Senior Fraud Claims Analyst Jobs | Glassdoor
Job Type
Date Posted
Salary Range
Distance

Senior Fraud Claims Analyst Jobs

57 Jobs

  • 3.7
    American Eagle Financial Credit Union – Glastonbury, CT
    $69k-$91k(Glassdoor est.)
    HOT
    incidents of fraud throughout the organization. •Assists with managing insurance programs, including the insurance claims process… Maintains administration access rights for BSA/AML compliance and fraud detection software. Ensures applicable softwares are operating…
  • 4.0
    York Claims Service – Pittsburgh, PA
    $41k-$62k(Glassdoor est.)
    4 days ago 4d
    provide claim-specific guidance to Field Adjusters Be alert to insurance fraud and implement special procedures if fraud is suspected… and other trade experts so claims can be properly investigated and adjusted. Ensure electronic claim data is properly maintained…
  • 2.2
    Highmark Health – Pittsburgh, PA
    $43k-$68k(Glassdoor est.)
    NEW
    Contracting departments preferred. FCLS fraudclaims law specialist Certified Fraud Examiner (CFE) Knowledge, Skills and… annual anti-fraud program which includes facilitating fraud training and fraud awareness day, as well as filing annual fraud plans and…
  • 4.4
    Stout Risius Ross, Inc. – Washington, DC
    HOT
    SIPC member firm. Description General Purpose: A SeniorAnalyst within our Dispute Consulting group is expected to have… matters for which damages are determined, forensic accounting, and fraud investigations. Most projects will typically result in the creation…
  • 3.8
    Nationwide – Scottsdale, AZ
    $35k-$57k(Glassdoor est.)
    8 days ago 8d
    Experience: 5 years prior experience as a ClaimAnalyst or five to ten years prior insurance claims or comparable work experience required… with company quality standards. This may include such claims as arson, fraud, excess/umbrella, Directors and Officers, medical and…
  • 2.8
    NCI Information Systems, Inc. – Baton Rouge, LA
    $36k-$57k(Glassdoor est.)
    10 days ago 10d
    NCI: As the Senior Healthcare Fraud Investigator ( Program Integrity Analyst ) supporting AdvanceMed, you will perform in-depth… conjunction with investigation development. Provides support to FraudAnalysts in the preparation and development of tasks related to onsite…
  • 2.9
    York Risk Services Group Inc. – Pittsburgh, PA
    $41k-$62k(Glassdoor est.)
    6 days ago 6d
    provide claim-specific guidance to Field Adjusters Be alert to insurance fraud and implement special procedures if fraud is suspected… and other trade experts so claims are properly investigated and adjusted Ensure electronic claim data is properly maintained…
  • 3.5
    Bank of America – United States
    4 days ago 4d
    + years of Strategies experience •Knowledge of Fraud Detection/Services/Claims process •Technical / analytical skills in SQL/… losses •Knowledge of multiple products and transactional, claims and fraud operational data a plus. Desired Skills: •Previous…
  • 3.5
    Bank of America – Newark, DE
    $41k-$71k(Glassdoor est.)
    4 days ago 4d
    Client Services Fraud Manager will manage the internal relationships with all the internal teams involved in fraud, including strategy… Intelligence (CTI) products & solutions to internal fraud stakeholders, obtaining requirements, agreement and shepherding the formation…
  • 3.5
    Bank of America – Charlotte, NC
    $59k-$88k(Glassdoor est.)
    10 days ago 10d
    groups and senior leaders Desired Skills: Knowledge of multiple products and transactional, claims and fraud operational… supporting all facets of risk model management for the Consumer Fraud Strategies team. The individual will be required to work with…
  • ProEnlist – Clayton, MO
    EASY APPLY
    10 days ago 10d
    Senior Manager, Data Analysis Fraud Waste & Abuse Joining this team means you'll be surrounded by colleagues who are dedicated… in medical and pharmacy claims data preferred. Understanding of health insurance business, claims payment procedures, strategies…
  • 3.3
    Aerotek – West Des Moines, IA
    $34k-$52k(Glassdoor est.)
    NEW
    of the following areas: underwriting, regulatory compliance, fraud, fair lending, and servicing. Performs intake to determine appropriate… closed or canceled single loan/credit exceptions, applications, claims, files and/or on-line transactions, etc., individually or in…
  • 4.4
    Brooksource – Boston, MA
    EASY APPLY
    NEW
    The Senior Auditor will be responsible for triaging, investigating and resolving instances of healthcare fraud and / or wasteful… document relevant findings. The Senior Auditor will conduct onsite and desk audits of provider claims and / or clinical audits (utilizing…
  • 3.7
    USAA – San Antonio, TX
    7 days ago 7d
    ACAMS) Anti-Money Laundering Professional (AMLP) Certified Fraud Examiner (CFE) Experience in conceptualizing, creating… solutions 5+ years working with financial services products and/or claims payment systems One or more of the following designations:…
  • 3.3
    UnitedHealth Group Inc. – Eden Prairie, MN
    $53k-$110k(Glassdoor est.)
    8 days ago 8d
    healthcare informatics, provider data analyst, medical claims, member data, statistics, Fraud Waste and Abuse, Eden Prairie, MN,… Performance Management for our Fraud Analytics area. Primary focus area is the detection and prevention of fraud, waste and abuse for professional…
  • 3.0
    State of Florida – Tallahassee, FL
    1 days ago 18hr
    professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified Financial Crimes… compliance with contractual and statutory requirements related to fraud and abuse activities. MPI has several sub-units that serve the…
  • 3.5
    Bank of America – Newark, DE
    $37k-$60k(Glassdoor est.)
    22 days ago 22d
    + years of Strategies experience Knowledge of Fraud Detection/Services/Claims process Technical / analytical skills in SQL/Excel… losses Knowledge of multiple products and transactional, claims and fraud operational data a plus. Desired Skills:…
  • 4.1
    SAS – Cary, NC
    $34k-$60k(Glassdoor est.)
    17 days ago 17d
    of current and emerging technologies in the insurance claims and fraud investigation space. Knowledge of investigation methods… who leverages extensive industry expertise in P&C insurance fraud investigation to drive revenue growth. Creates and delivers…
  • 2.5
    Green Dot – Pasadena, CA
    $61k-$95k(Glassdoor est.)
    Today 5hr
    business units to identify suspicious activity and mitigate fraud Legal Duties: Manage and respond to all civil subpoenas,… , represents Green Dot at local courts for defense in small claims matters. This includes, but not limited to, conduct mediations…
  • 3.8
    SAS Institute – Cary, NC
    $38k-$67k(Glassdoor est.)
    18 days ago 18d
    of current and emerging technologies in the insurance claims and fraud investigation space. Knowledge of investigation methods… practices used in claims investigation, especially SIU operations. Familiarity with modern enterprise claims management systems…
  • 3.9
    Global Technical Talent – Mount Laurel, NJ
    NEW
    The Senior Business Analyst for the US Fraud Analytics Team is primarily responsible to develop and monitor fraud rules while… HAVE: 7+ yrs exp. as a Business Analyst in Fraud strategies/analytics environment Proficient with SQL (Data Extraction/Mining…
  • 3.3
    DRS Technologies – Burnsville, MN
    $76k-$110k(Glassdoor est.)
    NEW
    include: Conflicts of Interests; Improper Practices; Liability and Fraud Understand Contract design and structure to include: FFP;… electronic commerce and ERP/Oracle implementation Provide Claims and Litigation support involving ASBCA and USCFC General Business…
  • 2.8
    Santander Bank – Framingham, MA
    22 days ago 22d
    Provide quick decisioning of alerts and/or claims to mitigate fraud losses. Research and analyze high risk transactions… Ability to ensure Regulatory compliance in the disposition of fraudclaims. Ability to multi-task as required. Ability…
  • 3.9
    Global Technical Talent – Mount Laurel, NJ
    NEW
    The Senior Business Analyst for the US Fraud Analytics Team is primarily responsible to develop and monitor fraud rules while… HAVE: 7+ yrs exp. as a Business Analyst in Fraud strategies/analytics environment Proficient with SQL (Data Extraction…
  • 3.3
    UnitedHealth Group Inc. – Eden Prairie, MN
    $67k-$86k(Glassdoor est.)
    8 days ago 8d
    significant. The Senior Data Analyst will write SAS programs to identify medical claims that are suspect for fraud and will provide… closely with the various stakeholders including fraud operations, claims, fraud policy, technology, other risk teams, and business…
  • 3.4
    Independence Blue Cross LLC – Philadelphia, PA
    $54k-$87k(Glassdoor est.)
    10 days ago 10d
    provider, claim and related billing data to build profiles of individuals or groups potentially participating in fraud, waste or… The Senior Forensic Investigative Analyst supports the CFID Investigative team in the research, retrieval and analysis of data…
  • 2.8
    NCI Information Systems, Inc. – Omaha, NE
    $45k-$79k(Glassdoor est.)
    14 days ago 14d
    conjunction with investigation development. Provides support to FraudAnalysts in the preparation and development of tasks related to onsite… potentially involve fraud or abuse. Utilizes data analysis techniques to detect aberrancies in Medicare claims data and proactively…
  • 3.1
    CSRA – Rockville, MD
    NEW
    analysis of information in the screening of claims (leads) of potential HRRI fraud, waste and abuse (FWA) within the ACA activity… Value-Add Experience Certified Fraud Examiner Direct experience with FWA claims and investigations FT Position…
  • 3.3
    UnitedHealth Group – Raleigh, NC
    $47k-$69k(Glassdoor est.)
    NEW
    or recoveries for Data Mining, Coordination of Benefits, and Fraud Waste and Abuse. These recovery algorithms are executed for… Management (ODM) including Data Mining, Coordination of Benefits, Fraud Waste and Abuse Analytic Recovery Identification Teams. This…
  • Colorado Interviews – Denver, CO
    NEW
    accreditation standards. Responds appropriately to observed fraud or abuse. Maintains and supports a culture of compliance, ethics… Retrieves and analyzes a variety of healthcare information (e.g. claims, membership, charges, utilization, etc) and designs and manages…
Page 1 of 2