Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Excellent verbal and written communication skills, along with ability to effectively manage ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Excellent verbal and written communication skills, along with ability to effectively manage ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Excellent verbal and written communication skills, along with ability to effectively manage ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Excellent verbal and written communication skills, along with ability to effectively manage ...
This is a REMOTE position. The eligible candidate may work anywhere in Canada or the US. It's a ... Manage dozens of existing publishers on daily basis - communications, fraud prevention, contracts ...
This is a REMOTE position. The eligible candidate may work anywhere in Canada or the US. It's a ... Manage dozens of existing publishers on daily basis - communications, fraud prevention, contracts ...
This is a REMOTE position. The eligible candidate may work anywhere in Canada or the US. It's a ... Manage dozens of existing publishers on daily basis - communications, fraud prevention, contracts ...
This is a REMOTE position. The eligible candidate may work anywhere in Canada or the US. It's a ... Manage dozens of existing publishers on daily basis - communications, fraud prevention, contracts ...
Working knowledge of Treasury Management products, including online business banking, ACH, wire transfer services, Remote Deposit Capture, lockbox, account analysis, reporting tools, and fraud ...
Working knowledge of Treasury Management products, including online business banking, ACH, wire transfer services, Remote Deposit Capture, lockbox, account analysis, reporting tools, and fraud ...
Working knowledge of Treasury Management products, including online business banking, ACH, wire transfer services, Remote Deposit Capture, lockbox, account analysis, reporting tools, and fraud ...
Working knowledge of Treasury Management products, including online business banking, ACH, wire transfer services, Remote Deposit Capture, lockbox, account analysis, reporting tools, and fraud ...
Knowledge Manager
Doral, FL · On-site +1
$99K - $225K/yr
Remote Work: No Job Number: R0245984 Location: Doral,FL,US Share job via: Share Knowledge Manager ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Knowledge Manager
Doral, FL · On-site +1
$99K - $225K/yr
Remote Work: No Job Number: R0245984 Location: Doral,FL,US Share job via: Share Knowledge Manager ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
Strong management support * Professional autonomy in case strategy & scheduling * Paid travel for ... Identify fraud indicators, compensability issues, and material misrepresentation * Administer ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
Strong management support * Professional autonomy in case strategy & scheduling * Paid travel for ... Identify fraud indicators, compensability issues, and material misrepresentation * Administer ...
Healthcare Attorney - Remote
Miami, FL · Remote
$140 - $400/hr
Draft and evaluate legal content related to healthcare compliance, fraud and abuse, patient privacy ... Familiarity with healthcare operations, risk management, or clinical environments. * Excellent ...
Quick apply
Healthcare Attorney - Remote
Miami, FL · Remote
$140 - $400/hr
Draft and evaluate legal content related to healthcare compliance, fraud and abuse, patient privacy ... Familiarity with healthcare operations, risk management, or clinical environments. * Excellent ...
Geospatial Research and Production Manager
Doral, FL · On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245743 Location: Doral,FL,US Share job via: Share Geospatial Research ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Geospatial Research and Production Manager
Doral, FL · On-site +1
$86K - $198K/yr
Remote Work: No Job Number: R0245743 Location: Doral,FL,US Share job via: Share Geospatial Research ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...
Funding Specialist-REMOTE
Pompano Beach, FL · Remote
$25/hr
Review and manage loan files. Examine funded loan files in detail to verify fees, closing ... Working knowledge of RESPA, TRID, and wire fraud prevention best practices * COMPENSATION Pay range ...
New
Quick apply
Funding Specialist-REMOTE
Pompano Beach, FL · Remote
$25/hr
Review and manage loan files. Examine funded loan files in detail to verify fees, closing ... Working knowledge of RESPA, TRID, and wire fraud prevention best practices * COMPENSATION Pay range ...
New
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
Strong management support * Professional autonomy in case strategy & scheduling * Paid travel for ... Identify fraud indicators, compensability issues, and material misrepresentation * Administer ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
Strong management support * Professional autonomy in case strategy & scheduling * Paid travel for ... Identify fraud indicators, compensability issues, and material misrepresentation * Administer ...
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
Strong management support * Professional autonomy in case strategy & scheduling * Paid travel for ... Identify fraud indicators, compensability issues, and material misrepresentation * Administer ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
Strong management support * Professional autonomy in case strategy & scheduling * Paid travel for ... Identify fraud indicators, compensability issues, and material misrepresentation * Administer ...
Senior Account Manager
Miami, FL · Remote
The account manager will oversee and drive success amongst a portfolio of customers, develop new ... Remote work Company Overview:SmartBarrel is a no fraud, no bullsh*t, excuse-free, and easy to ...
Senior Account Manager
Miami, FL · Remote
The account manager will oversee and drive success amongst a portfolio of customers, develop new ... Remote work Company Overview:SmartBarrel is a no fraud, no bullsh*t, excuse-free, and easy to ...
Manager, Network Contracting (Florida)
Miami, FL · Remote
$100K - $132K/yr
This is a remote position based in the field, open to candidates who reside Alabama, Florida ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...
Quick apply
Manager, Network Contracting (Florida)
Miami, FL · Remote
$100K - $132K/yr
This is a remote position based in the field, open to candidates who reside Alabama, Florida ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...
Case Management RN
Miami, FL · Remote
$32.60 - $42.79/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...
Quick apply
Case Management RN
Miami, FL · Remote
$32.60 - $42.79/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an ...
Strong understanding of mortgage credit risk, fraud detection, regulatory compliance, company ... Ability to manage remote teams and multiple priorities in a fast-paced environment. * Ability to ...
Strong understanding of mortgage credit risk, fraud detection, regulatory compliance, company ... Ability to manage remote teams and multiple priorities in a fast-paced environment. * Ability to ...
Data Governance and Metadata Scientist
Doral, FL · On-site +1
$99K - $225K/yr
Remote Work: No Job Number: R0245985 Location: Doral,FL,US Share job via: Share Data Governance and ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Data Governance and Metadata Scientist
Doral, FL · On-site +1
$99K - $225K/yr
Remote Work: No Job Number: R0245985 Location: Doral,FL,US Share job via: Share Data Governance and ... Across private and public sectors-from fraud detection to cancer research to national intelligence ...
Remote Fraud Manager information
See Miami, FL salary details
$48.8K - $61.5K
19% of jobs
$64.7K is the 25th percentile. Wages below this are outliers.
$61.5K - $74.3K
25% of jobs
The median wage is $77.7K / yr.
$74.3K - $87K
23% of jobs
$98.3K is the 75th percentile. Wages above this are outliers.
$87K - $99.7K
9% of jobs
$99.7K - $112.5K
0% of jobs
$112.5K - $125.2K
0% of jobs
$125.2K - $137.9K
3% of jobs
$137.9K - $150.7K
5% of jobs
$150.7K - $163.4K
5% of jobs
$163.4K - $176.2K
5% of jobs
$176.2K - $188.9K
5% of jobs
$48.8K
$97.6K
$188.9K
How much do remote fraud manager jobs pay per year?
What does a remote fraud manager do?
What are the key skills and qualifications needed to thrive as a remote fraud manager?
How does a remote fraud manager typically collaborate with cross-functional teams to prevent and address fraudulent activities?
What is the difference between Remote Fraud Manager vs Remote Fraud Analyst?
| Aspect | Remote Fraud Manager | Remote Fraud Analyst |
|---|---|---|
| Required Credentials | Typically requires a bachelor’s degree in finance, criminal justice, or related field; certifications like CFE or CFCS are common | Similar credentials; often holds a bachelor’s degree and may pursue certifications like CFE |
| Work Environment | Leads fraud prevention teams, manages strategies, and collaborates with other departments remotely | Performs data analysis, investigates suspicious activity, and reports findings remotely |
| Employer & Industry Usage | Used by financial institutions, e-commerce, and insurance companies to oversee fraud prevention | Employed in similar industries to analyze fraud patterns and support fraud prevention efforts |
The main difference is that a Remote Fraud Manager oversees fraud prevention strategies and manages teams, while a Remote Fraud Analyst focuses on investigating and analyzing suspicious activities. Both roles require similar credentials and are vital in fraud prevention, but the manager has a leadership and strategic role, whereas the analyst is more hands-on with data analysis.
What are popular job titles related to Remote Fraud Manager jobs in Miami, FL?
For Remote Fraud Manager jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Fraud Manager jobs in Miami, FL look for?
The top searched job categories for Remote Fraud Manager jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Fraud Manager jobs?
Cities near Miami, FL with the most Remote Fraud Manager job openings:
Full-time
Posted 22 days ago
Cigna Healthcare rating
8.3
Based on 239 frontline employees who took The Breakroom Quiz
41st of 891 rated healthcare providers
Job description
Bilingual Spanish Junior Healthcare Fraud Investigator:
Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.
As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.
What you'll do:
Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies
Support on-site inspections and patient/provider interviews as necessary
Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate
Prepare reports to expedite tracking and reporting of investigations
Requirements:
Located in South Florida (Miami, homestead) and West Palm Beach area to support site visits
Bilingual Spanish
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, with particular proficiency with Access, Excel and Word
Excellent verbal and written communication skills, along with ability to effectively manage conflict
Keen ability to deal with ambiguity and leverage reasoning skills
Possession of a strong desire and demonstrated ability to lead
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
What Cigna Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Cigna
Sourced by ZipRecruiter
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Bloomfield, CT, US