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Claims investigator Jobs in Cary, NC

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Claims investigator • cary nc

Last updated: 11 hours ago

Financial Crimes Investigator II

SunTrust Investment Services, Inc.Raleigh, NC, United States
Full-time

Provide internal and external preliminary investigations into potentially fraudulent and/or suspicious activities and other high risk transactions, not excluding money laundering and terrorist fina... Show more

Industry Operations Investigator (Recent Grad)

Phenom PeopleRaleigh, NC, United States
$46,696.00 yearly
Full-time +1

Industry Operations Investigator.This position is an entry-level Industry Operations Investigator responsible for conducting investigations and inspections that require knowledge of industry operat... Show more

Claims Analyst - REMOTE

RyderRaleigh, NC, United States
$90,000.00 yearly
Full-time

The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder's self-administered liability program.This position investigates and adjusts claims, as wel... Show more

Claims Examiner - Workers Compensation | Jurisdiction: NC | Licensing: Reciprocal Required (REMOTE

SedgwickRaleigh, NC, United States
Full-time

Claims Examiner - Workers Compensation.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the ... Show more

Bodily Injury Claims Adjuster

Circle KRaleigh, NC, United States
Full-time

Circle K Is An Equal Opportunity Employer.The Company complies with the Americans with Disabilities Act (the ADA) and all state and local disability laws.Applicants with disabilities may be entitle... Show more

Sr. Contract/Claims Manager, Energy and Infrastructure Projects (Raleigh, NC)

LinxonRaleigh, NC, United States
$82,200.00 yearly
Full-time

Contract/Claims Manager, Energy and Infrastructure Projects (Raleigh, NC).LOCATION: Raleigh, NC (Hybrid).Built on more than a century of innovation and decades of substation expertise, Linxon blend... Show more

Property & Casualty Insurance Claims Operations Consultant, Sr. Associate

PwCRaleigh,NC
Full-time

As a Property & Casualty Insurance Claims Operations Consultant, Sr.Associate, you will engage with clients to optimize their operational efficiency through the analysis, implementation, and suppor... Show more

Claims Facilitator

Erie Insurance GroupCary, NC, United States
Full-time

Under minimal supervision, settles claims within limits of authority.This is an in-office position, reporting to ERIE's Cary, NC office with hybrid flexibility.Hours are Monday - Friday, 8:00 am - ... Show more

Quality Investigator

Accentuate Staffing Raleigh, NC, US
Full-time

Conduct minor, major, and critical investigations related to site exceptions and deviations.Perform Phase II OOS investigations and support root cause analysis activities.Identify root cause and de... Show more

Sr. Clinical Operations Lead (Clinical Trial Manager)

AlimentivMorrisville, NC, United States
Permanent

Responsible for the clinical operations of a project within a defined regional/global level.Provides oversight of project deliverables, assigned Clinical Research Associates (CRAs) and Investigator... Show more

Quality Investigator

ActalentRaleigh, North Carolina, USA
$45.00 hourly
Full-time

Job Title: Quality Investigator.The Quality Investigator serves as an individual contributor within the QA Compliance department and works cross‑functionally across the plant to ensure that quality... Show more

Principal Investigator, MD

Civia HealthCary, NC, US
Full-time
Quick Apply

Medical Director  Join Us at Civia Health  At Civia Health, we’re reimagining how clinical trials are delivered—by putting patients first and empowering providers to lead inno... Show more

Claims Facilitator

Erie InsuranceCary, US
$40,121.00 yearly
Full-time

Division or Field Office: Casualty Claims Division Department of Position: Zone Operations Dept Work from: Raleigh Branch Office Salary Range: $40,121.This range repr... Show more

 • New!

Claims Examiner I

Nakupuna CompaniesRemote, South Carolina, United States
Remote
Full-time

Conduct initial intake and review of affirmative claims cases and related documentation.Request and obtain police reports, accident reports, medical records, insurance information, and other suppor... Show more

Short Term Disability Case Associate

ArtechCary, NC, United States
$30.00 hourly
Full-time

Short Term Disability Case Associate.We are seeking a detail-oriented Short Term Disability Case Associate to manage disability case management and claims adjudication.This role will involve review... Show more

Principal Investigator

GuerbetRaleigh, US
Full-time

This position is an active principal level position within the QA Compliance department.The position may have direct reports and is required to work cross functionally throughout the plant to ensur... Show more

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Financial Crimes Investigator II

Financial Crimes Investigator II

SunTrust Investment Services, Inc.Raleigh, NC, United States
17 days ago
Job type
  • Full-time
Job description

Job Title

Provide internal and external preliminary investigations into potentially fraudulent and/or suspicious activities and other high risk transactions, not excluding money laundering and terrorist financing, with an emphasis on data management, risk management and loss prevention analysis. Ensure full compliance with applicable laws and regulations, by investigating, analyzing and decisioning related cases, reports and alerts according to stated policy and procedure.

Essential Duties and Responsibilities

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

1. Conduct timely, comprehensive investigations of customers, noncustomers and/or teammates by utilizing all available information.

2. Research transactional anomalies and analyze information produced to detect any patterns of unusual internal or external conduct, identify risk policy breakdowns, and recognize fraudulent activities.

3. Communicate results of analysis and/or research to appropriate departmental leadership including conclusions and recommendations for next steps.

4. Communicate with Relationship Managers, branch associates and others as needed to gather additional client information. Act as a point of contact for case or alert questions and support.

5. Responsible for detecting fraud, suspicious transactions or those in violation of applicable BSA/AML/OFAC laws and regulations.

6. Participate in BSA/AML/OFAC and/or Fraud related training that may include webinars, periodicals and self-study in order to stay abreast of any related changing laws and regulations.

7. Serve as subject matter experts in their respective roles (fraud, BSA/AML, OFAC) for other teams supporting the same function.

Qualifications

Required Qualifications:

1. Bachelor's degree or equivalent education and related training.

2. Five years of banking, financial industry or related experience; preferably in a branch, audit, compliance or lending-related area.

3. Strong knowledge and experience with BSA regulations and related compliance requirements, including reporting and record retention requirements, and understanding of how changes in those regulations or compliance requirements affect Financial Crimes.

4. Thorough working knowledge of the risk indicator trends in money laundering, terrorist financing and fraud, and the ability to position processes to ensure mitigation of those risks at Truist.

5. Strong investigative research and documentation skills

6. Strong analytical and critical thinking skills

7. Ability to work in a high-stress, fast-paced and rapidly changing environment with time-critical situations

8. Demonstrated proficiency in basic computer applications such as Microsoft Office software products

9. Excellent verbal and written communication skills; ability to communicate effectively with senior leadership, and line of business managers and external entities

Preferred Qualifications:

1. Three years of experience in investigation, law enforcement, or lending role

2. Working knowledge of user acceptance testing including planning, development and execution of test cases

3. Experience with BSA transaction monitoring or case management applications