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 ...
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 ...
Healthcare Fraud Investigator with Security Clearance
Miami, FL · On-site
$85K - $105K/yr
... work consistently, accurately, and under pressure, and be enthusiastic about learning and applying ... Responsibilities will Include: - Review, sort, and analyze data using computer software programs ...
Healthcare Fraud Investigator with Security Clearance
Miami, FL · On-site
$85K - $105K/yr
... work consistently, accurately, and under pressure, and be enthusiastic about learning and applying ... Responsibilities will Include: - Review, sort, and analyze data using computer software programs ...
The AVP, Physical Security/Fraud Intelligence Analyst is responsible for conducting in-depth ... Work with other Synchrony teams that collect data that may contain threat information and provide ...
The AVP, Physical Security/Fraud Intelligence Analyst is responsible for conducting in-depth ... Work with other Synchrony teams that collect data that may contain threat information and provide ...
The AVP, Physical Security/Fraud Intelligence Analyst is responsible for conducting in-depth ... Work with other Synchrony teams that collect data that may contain threat information and provide ...
The AVP, Physical Security/Fraud Intelligence Analyst is responsible for conducting in-depth ... Work with other Synchrony teams that collect data that may contain threat information and provide ...
Business Analytics Senior Analyst Assistance Vice President
Jacksonville, FL · On-site
$110 - $160/hr
This role will manage and execute fraud analytics and fraud detection strategies supporting Citi ... Prioritize and provide a clear line of sight to the most critical work to partners and team members.
Business Analytics Senior Analyst Assistance Vice President
Jacksonville, FL · On-site
$110 - $160/hr
This role will manage and execute fraud analytics and fraud detection strategies supporting Citi ... Prioritize and provide a clear line of sight to the most critical work to partners and team members.
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Quick apply
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Quick apply
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Quick apply
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Fraud Management Specialist
Pensacola, FL · On-site
Review and analyze potential fraud and forgery cases prior to Security submission. * Track and ... BRMi will not sponsor applicants for work visas for this position.** **This is a W2 opportunity ...
Fraud Management Specialist
Pensacola, FL · On-site
Review and analyze potential fraud and forgery cases prior to Security submission. * Track and ... BRMi will not sponsor applicants for work visas for this position.** **This is a W2 opportunity ...
Business Analytics Senior Analyst Assistance Vice President
Jacksonville, FL · On-site
$87K - $130K/yr
This role will manage and execute fraud analytics and fraud detection strategies supporting Citi ... Prioritize and provide a clear line of sight to the most critical work to partners and team members.
Business Analytics Senior Analyst Assistance Vice President
Jacksonville, FL · On-site
$87K - $130K/yr
This role will manage and execute fraud analytics and fraud detection strategies supporting Citi ... Prioritize and provide a clear line of sight to the most critical work to partners and team members.
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
Quick apply
Fraud Management Specialist
Pensacola, FL · On-site
Work on fraudulent activity issues requiring working knowledge of organizational objectives and ... analysis align with strategic business initiatives and achieve desired objectives. Identify ...
... conduct studies and analyze the data to assist with the fraud detection processes. Job Duties ... May coach, advise, counsel or train less-experienced staff; may also direct the work activities of ...
... conduct studies and analyze the data to assist with the fraud detection processes. Job Duties ... May coach, advise, counsel or train less-experienced staff; may also direct the work activities of ...
... conduct studies and analyze the data to assist with the fraud detection processes. Job Duties ... May coach, advise, counsel or train less-experienced staff; may also direct the work activities of ...
... conduct studies and analyze the data to assist with the fraud detection processes. Job Duties ... May coach, advise, counsel or train less-experienced staff; may also direct the work activities of ...
Fraud Strategy Lead
Miami, FL · On-site +1
You'll work to detect various emerging fraud patterns spanning both first and third party fraud ... Analyze fraud vectors across SquareTrade's platform including both first party and third party ...
Fraud Strategy Lead
Miami, FL · On-site +1
You'll work to detect various emerging fraud patterns spanning both first and third party fraud ... Analyze fraud vectors across SquareTrade's platform including both first party and third party ...
Fraud Strategy Lead
Miami, FL · On-site
You'll work to detect various emerging fraud patterns spanning both first and third party fraud ... Analyze fraud vectors across SquareTrade's platform including both first party and third party ...
Quick apply
Fraud Strategy Lead
Miami, FL · On-site
You'll work to detect various emerging fraud patterns spanning both first and third party fraud ... Analyze fraud vectors across SquareTrade's platform including both first party and third party ...
Senior Fraud Data Scientist
Miami, FL · On-site
$116.25 - $155/hr
... analytics to protect users and disrupt fraud. We collaborate closely with product, engineering ... Your work will range from evaluating fraud exposure to driving cross-functional projects that ...
Senior Fraud Data Scientist
Miami, FL · On-site
$116.25 - $155/hr
... analytics to protect users and disrupt fraud. We collaborate closely with product, engineering ... Your work will range from evaluating fraud exposure to driving cross-functional projects that ...
Senior Product Marketing Manager, Fraud Suite
Miami, FL · On-site
$110 - $150/hr
Track and analyze product and campaign performance metrics, providing insights and recommendations ... Develop customer-facing content, including case studies, blog posts, and product collateral ...
Senior Product Marketing Manager, Fraud Suite
Miami, FL · On-site
$110 - $150/hr
Track and analyze product and campaign performance metrics, providing insights and recommendations ... Develop customer-facing content, including case studies, blog posts, and product collateral ...
VP, Fraud Prevention Manager
$122K - $156K/yr
Oversees a team of analysts reviewing fraud alerts, cases, and claims across multiple systems ... Essential Job Functions * Manages staff to include staffing, assigning and delegating work ...
VP, Fraud Prevention Manager
$122K - $156K/yr
Oversees a team of analysts reviewing fraud alerts, cases, and claims across multiple systems ... Essential Job Functions * Manages staff to include staffing, assigning and delegating work ...
VP, Fraud Prevention Manager
Clearwater, FL · On-site
$122K - $156K/yr
Oversees a team of analysts reviewing fraud alerts, cases, and claims across multiple systems ... Essential Job Functions * Manages staff to include staffing, assigning and delegating work ...
VP, Fraud Prevention Manager
Clearwater, FL · On-site
$122K - $156K/yr
Oversees a team of analysts reviewing fraud alerts, cases, and claims across multiple systems ... Essential Job Functions * Manages staff to include staffing, assigning and delegating work ...
Work Study Fraud Analyst information
What skills and qualifications are needed to be a work study fraud analyst?
To thrive as a Work Study Fraud Analyst, you need strong analytical skills, attention to detail, and a background in finance, accounting, or a related field, often backed by relevant coursework or experience. Familiarity with fraud detection software, data analysis tools like Excel or SQL, and case management systems is typically required. Integrity, problem-solving abilities, and effective communication set top performers apart in this role. These skills are crucial for accurately identifying fraud, maintaining compliance, and ensuring the integrity of financial aid programs.
What are common challenges faced by work study fraud analysts, and how can they be addressed?
Work Study Fraud Analysts often encounter challenges such as detecting subtle fraudulent activities within large volumes of data and staying current with evolving fraud tactics. Balancing multiple cases and meeting tight deadlines can also be demanding. To address these issues, analysts benefit from continuous learning, leveraging advanced analytical tools, and collaborating closely with other departments like compliance and IT. Open communication and regular training sessions help ensure that the team remains adaptable and effective in combating fraud.
What is a work study fraud analyst?
Work Study Fraud Analysts are professionals, often students, who help organizations or educational institutions identify and prevent fraudulent activities related to financial aid, scholarships, or work-study programs. Their responsibilities typically include reviewing financial records, monitoring transactions for suspicious activity, and ensuring compliance with relevant regulations. They may also assist in investigating cases of suspected fraud and contribute to developing policies that minimize risk. This position combines analytical skills with an understanding of financial processes, often providing valuable experience for students interested in careers in finance, compliance, or law enforcement.
What are the most commonly searched types of Fraud Analyst jobs in Florida?
The most popular types of Fraud Analyst jobs in Florida are:
Full-time
Posted 17 days ago
Cigna Healthcare rating
8.4
Based on 238 frontline employees who took The Breakroom Quiz
23rd of 887 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 early-career 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:
Requirements:
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.
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 early-career 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