague Resource Groups to support networking and community engagement Get a more detailed look at our ********************************* ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at ********************************** *INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT* City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. 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. *Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled. Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.

Treliant is a global consulting firm serving banks, mortgage originators and servicers, FinTechs, and other companies providing financial services. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challenges. We provide data-driven, technology-enabled advisory and consulting, implementation, staffing and managed services solutions to the regulatory compliance, risk, financial crimes, and capital markets functions of our clients. Founded in 2005, Treliant is headquartered in Washington, DC, with offices across the United States, London, Belfast, and Łódź, Poland. For more information visit ***************** Treliant is committed to fostering a diverse, equitable and inclusive environment that values and embraces all races, religions, ages, abilities, gender, sexual orientations, ethnicities, languages, nationalities, political parties, socioeconomic groups and other characteristics that inform an individual worldwide view and experiences and systems of beliefs (“the principles”). We believe in championing every voice and ensuring everyone's full potential. We are looking for Financial Crimes Investigators with an expertise in blockchain and cryptocurrencies to join our team for remote, project-based opportunities. Responsibilities While the scope of each project may be different, your duties & responsibilities may include: Conduct thorough 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.

Mfinite Consulting, LLC Mfinite Consulting is seeking an experienced Special Education Complaint Investigator to support on an as-needed, contract basis. This role is ideal for professionals with strong knowledge of special education regulations, exceptional writing skills, and prior investigative experience. This is a part-time, case-by-case assignment offering flexible scheduling. Each investigation is expected to take approximately 20 hours to complete. Key Responsibilities Identify Legal Questions: Review complaints and determine the applicable legal and regulatory issues. Conduct Investigations: Review relevant documents and evidence Perform legal and regulatory research Interview involved parties and stakeholders Draft Findings: Prepare a formal determination letter summarizing findings and conclusions in accordance with required standards. Collaborate Professionally: Maintain communication, timelines, and documentation throughout each assigned investigation. Required Qualifications Work Experience Experience with federal and state special education laws, regulations, and guidance Demonstrated experience conducting investigations Strong technical writing and analytical skills Ability to work independently and conduct legal research Education Bachelor's degree in Special Education required Juris Doctor (JD) strongly preferred Work Environment Work is performed remotely, with occasional on-site requirements as needed. Contractors will complete investigations individually and must be able to manage workload efficiently. Contract Details This is a 1099 independent contractor role. Contractors will be compensated on an hourly basis, ranging from $60 to $75 per hour, depending on their experience and qualifications. Monthly invoices are required for work performed. How to Apply Submit the following: Updated resume demonstrating required qualifications Brief statement of interest Hourly rate expectation

Hours: 40 Pay Details: $72,280 - $117,520 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs. As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. Line of Business: Financial Crime Risk Management Job Description: Department Overview: The Financial Crime Risk Senior Investigator is required to be a seasoned and detail-oriented subject matter expert in quality control, end to end BSA/AML Investigations of various complexity related to potential money laundering, terrorist financing and other illicit financial crimes, and Regulatory reporting requirements. The role requires the ability to lead, train and mentor teams in conducting thorough investigations, ensuring regulatory compliance, and maintaining high standards of accuracy. Adept at identifying and mitigating financial crime risk, while driving continuous improvement on the AML processes and procedures. Additionally, the Financial Crime Senior Investigator will conduct end to end investigations of various complexity related to potential money laundering, terrorist financing and other illicit financial crimes, by analyzing transactional activity and Know Your Customer (KYC) information, mitigating associated red flags, documenting all appropriate evidence, filing necessary regulatory reports and also including determination of potential relationship exit, on a as needed basis. This role requires a deep understanding of AML regulations, strong writing and analytical skills, and the ability to work collaboratively with internal and external stakeholders. Primarily Offsite: Our team currently operates under a primarily offsite work model, employees must be available to come into a TD location for "moments that matter" at a frequency determined by the business. Candidates that live within a 50-mile radius of a TD AML Hub location is strongly preferred. Depth & Scope: * Investigates criminal cases ranging from simple to complex in nature * Sound knowledge of Bank products, systems, policies and procedures * Strong knowledge of criminal investigative techniques, related laws governing collection of evidence, court proceedings and financial/criminal trends * Manages programs/projects/ initiatives of low to moderate scope and complexity * Expert level professional role requiring in-depth knowledge/expertise in own field of specialty and working knowledge of broader related areas * Integrates the broader organizational context into advice and solutions within own area * Understands the industry, competition and the factors that differentiate the organization * Impacts a range of functional programs across own and related teams * Interprets guidelines, standards, policies, and results of analysis to inform decision making at senior levels * Builds stakeholder alignment in leading projects and activities * Works independently as the senior technical lead and guides others within area of expertise * Identifies and leads problem resolution for complex issues at all levels Education & Experience: * Undergraduate degree or equivalent work experience * 5+ years of experience Customer Accountabilities: * Conducts a variety of complex investigations, including AML, Sanctions/ABAC and Financial Crime * Applies sound methodologies to collect, preserve, and analyze evidence while staying current on global emerging risks and technology threats * Assesses and prioritizes files and investigates assigned cases ensuring proper protocols are in place and effectively applied * Works effectively with counterparts at other FI's, law enforcement, Non-Profits, and others in government within prescribed protocols to maximize opportunities for information sharing and to reduce TDBFG exposure * Conducts investigations in a professional and timely manner * Identifies and communicates procedural weaknesses to businesses * Identifies industry and typologies risk and trends for respective program areas and shares knowledge with appropriate stakeholders * Maintains and establishes working relationships with internal partners (e.g., HR, Employment Standards and Legal etc.,) for investigative purposes * Applies sound methodologies to collect, preserve, and analyze digital evidence in accordance with investigative mandate Shareholder Accountabilities: * Leads workstream by acting as a project lead for large or complex projects/initiatives in accordance with project management methodologies * Evaluates the effectiveness of processes/services and recommends/champions possible enhancements * Recommends improvements to escalation processes within the investigative unit and a feedback mechanism to relevant stakeholders * Plans and delivers efficient and cost-effective processes that support and promote the implementation of programs * Conducts internal and external research projects; supports the development/delivery of presentations/communications to management or broader audience * Adheres to enterprise frameworks or methodologies that relate to activities for respective business area(s) * Monitors service, productivity and assesses efficiency levels within own function and implements continuous process/performance improvements where opportunities exist * Consistently exercises discretion in managing correspondence, information and all matters of confidentiality; escalates issues where appropriate * Protects the interests of the organization - identifies and manages risks, and ensures the prompt and thorough resolution of escalated non-standard, high-risk issues * Runs analysis at the functional or enterprise level using results to draw conclusions, makes recommendations, assesses the effectiveness of programs/policies/practices * Keeps abreast of emerging issues, trends, and evolving regulatory requirements and assesses potential impacts * Maintains a culture of risk management and control, supported by effective processes in alignment with risk appetite Employee/Team Accountabilities: * Participates fully as a member of the team, supports a positive work environment that promotes service to the business, quality, innovation and teamwork and ensures timely communication of issues/points of interest * Shares industry knowledge for own area of expertise and participates in knowledge transfer within the team and business unit * Keeps current on emerging trends/developments and grows knowledge of the business, related tools and techniques * Participates in personal performance management and development activities, including cross training within own team * Keeps others informed and up to date about the status/progress of projects and/or all relevant or useful information related to day-to-day activities * Contributes to team development of skills and capabilities through mentorship of others, by sharing knowledge and experiences and leveraging best practices * Leads, motivates and develops relationships with internal and external business partners/stakeholders to develop productive working relationships * Contributes to a fair, positive and equitable environment that supports a diverse workforce * Acts as a brand ambassador for your business area/function and the bank, both internally and/or externally Physical Requirements: Never: 0%; Occasional: 1-33%; Frequent: 34-66%; Continuous: 67-100% * Domestic Travel - Occasional * International Travel - Never * Performing sedentary work - Continuous * Performing multiple tasks - Continuous * Operating standard office equipment - Continuous * Responding quickly to sounds - Occasional * Sitting - Continuous * Standing - Occasional * Walking - Occasional * Moving safely in confined spaces - Occasional * Lifting/Carrying (under 25 lbs.) - Occasional * Lifting/Carrying (over 25 lbs.) - Never * Squatting - Occasional * Bending - Occasional * Kneeling - Never * Crawling - Never * Climbing - Never * Reaching overhead - Never * Reaching forward - Occasional * Pushing - Never * Pulling - Never * Twisting - Never * Concentrating for long periods of time - Continuous * Applying common sense to deal with problems involving standardized situations - Continuous * Reading, writing and comprehending instructions - Continuous * Adding, subtracting, multiplying and dividing - Continuous The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The listed or specified responsibilities & duties are considered essential functions for ADA purposes. Who We Are: TD is one of the world's leading global financial institutions and is the fifth largest bank in North America by branches/stores. Every day, we deliver legendary customer experiences to over 27 million households and businesses in Canada, the United States and around the world. More than 95,000 TD colleagues bring their skills, talent, and creativity to the Bank, those we serve, and the economies we support. We are guided by our vision to Be the Better Bank and our purpose to enrich the lives of our customers, communities and colleagues. TD is deeply committed to being a leader in customer experience, that is why we believe that all colleagues, no matter where they work, are customer facing. As we build our business and deliver on our strategy, we are innovating to enhance the customer experience and build capabilities to shape the future of banking. Whether you've got years of banking experience or are just starting your career in financial services, we can help you realize your potential. Through regular leadership and development conversations to mentorship and training programs, we're here to support you towards your goals. As an organization, we keep growing - and so will you. Our Total Rewards Package Our Total Rewards package reflects the investments we make in our colleagues to help them and their families achieve their financial, physical and mental well-being goals. Total Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition. Learn more Additional Information: We're delighted that you're considering building a career with TD. Through regular development conversations, training programs, and a competitive benefits plan, we're committed to providing the support our colleagues need to thrive both at work and at home. Colleague Development If you're interested in a specific career path or are looking to build certain skills, we want to help you succeed. You'll have regular career, development, and performance conversations with your manager, as well as access to an online learning platform and a variety of mentoring programs to help you unlock future opportunities. Whether you have a passion for helping customers and want to expand your experience, or you want to coach and inspire your colleagues, there are many different career paths within our organization at TD - and we're committed to helping you identify opportunities that support your goals. Training & Onboarding We will provide training and onboarding sessions to ensure that you've got everything you need to succeed in your new role. Interview Process We'll reach out to candidates of interest to schedule an interview. We do our best to communicate outcomes to all applicants by email or phone call. Accommodation TD Bank is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or any other characteristic protected under applicable federal, state, or local law. If you are an applicant with a disability and need accommodations to complete the application process, please email TD Bank US Workplace Accommodations Program at ***************. Include your full name, best way to reach you and the accommodation needed to assist you with the applicant process.

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Special Investigator III to join our team. As the senior member of our Special Investigations Unit (SIU), this role leads complex investigations into allegations of fraud, waste, and abuse (FWA) and internal compliance violations. The position provides mentorship and oversight to other investigators while collaborating with Legal, People & Culture, Compliance, and external stakeholders, including clients and law enforcement agencies. This role… Serves as lead investigator for complex or high-profile FWA and internal compliance cases. Conducts and manages internal investigations involving policy violations, ethics concerns, and operational noncompliance. Provides case oversight and mentorship to Special Investigator I and II team members, including reviewing documentation for quality and accuracy. Coordinates multi-regional investigative strategies and ensures compliance with federal, state, and contractual requirements. Analyzes data trends and case metrics to identify systemic risks and recommends corrective actions. Develops and refines investigative protocols, templates, and best practices in partnership with leadership. Prepares and delivers high-quality reports, executive summaries, and referral packets for clients, agencies, or internal stakeholders. Collaborates with legal, compliance, and operational teams on investigations and remediation. Leads regular and ad hoc status calls with clients, brokers, or law enforcement on open cases. Acts as a subject matter expert for investigative practices, both external and internal. Provides training to SIU staff, Compliance, and cross-functional teams on investigations and prevention. Supports data analytics initiatives through trend identification and algorithm validation. Represents the SIU and Compliance teams during audits and compliance reviews. May lead cross-functional projects or serve as acting SIU Supervisor in the absence of leadership. Provides functional direction, mentoring, and peer review for Special Investigator I and II roles. May lead cross-functional teams on complex or high-visibility investigations. Performs other duties as assigned. We are interested in speaking with individuals with the following… Bachelor's degree in Criminal Justice, Healthcare Administration, or a related field required. Five (5) plus years of progressive experience in fraud investigations, compliance, or law enforcement. Demonstrated experience leading or supervising investigations or project teams. Equivalent combination of education and experience may be considered. Expert knowledge of investigative methodologies for both external FWA and internal compliance cases. Strong analytical and data interpretation skills. Excellent written and verbal communication skills, with the ability to present findings to executives or regulators. Demonstrated leadership, mentoring, and case management abilities. Proficiency with case management systems and data visualization tools (e.g., Power BI, Excel). High level of integrity, discretion, and sound judgment when handling sensitive or confidential information. Ability to manage multiple investigations concurrently and deliver timely, high-quality outcomes. Salary: $52,900 - $71,400 Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: Medical, Dental, and Vision insurance Employer Paid Basic Life Insurance and AD&D Voluntary Life Insurance (Employee/Spouse/Child) Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post --Tax Commuter and Parking Benefits 401(k) Retirement Savings Plan with Company Match Paid Time Off Paid Parental Leave Short-Term and Long-Term Disability Tuition Reimbursement Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at ***************************