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Assistant Investigations Cfe Jobs (NOW HIRING)

M&T Bank

Fraud Prevention Investigator

Bridgeport, CT · On-site

$66K - $110K/yr

Build and maintain case files to document assigned investigations by gathering evidence, analyzing ... Certified Insurance Fraud Investigator (CIFI) and/ or Certified Fraud Investigator (CFE ...

Careoregon

OR · On-site

Attend internal and external FWA and compliance-related meetings as assigned. * Assist in providing ... or CFE (Certified Fraud Examiner) Organizational Responsibilities Perform work in alignment with ...

Careoregon

OR · On-site

Help identify potential areas of FWA vulnerability and risk; assist department leadership in ... CPC (Certified Professional Coder) or RHIT (Registered Health Information Technician) or CFE ...

Kemper

SIU Expert Investigator

Miami, FL · On-site +1

$70K - $117K/yr

These investigations may include multi-feature and attorney represented losses.Basic functions ... The Special Investigator III will assist with mentoring new hires, special projects, training ...

EmblemHealth

Senior Investigator

New York, NY · On-site

... SIU investigations and issues. Assist with anti-fraud training sessions and public speaking ... AHFI and/or CFE certification (Preferred) * 4 - 6+ years of relevant, professional work experience

EmblemHealth

Senior Investigator

New York, NY · On-site

... SIU investigations and issues. Assist with anti-fraud training sessions and public speaking ... AHFI and/or CFE certification (Preferred. * 4 - 6+ years of relevant, professional work experience ...

EmblemHealth

Senior Investigator

New York, NY · On-site

$68K - $118K/yr

... SIU investigations and issues. Assist with anti-fraud training sessions and public speaking ... AHFI and/or CFE certification (Preferred) * 4 - 6+ years of relevant, professional work experience

EmblemHealth

Senior Investigator

New York, NY · On-site

... SIU investigations and issues. Assist with anti-fraud training sessions and public speaking ... AHFI and/or CFE certification (Preferred. * 4 - 6+ years of relevant, professional work experience ...

EmblemHealth

Senior Investigator

New York, NY · On-site

$68K - $118K/yr

... SIU investigations and issues. Assist with anti-fraud training sessions and public speaking ... AHFI and/or CFE certification (Preferred. * 4 - 6+ years of relevant, professional work experience ...

EmblemHealth

Senior Investigator

New York, NY · On-site

... SIU investigations and issues. Assist with anti-fraud training sessions and public speaking ... AHFI and/or CFE certification (Preferred) * 4 - 6+ years of relevant, professional work experience

Oscorp Industries

Investigator SrHybrid

Norfolk, VA · Hybrid

... are investigations and initiatives that may impact more than one company health plan, line of ... May assist in training of internal and external entities. Assists in the development of policy and ...

Missouri Secretary of State

Investigator

Jefferson City, MO · On-site

$50K/yr

... assist enforcement attorneys in resolving the complaints, investigations, and cases. * Staying ... Certifications (SIE, Series 7, Series 65, CFE, CKYCA, CTMA, CAFCA, CAMS, CAFS, etc.) a plus. The ...

Apply Early

SGI Global

Investigative Auditor

Albany, NY · On-site

Prepare interim and final reports throughout investigations and litigation. * Assist in developing ... Certified Fraud Examiner (CFE) Certification SGI Global provides equal employment opportunities ...

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Assistant Investigations Cfe information

What is the difference between Assistant Investigations Cfe vs Fraud Analyst?

AspectAssistant Investigations CfeFraud Analyst
CertificationsOften CFE (Certified Fraud Examiner) preferredMay also hold CFE or similar certifications
Work EnvironmentInvestigative settings, law enforcement, corporate complianceFinancial institutions, insurance companies, corporate fraud units
Employer & IndustryLaw enforcement agencies, corporations, consulting firmsFinancial services, banking, insurance, retail

Both roles involve fraud detection and investigation, often requiring CFE certification. An Assistant Investigations Cfe typically supports investigations in law enforcement or corporate settings, focusing on complex fraud schemes. Fraud Analysts analyze data to identify suspicious activities, often within financial institutions. While their responsibilities overlap, the Assistant Investigations Cfe may engage more in active investigations, whereas Fraud Analysts focus on data analysis and reporting.

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Assistant Investigations Cfe jobs near you
Investigative Auditor (Healthcare Fraud & Financial Investigations)

Investigative Auditor (Healthcare Fraud & Financial Investigations)

Legacy Management Solutions

Albany, NY • On-site

$45 - $70/hr

Full-time

Posted 13 days ago

Job description

ELG Federal Solutions is seeking an experienced Investigative Auditor to support the Affirmative Civil Enforcement (ACE) Unit of the United States Attorney's Office (USAO), Northern District of New York. The selected candidate will assist federal attorneys and investigative agencies in identifying, analyzing, and investigating civil fraud involving federal programs and taxpayer funds.
This position offers a unique opportunity to work on high-impact investigations involving:
  • Healthcare Fraud
  • False Claims Act (FCA) cases
  • Procurement Fraud
  • Grant Fraud
  • COVID-19 Relief Fraud
  • Opioid Diversion Matters
  • Financial Fraud, Waste, and Abuse
The Investigative Auditor will conduct financial analysis, healthcare claims reviews, forensic accounting examinations, statistical sampling, asset tracing, and damages calculations in support of federal investigations and litigation.Key Responsibilities
  • Conduct complex financial, healthcare, statistical, and forensic accounting analyses.
  • Analyze Medicare, Medicaid, TRICARE, VA, and other federally funded healthcare claims.
  • Review financial transactions, accounting records, contracts, invoices, grant documentation, and procurement records.
  • Perform damages calculations and financial exposure analyses under the False Claims Act.
  • Conduct asset tracing and ability-to-pay analyses.
  • Analyze large financial and healthcare datasets using analytical tools and software.
  • Assist attorneys and investigators with evidence organization and litigation support.
  • Prepare audit reports, spreadsheets, charts, summaries, timelines, and visual presentations.
  • Support witness interviews, depositions, hearings, and trial preparation.
  • Assist with forensic accounting reviews involving incomplete, inconsistent, or voluminous records.
  • Utilize public databases and financial research tools to identify assets and relevant evidence.
  • Collaborate with Assistant U.S. Attorneys, federal agents, auditors, and investigative personnel.
Minimum Qualifications
Education
Bachelor's degree in one of the following:
  • Accounting
  • Finance
  • Economics
  • Statistics
  • Data Analytics
  • Healthcare Administration
  • Related field
Experience
  • Minimum of three (3) years of professional experience in one or more of the following:
    • Auditing
    • Accounting
    • Healthcare Claims Analysis
    • Financial Investigations
    • Forensic Accounting
    • Statistical Analysis
    • Fraud Investigations
Technical Skills
  • Advanced Microsoft Excel
  • Microsoft Word
  • Microsoft PowerPoint
  • Microsoft Access
  • Data analysis and reporting tools
Other Requirements
  • U.S. Citizen
  • Ability to obtain DOJ background clearance
  • Strong analytical and investigative skills
  • Excellent written and verbal communication abilities
Preferred Qualifications
Candidates with any of the following are strongly encouraged to apply:
  • Certified Public Accountant (CPA)
  • Certified Fraud Examiner (CFE)
  • Healthcare fraud investigation experience
  • False Claims Act experience
  • Experience supporting DOJ, OIG, HHS, CMS, FBI, DEA, VA, or other federal agencies
  • Experience with RAT-STATS or similar statistical sampling tools
  • Experience with data visualization and forensic accounting software

Apply