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Certified Fraud Investigator (CFE) Certified Insurance Fraud Investigator (CIFI) The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
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Continuously evaluate impacts of policy and policy changes on fraud detection models. Uses this knowledge to construct fraud detection models. Build models and conduct analytics that contribute to Medicare and Medicaid fraud, waste and abuse efforts.
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Credential in a health care or investigations related area such as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/LPN, or Certified Professional Coder (CPC.
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Our solution is used by some of the largest enterprises in the world, including VISA, FedEx, SoFi, Affirm, Synchrony Financial, Booking.com, SONY and Binance, to protect them from the ever-increasing risk of fraud.
$140,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Digital Risk Product & Data Strategy @ American ExpressCredit and Fraud Risk (CFR) Organization within American Express helps drive profitable business growth by reducing the credit & fraud risk and maintaining our customers’ confidence in the security of the digital products.
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Certified Regulatory Compliance Manager (CRCM), Certified Fraud Examiner (CFE), or Certified Anti-Money Laundering Specialist (ACAMS) - preferred. Join Walmart's Global AML and Financial Services Compliance ("FSC") Consumer Protection and Anti-Fraud team as an experienced Consumer Financial Protection ("CFP") subject matter expert.
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As a founding member of Ramp's Fraud Risk Strategy & Operations team, you will lead a team of analysts who will leverage data to develop and optimize fraud rules and strategies for the entire lifecycle of a customer, including onboarding (KYC/B, OFAC, fraud risk) and customer management (payment, transactions, account take-over.
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Implements applicable regulatory standards and requirements related to financial crimes including, but not limited to, Elderly Financial Exploitation, Identity Theft, Debit Card, ACH Check, and Wire fraud.
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Experience in tooling for fraud detection and transaction monitoring. Pomelo's first fraud manager will be responsible for the overall ownership of fraud risk, processes, losses, data analytics, false positive ratios and operational strategies.
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In Ecosystem & Operational Risk group, Payment Fraud Disruption team is responsible for building critical risk and fraud detection and prevention applications and services at Visa. This includes idea generation, architecture, design, development, and testing of products, applications, and services that provide Visa clients with solutions to detect, prevent, and mitigate fraud for Visa and Visa client payment systems.
$130,100 - $188,750 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Relevant Professional Certification; Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association of Certified Financial Crime Specialists (ACFCS) is a plus.
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The Fraud Manager is responsible for all fraud case intake for the Company and daily fraud risk review activities, including check, ACH, Zelle and wire fraud. Notify internal teams of fraud investigation results and make any necessary updates to fraud-prevention procedures.
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1-2 years of basic knowledge and experience in anti-money laundering (AML) regulations, fraud, sanctions, or any financial crimes. The Global Financial Crimes (GFC) Specialist under supervision, assists Global Financial Crimes executives and managers in the identification, escalation and timely mitigation of compliance and operational risks in alignment with the Compliance and Operational Risk Management (CORM) Program, the Financial Crimes and Global Compliance Enterprise Policies (GC Policy), and the Enterprise Fraud Risk Management Policy.
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We have immediate need for a Law Clerk I for ongoing document review projects assisting large scale white-collar fraud investigations in support of CACI's contract with the US DOJ, Criminal Division.
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Additional certification, such as CAMS (Certified Anti-Money Laundering Specialist) or CFE (Certified Fraud Examiner) is preferred. Additional certification, such as CAMS (Certified Anti-Money Laundering Specialist) or CFE (Certified Fraud Examiner) is preferred.
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fraud job Company: Smart Data Solutions
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