Fraud Investigation Reporting Specialist

Job OverviewPosition Summary The Senior Fraud Investigation Specialist role is primarily tasked with facilitating the daily functions and strategic initiatives of the Special Investigations Unit (SIU). Core Competencies Address all reports of potential fraud, waste, and abuse (FWA). Execute thorough investigations into fraudulent, wasteful, and abusive...

Job OverviewPosition SummaryThe Senior Fraud Investigation Specialist role is primarily focused on enhancing the daily functions and strategic initiatives of the Special Investigations Unit (SIU).Core Responsibilities• Address all claims of potential fraud, waste, and abuse (FWA). Conduct thorough investigations into fraudulent, wasteful, and abusive...

Job OverviewThe Special Investigation Unit (SIU) Investigator plays a crucial role in the identification, prevention, and investigation of healthcare fraud, waste, and abuse. This position is tasked with conducting thorough medical review audits, which may encompass coding and billing assessments. The SIU Investigator is responsible for evaluating and...

Job SummaryThe Special Investigations Unit (SIU) Investigator plays a critical role in supporting the prevention, detection, investigation, reporting, and recovery of money related to healthcare fraud, waste, and abuse. This position requires a detail-oriented and analytical individual who can review and analyze information to draw conclusions on allegations...

Corporate Compliance Investigator Location: Remote/Hybrid Duration: Contractual Overview: The ideal candidate will be responsible for conducting thorough internal investigations related to employee misconduct across various complexities. This role involves formulating investigative strategies, collaborating with essential stakeholders, collecting physical,...

About the RoleWe are seeking a highly skilled Asset Protection Specialist to join our team at Home Depot. As an Asset Protection Specialist, you will play a critical role in preventing financial loss caused by theft and fraud.Key ResponsibilitiesPrevent financial loss caused by theft and fraud through proactive measures and investigations.Support safety and...

Job SummaryOmniplex is seeking a skilled Background Investigator to conduct thorough background investigations and prepare comprehensive reports in compliance with federal regulations.Key Responsibilities:Conduct in-person interviews with subjects to gather factual information about their background and character.Obtain information from various personal and...

Job OverviewAre you skilled in providing exceptional customer support within a financial institution, particularly in credit unions or banks?We are seeking a Senior Member Service Specialist dedicated to ensuring a superior experience for both existing and prospective Members. This role is pivotal in delivering personalized service by consistently embodying...

Job Summary:We are seeking a highly skilled Claims Loss Reporting Specialist to join our team at AAA - The Automobile Club. As a leader in the insurance industry, we pride ourselves on our dedication to legendary customer service and our commitment to the well-being of our members.About the Role:As a Claims Loss Reporting Specialist, you will be responsible...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...

Position Title: Safety and Security SpecialistCompany: The Bizzell GroupLocation: Long Beach, CAOverview: The Bizzell Group, recognized as one of the fastest-growing organizations in the United States, is in search of a dedicated Safety and Security Specialist. This role is pivotal in planning, developing, and executing comprehensive safety and security...

About the Role:As a Security Specialist at Target, you will be part of a team that contributes to the development of a secure work environment for all employees, temporary workers, vendors, and visitors.Key Responsibilities:Contribute to the development of a secure work environment through collaboration with the team.Execute routines to identify and...

Job OverviewPosition: Health, Safety & Environment (HSE) SpecialistCompany OverviewOneH2, Inc. is at the forefront of transforming the energy sector through innovative hydrogen technology. We specialize in designing and manufacturing cutting-edge solutions, including hydrogen production facilities, distribution systems, and vehicle powertrains.As a leading...

Job OverviewPosition: Health, Safety & Environment (HSE) SpecialistCompany OverviewOneH2, Inc. is a pioneering organization committed to transforming the energy sector through advanced hydrogen technologies. We specialize in designing and manufacturing cutting-edge solutions, including hydrogen production facilities, distribution systems, and fuel systems...

Job OverviewPosition: Health, Safety & Environment (HSE) SpecialistCompany OverviewOneH2, Inc. is a pioneering organization dedicated to transforming the energy sector through advanced hydrogen technologies. We specialize in designing and manufacturing cutting-edge solutions, ranging from hydrogen production facilities to distribution systems and vehicle...

About Moffatt & NicholMoffatt & Nichol is a leading global infrastructure advisor specializing in the planning and design of facilities that shape and serve our coastlines, harbors, and rivers. We are innovators in the transportation complexities associated with the movement of freight.Job SummaryWe are seeking a highly skilled Environmental Specialist to...

Job SummaryBeach Front Property Management, Inc. is seeking a highly skilled Benefits and Compliance Specialist to join our team. The ideal candidate will be responsible for managing and overseeing various aspects of employee benefits and compliance programs.Key Responsibilities401k Retirement Plan ManagementAdminister and manage the company's 401k...

**Job Summary**LEDGENT Technology & Engineering - Roth Staffing Companies, L.P. is seeking a highly skilled Financial Reporting Specialist to join our team. As a key member of our accounting department, you will be responsible for reviewing shareholder reports, assisting with transfer agency functions, and ensuring the accuracy of financial data.Key...

Ecovyst, Inc. is a leader in materials science, catalyst development, and innovative services aimed at enhancing ecological sustainability and addressing complex industrial challenges. With a legacy spanning over two centuries, we pride ourselves on our agility and responsiveness to evolving market demands, empowering our clients to achieve their growth and...

About the RoleWe are seeking a highly motivated Environment, Health and Safety (EHS) Specialist to join our EHS Team at Relativity Space. The EHS Specialist will work closely with our frontline operations and technician teams to meet EHS objectives and comply with local, state, and federal regulations.Key ResponsibilitiesDrive incident investigation, root...