... discipline. 1 years investigative experience in the following areas (e.g., medical review ... Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) * Medical License:
... discipline. 1 years investigative experience in the following areas (e.g., medical review ... Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) * Medical License:
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Description Hyundai Capital America (HCA) helps people move forward. Through Hyundai Motor Finance ... HOW YOU WILL MAKE AN IMPACT 1. Investigate/ research Fraud incidents and/ or allegations involving ...
Description Hyundai Capital America (HCA) helps people move forward. Through Hyundai Motor Finance ... HOW YOU WILL MAKE AN IMPACT 1. Investigate/ research Fraud incidents and/ or allegations involving ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Compliance Tester II
Wilmington, DE · On-site
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
Compliance Tester II
Wilmington, DE · On-site
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
... Fraud Investigation experience * At least 2 years of experience with Google Suite or Microsoft ... Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
Zions Bancorporation is one of the nation's premier financial services companies operating as a ... We are currently seeking a Fraud Investigator to join our team. This position will be in office and ...
A bachelor's degree in a Criminal Justice, or related field * 1+ years professional work experience, preferably with health insurance investigations/audit * Outstanding technical & analytical skills ...
A bachelor's degree in a Criminal Justice, or related field * 1+ years professional work experience, preferably with health insurance investigations/audit * Outstanding technical & analytical skills ...
A bachelor's degree in a Criminal Justice, or related field * 1+ years professional work experience, preferably with health insurance investigations/audit * Outstanding technical & analytical skills ...
A bachelor's degree in a Criminal Justice, or related field * 1+ years professional work experience, preferably with health insurance investigations/audit * Outstanding technical & analytical skills ...
SIU Medical Provider Fraud Investigator
Concord, NC · Remote
$62K - $92K/yr
Reviews investigations with fraud outcomes to validate whether denial is appropriate * Updates ... One that encourages you to challenge the status quo. One where you can shape the future of ...
SIU Medical Provider Fraud Investigator
Concord, NC · Remote
$62K - $92K/yr
Reviews investigations with fraud outcomes to validate whether denial is appropriate * Updates ... One that encourages you to challenge the status quo. One where you can shape the future of ...
SIU Medical Provider Fraud Investigator
Houston, TX · Remote
$62K - $92K/yr
Reviews investigations with fraud outcomes to validate whether denial is appropriate * Updates ... One that encourages you to challenge the status quo. One where you can shape the future of ...
SIU Medical Provider Fraud Investigator
Houston, TX · Remote
$62K - $92K/yr
Reviews investigations with fraud outcomes to validate whether denial is appropriate * Updates ... One that encourages you to challenge the status quo. One where you can shape the future of ...
Fraud Countermeasure Specialist, Fraud Platform
OR · On-site +1
... have: * 1-3 years of experience in fraud investigation, risk analysis, or AML/KYC/compliance ... Tiger Capital, and Y Combinator, we're dedicated to helping businesses and individuals build a ...
Fraud Countermeasure Specialist, Fraud Platform
OR · On-site +1
... have: * 1-3 years of experience in fraud investigation, risk analysis, or AML/KYC/compliance ... Tiger Capital, and Y Combinator, we're dedicated to helping businesses and individuals build a ...
... have: * 1-3 years of experience in fraud investigation, risk analysis, or AML/KYC/compliance ... Tiger Capital, and Y Combinator, we're dedicated to helping businesses and individuals build a ...
... have: * 1-3 years of experience in fraud investigation, risk analysis, or AML/KYC/compliance ... Tiger Capital, and Y Combinator, we're dedicated to helping businesses and individuals build a ...
INVESTIGATOR V (MEDICAID FRAUD) - DOWNTOWN, OAHU
Honolulu, HI · On-site
$5.5K - $7.8K/mo
Investigations include suspected fraud and abuse by providers; complaints of abuse and neglect of ... Three and one-half (3-1/2) years of progressively responsible professional investigative experience ...
INVESTIGATOR V (MEDICAID FRAUD) - DOWNTOWN, OAHU
Honolulu, HI · On-site
$5.5K - $7.8K/mo
Investigations include suspected fraud and abuse by providers; complaints of abuse and neglect of ... Three and one-half (3-1/2) years of progressively responsible professional investigative experience ...
Financial Crimes Specialist
Mclean, VA · On-site
Bachelor's degree * 1+ years of experience in Anti-Money Laundering (AML), Fraud, Investigations ... Then a Capital One Anti-Money Laundering Investigator role may be the role for you! You must be ...
Financial Crimes Specialist
Mclean, VA · On-site
Bachelor's degree * 1+ years of experience in Anti-Money Laundering (AML), Fraud, Investigations ... Then a Capital One Anti-Money Laundering Investigator role may be the role for you! You must be ...
Entry Level Capital One Fraud Investigator information
See salary details
$15.63 - $19.03
10% of jobs
$22.02 is the 25th percentile. Wages below this are outliers.
$19.03 - $22.44
17% of jobs
$22.44 - $25.85
18% of jobs
The median wage is $27.09 / hr.
$25.85 - $29.26
12% of jobs
$29.26 - $32.67
10% of jobs
$34.38 is the 75th percentile. Wages above this are outliers.
$32.67 - $36.08
15% of jobs
$36.08 - $39.49
7% of jobs
$39.49 - $42.90
3% of jobs
$42.90 - $46.31
3% of jobs
$46.31 - $49.72
3% of jobs
$49.72 - $53.13
1% of jobs
$15
$30
$53
How much do entry level capital one fraud investigator jobs pay per hour?
What is the difference between Entry Level Capital One Fraud Investigator vs Entry Level Bank Fraud Analyst?
| Aspect | Entry Level Capital One Fraud Investigator | Entry Level Bank Fraud Analyst |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer a relevant certification | High school diploma or equivalent; certifications like ACFE may be a plus |
| Work Environment | Financial institution, office setting, or remote | Banking environment, office or remote |
| Employer & Industry Usage | Capital One, banking, finance | Various banks, financial institutions, banking industry |
| Common Search & Comparison Intent | Yes | Yes |
Both roles focus on detecting and preventing fraud within banking environments. The main difference lies in the employer; Capital One Fraud Investigators work specifically for Capital One, while Bank Fraud Analysts may work for various financial institutions. Responsibilities and required credentials are similar, making these roles comparable entry points into banking fraud prevention careers.
What are some common challenges faced by entry level Capital One fraud investigators, and how can new hires prepare for them?
What does an entry level Capital One fraud investigator do?
What are the key skills and qualifications needed to thrive as an entry level Capital One fraud investigator, and why are they important?

Fraud Investigator-Kansas City, MO area
Kansas City, MO • On-site
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 13 days ago
Job description
- Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
- Annual incentive bonus plan based on company achievement of goals
- Time away from work including paid holidays, paid time off and volunteer time off
- Professional development courses, mentorship opportunities, and tuition reimbursement program
- Paid parental leave and adoption leave with adoption financial assistance
- Employee discount program
Job Description Summary:
As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments. Assigned cases and projects are generally of moderate complexity and performed with limited oversight.
Job Description
- Assist in performing ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, based upon member health/safety and protection of plan assets.
- Monitor hotlines, internal referrals, external fraud alerts (e.g., CMS, BCBSA), external healthcare anti-fraud workgroups, and other resources for potential FWA schemes.
- Conduct investigations of fraud, waste and abuse in accordance with SIU policies and procedures. May work with Manager and/or Senior Investigator on larger, more complex, investigations.
- Create and maintain detailed case files in accordance with SIU policies and procedures, where key investigative activities and outcomes are timely and accurately documented
- Prepare detailed case reports summarizing investigative findings and recommendations. Present reports to key stakeholders (e.g., Provider Relations, Medical Management, Pharmacy, Claims, Legal)
- Assist in coordinating responses to subpoenas and preparation of cases for referral to law enforcement and/or regulators.
- Perform day-to-day activities for vendor-based claim overpayment recovery program (e.g., data file exchanges, proposing / reviewing new audit concepts, coordinating claim adjustments, invoices).
- Assist in preparing reports for executive updates, Blue KC Audit Committee, BCBSA/FEP surveys, and other reports as needed.
- Support the FWA training program for Blue KC employees and First Tier, Downstream and Related entities.
Minimum Qualifications
- Bachelor's degree in criminal justice, finance, accounting, medical or other relevant academic discipline. 1 years investigative experience in the following areas (e.g., medical review, financial, medical analytics, behavioral health, research & adjustment, appeals) that provided the types and levels of knowledge, skills, and abilities required.
- Strong communication skills with a broad range of individuals and groups (e.g., members, providers, operational areas, medical directors, provider relations, legal counsel, senior management)
Preferred Qualifications
- Master's degree in criminal justice, finance, accounting, medical or other relevant academic discipline
- 3 years' experience conducting healthcare FWA investigations at a health insurer; experience analyzing claims data to identify FWA trends and patterns using tools such as Excel and business intelligence platforms (e.g., Power BI, Business Objects).
- Knowledge of major BCBSKC business systems (e.g., Facets, ITS Host and Home) and operational processes (e.g., Claims Processing, Pharmacy, Provider Contracting/Relations, Member Services, Customer Service)
- Knowledge of BCBSKC provider contracts, medical policies and member benefits
- Knowledge of medical terminology and ICD/CPT coding
- Experience working with the regulators (e.g., CMS, State Department of Insurance) and law enforcement (e.g., FBI, DEA, HHS-OIG, OPM-OIG and/or Department of Justice)
- Juris Doctorate
- Coding Certification: AAPC, AHIMA
- FWA Certification: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI)
- Medical License: Registered Nurse (RN), Licensed Practical Nurse (LPN), pharmacist, physician
- Licensed Clinal Social Worker (LCSW)
- Licensed Professional Counselor (LPC)
Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.
About Blue Cross and Blue Shield of Kansas City
Sourced by ZipRecruiter
Industry
Insurance services
Company size
501 - 1,000 Employees
Headquarters location
Kansas City, MO, US
Year founded
1938