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Fraud Manager Jobs in Bluefield, WV (NOW HIRING)

Overview The case manager is responsible for the follow-up with the person receiving ADW services ... Makes fraud and abuse/neglect referrals as needed * Assists with obtaining legal representation ...

Case Manager

Princeton, WV · On-site

$22 - $23/hr

Makes fraud and abuse/neglect referrals as needed * Assists with obtaining legal representation ... Two years of experience with case management or related discipline * Licensed in West Virginia as a ...

New

... fraud risk. SUPERVISORY RESPONSIBILITIES Supervises employees in the absence of the Store Manager. Carries out supervisory responsibilities in accordance with the organization's policies and ...

Makes fraud and abuse/neglect referrals as needed * Assists with obtaining legal representation ... Two years of experience with case management or related discipline * Licensed in West Virginia as a ...

Case Manager

Princeton, WV · On-site

$22/hr

Makes fraud and abuse/neglect referrals as needed * Assists with obtaining legal representation ... Two years of experience with case management or related discipline * Licensed in West Virginia as a ...

... management and/or appropriate officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES There are no supervisory responsibilities for this role. QUALIFICATIONS * 0-2 years of customer service ...

... management and/or appropriate officials of potential fraud risk. SUPERVISORY RESPONSIBILITIES There are no supervisory responsibilities for this role. QUALIFICATIONS * 0-2 years of customer service ...

General Operator

Dublin, VA · On-site

$20/hr

These tools may be used to help manage applications, identify job-related qualifications, and assist recruiter review. All hiring decisions involve human oversight and review. Recruitment Fraud Alert

General Operator

Dublin, VA · On-site

$20/hr

These tools may be used to help manage applications, identify job-related qualifications, and assist recruiter review. All hiring decisions involve human oversight and review. Recruitment Fraud Alert

Pharmacy Technician

Princeton, WV · On-site

$17 - $20.50/hr

... fraud * Comply with and reinforce all food safety, sanitation and safety regulations/guidelines ... Understand and follow the company guidelines on computerized inventory management, control, and ...

Fraud Manager information

See Bluefield, WV salary details

$47.9K

$95.9K

$185.6K

How much do fraud manager jobs pay per year?

As of Sep 8, 2026, the average yearly pay for fraud manager in Bluefield, WV is $95,944.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,000.00 and $135,800.00 per year, depending on experience, location, and employer.

What does a fraud manager do?

A Fraud Manager oversees fraud prevention, detection, and investigation efforts within an organization. They analyze transactions, implement fraud detection systems, and develop strategies to minimize financial losses. Additionally, they collaborate with law enforcement, regulatory bodies, and internal teams to ensure compliance and risk mitigation. Their role is crucial in protecting a company's assets and maintaining customer trust.

What are the key skills and qualifications needed to thrive as a fraud manager?

To thrive as a Fraud Manager, you need a strong background in data analysis, risk management, and knowledge of financial regulations, typically supported by a bachelor's degree in finance, business, or a related field. Familiarity with fraud detection software, data analytics tools, and certifications such as Certified Fraud Examiner (CFE) are highly valued. Strong problem-solving, leadership, and communication skills help in managing teams and coordinating investigations. These competencies are crucial to effectively detect, prevent, and respond to fraudulent activities within an organization.

What are some typical challenges faced by fraud managers in their daily work?

Fraud Managers often encounter challenges such as adapting to evolving fraud tactics, balancing thorough investigations with timely responses, and managing large volumes of alerts or suspicious activity. Staying current with regulatory changes and emerging financial crime trends is essential, as is collaborating with cross-functional teams including IT, compliance, and legal departments. These demands require a proactive approach and continuous professional development to ensure ongoing protection of the organization’s assets. Overcoming these challenges is both demanding and rewarding, offering opportunities for career advancement and recognition.

What are the most commonly searched types of Fraud jobs in Bluefield, WV?

The most popular types of Fraud jobs in Bluefield, WV are:

Infographic showing various Fraud Manager job openings in Bluefield, WV as of June 2026, with employment types broken down into 3% As Needed, 41% Full Time, 50% Part Time, 3% Contract, and 3% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $95,944 per year, or $46.1 per hour.

$22 - $23/hr

Full-time

Posted 4 days ago


Job description

Overview

The case manager is responsible for the follow-up with the person receiving ADW services to ensure that services are being provided as described in the Service Plan


Responsibilities

  • Assures financial eligibility remains current
  • Submits the MNER in accordance with policy
  • Addresses changing needs of the person as reported
  • Addresses changing needs determined by monthly contact
  • Refers and procures any additional services or resources needed
  • Coordinates with all current service providers to develop the six-month Service Plan and the Annual Service Plan (or more often as necessary)
    • Be present at the six-month service plan meeting and the annual service plan meeting
  • Provides the service plan to all applicable service providers including TMH Transition navigators that are providing services to the person
  • Provides copies of all necessary document to the person receiving ADW services
  • Annually submits a medical necessity evaluation request to the UMC
  • Submits WV personal care request for dual services as needed
  • Uploads documents into the UMC web portal
  • Assists with filling grievances, complaints, fair hearing request
  • Makes fraud and abuse/neglect referrals as needed
  • Assists with obtaining legal representation when needed, such as medical power of attorney, health care surrogate, etc.
  • Ensures services were provided in accordance with the service plan
  • Evaluates social, environmental, services, risks, and support needs of the individual
  • Develops and writes an individualized service plan which details all services that are to be provided including both formal and informal services that will assist the person to achieve optimum function
  • Coordinates the delivery of care, eliminate fragmentation of services, and assure appropriate use of resources
  • Proactively identifies problems and coordinate services that provide appropriate high-quality care to meet the individualized and often complex needs of the person
  • Provides advocacy on behalf of the person to ensure continuity of services, system flexibility, integrated services, proper utilization of facilities and resources, and accessibility to services
  • Ensures that a person’s wishes are preferences are reflected in development of service plan by working directly with the person and all service providers
  • Assures that a person’s legal and human rights are protected
  • Follows up on all service deliver concerns and document in WV IMS
  • Completes and submits all required administrative and program reports as requested by either BMS or the OA

Qualifications

  • Bachelor’s degree in the Human Service field
  • Two years of experience with case management or related discipline
  • Licensed in West Virginia as a Social Worker or Counselor
  • Ability to operate standard computer and communications equipment
  • Working knowledge and use of MS Word, Excel, and other software related to job functions
  • Knowledge of agency intake/placement procedures and guidelines, necessary forms and standard intake procedures
  • Ability to composing correspondence and basic office etiquette and procedures
  • Ability to be flexible and meet deadlines
  • Ability to handle multiple tasks in an orderly and timely manner
  • Ability to coordinate and maintain client files and agency forms
  • Wiling to travel as needed