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Remote Amazon Fraud Investigator Jobs in Michigan

Booz Allen Hamilton, Inc.

Materials Engineer

Warren, MI · On-site +1

$69K - $158K/yr

Remote Work: No Job Number: R0246857 Location: Warren,MI,US Share job via: Share Materials Engineer ... Lead failure analysis investigations on vehicle components and determine root cause of failure and ...

Booz Allen Hamilton, Inc.

Welding Engineer

Warren, MI · On-site +1

$55K - $126K/yr

Remote Work: No Job Number: R0246871 Location: Warren,MI,US Share job via: Share Welding Engineer ... Applicants selected will be subject to a security investigation and may need to meet eligibility ...

AAA Auto Club Group

Project Leader

Dearborn, MI · On-site +1

Remote Position Schedule / Shift: Monday - Friday, 8am - 5pm Position Summary: Applicants for this ... Assessing fraud potential and make appropriate referrals for investigation * Achieving stated ...

USAA

Sr. TLE Auto Appraiser

Lansing, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Kalamazoo, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Ann Arbor, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Weston, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Detroit, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Monroe, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Bay City, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Midland, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

USAA

Sr. TLE Auto Appraiser

Grand Rapids, MI · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

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All JobsAmazon Fraud Investigator JobsRemote Amazon Fraud Investigator JobsRemote Amazon Fraud Investigator Jobs in Michigan

Remote Amazon Fraud Investigator information

What is the difference between Remote Amazon Fraud Investigator vs Remote E-commerce Fraud Analyst?

AspectRemote Amazon Fraud InvestigatorRemote E-commerce Fraud Analyst
Required CredentialsExperience in fraud detection, knowledge of Amazon policies, sometimes certifications in fraud preventionSimilar credentials, often certifications in fraud analysis or cybersecurity
Work EnvironmentRemote, primarily supporting Amazon marketplaceRemote, supporting various e-commerce platforms
Employer & Industry UsageAmazon and related online retail companiesMultiple e-commerce companies and online retailers
Search & Comparison IntentHigh overlap, both focus on online fraud detection in retail

Both roles involve detecting and preventing online fraud, often requiring similar skills and certifications. The main difference is the specific platform: Amazon versus broader e-commerce platforms. Candidates should consider the platform focus when choosing between these roles.

What are the most commonly searched types of Amazon Fraud Investigator jobs in Michigan?

The most popular types of Amazon Fraud Investigator jobs in Michigan are:

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For Remote Amazon Fraud Investigator jobs in Michigan, the most frequently searched job titles are:

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Remote Amazon Fraud Investigator jobs near you

Special Investigations Unit Investigator

Delta Dental of Michigan

Okemos, MI • On-site, Remote

Full-time

Medical, Dental

Posted 5 days ago

Job description

Job Title:
Special Investigations Unit Investigator
Number of Positions:
3
Location:
Okemos, MI
Location Specifics:
Fully Remote
Job Summary:
Candidates must reside in Michigan within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training.
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
Responsible for the research and reporting of internal and external activities of providers and members involved in questionable conduct as it pertains to treatment patterns, claim submissions, contract agreements, and state licensing requirements.
Primary Job Responsibilities:
  • Plans, coordinates, prepares, and performs in-depth provider and member audits, and researches questionable conduct using data extraction and analysis tools and techniques.
  • Conducts interviews, requests and preserves evidence, reviews auditee's treatment and financial records, controls, and other pertinent records.
  • Prepares written communications to the auditee and mid to senior level management, including requests, audit reports and general correspondence to ensure compliance with contracts or state licenses.
  • Educates providers and members regarding contractual requirements in order to gain or maintain compliance with participating agreements, client contracts, and applicable laws and regulations.
  • Provides assistance to law enforcement agencies or attorneys in the detection, defense, and prosecution of fraud, to include responding to subpoenas, preparing documentation, and testifying in administrative or judicial proceedings regarding violations of contracts.
  • Makes recommendations to enhance system controls and contract agreements in order assist in preventing aberrant behavior.
  • Develops training programs and educates corporate staff in Anti-Fraud activities.
  • Assists in implementing, supporting, developing and maintaining relationships with Delta Dental affiliates.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Remote
Minimum Requirements:
Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field and three years of experience auditing, utilizing analytical tools and software, dental claims billing or review, or as a dental hygienist. Will accept any suitable combination of education, training, or experience.
Position requires advanced knowledge of dental terminology and dental procedure codes; knowledge of common data mining tools, such as Audit Command Language (ACL), SQL Developer and IBM's Fraud and Abuse Management System (FAMS); strong verbal and written communication skills; strong organizational and analytical skills; ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment.
An Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation is preferred.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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