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Insurance fraud investigator Jobs in Raleigh, NC

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Insurance fraud investigator • raleigh nc

Last updated: 8 hours ago
  • Promoted
FRAUD OPERATIONS ANALYST

FRAUD OPERATIONS ANALYST

Dogwood State BankRaleigh, NC, United States
Full-time
Join Dogwood, a North Carolina state-chartered community bank named as a Best Employer in North Carolina for multiple consecutive years! Dogwood has had immense success in recent years with a passi...Show moreLast updated: 10 days ago
Clinician Investigator

Clinician Investigator

North Carolina State UniversityRaleigh, NC
Full-time
Position Information Posting Number PG191347PD Position Number 00111090 Position Type Post Doc FLSA Exempt Departmental Information Department ID 195001 - Dept of Clinical Sciences Department 19500...Show moreLast updated: 30+ days ago
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INSURANCE AGENT

INSURANCE AGENT

Millennium Recruiting, Inc.Raleigh, NC, United States
Full-time
Incredible Growth Opportunities.World Class Mentors and Leaderships Teams.AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outst...Show moreLast updated: 2 days ago
Risk and Fraud Director

Risk and Fraud Director

First Horizon BankRaleigh, NC , US
Full-time
The Risk and Fraud Director is responsible for the first-line prevention strategies for enterprise fraud.This role will have responsibility for customer advocacy, ensuring alignment with the lines ...Show moreLast updated: 30+ days ago
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Auto Fraud Investigator

Auto Fraud Investigator

VirtualVocationsRaleigh, North Carolina, United States
Full-time
A company is looking for an Auto Fraud Investigator - Business Line Risk Analyst II.Key Responsibilities Conduct investigations and fraud risk assessments for the Automotive Finance Line of Busin...Show moreLast updated: 1 day ago
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Clinical Research Physician / Principal Investigator

Clinical Research Physician / Principal Investigator

Wake ResearchRaleigh, NC, US
Permanent
M3 Wake Research, an M3USA Company, is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical, biotechnology, medical device, pharmac...Show moreLast updated: 30+ days ago
Investigator

Investigator

Ethos RiskRaleigh, NC, USA
Part-time
Ethos Risk Services is continuing to expand our team of.Experienced Licensed Investigators.Ethos Risk is one of the largest and most respected fraud investigations businesses in the US.Join us in u...Show moreLast updated: 30+ days ago
Investigator II

Investigator II

Elevance HealthUNIVERSITY PKWY,SALEM,WINSTON,NC
Full-time
This position will work a hybrid model (remote and office).The ideal candidate will live within 50 miles of Winston Salem, North Carolina. Claim reviews for appropriate coding, data mining, entity r...Show moreLast updated: 30+ days ago
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Insurance Broker

Insurance Broker

Alchemy Financial GroupRaleigh, NC, US
Full-time
Job Title : Life Insurance Broker-.We are looking for a competitive Insurance Sales Representative to help us expand our business by actively assisting senior citizens within their community.The org...Show moreLast updated: 22 days ago
Investigator

Investigator

Ethos Risk ServicesRaleigh, NC, USA
Full-time
Quick Apply
Ethos Risk Services is continuing to expand our team of.Experienced Licensed Investigators.Ethos Risk is one of the largest and most respected fraud investigations businesses in the US.Join us in u...Show moreLast updated: 30+ days ago
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Experienced Covert Surveillance Investigator - PT

Experienced Covert Surveillance Investigator - PT

Meridian Investigative Group, Inc.Raleigh, NC, US
Full-time
Conduct covert field surveillance, with an emphasis on worker's compensation fraud and insurance fraud.Reasonable accommodations may be made to enable individuals with disabilities to perform the e...Show moreLast updated: 30+ days ago
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Claims Investigator - Part Time

Claims Investigator - Part Time

CoventBridge GroupRaleigh, NC, US
Full-time +1
Claims Investigator (Part-Time).Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company. Join CoventBridge Group as it continues its expansion into a...Show moreLast updated: 30+ days ago
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CLAIMS INVESTIGATOR - EXPERIENCED

CLAIMS INVESTIGATOR - EXPERIENCED

Command InvestigationsRaleigh, NC, United States
Full-time
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...Show moreLast updated: 8 hours ago
Principal Investigator - Hepatology (Part-Time)

Principal Investigator - Hepatology (Part-Time)

Piper CompaniesRaleigh, NC
Part-time
Piper Companies is searching for an experienced.Monday through Friday, 8am-5pm.Responsibilities of the Principal Investigator : . Provide clinical expertise in the conduct of gastroenterology clinical...Show moreLast updated: 23 days ago
Fraud Risk Manager

Fraud Risk Manager

AccentureRaleigh, NC, United States
Full-time
At Strategy & Consulting, we work closely with C-suite executives and industry leaders to drive transformation across all areas of their businesses. Our mission is to help organizations realize sust...Show moreLast updated: 15 days ago
Investigator - Eastern Region

Investigator - Eastern Region

North Carolina Medical BoardNorth Carolina, US
Full-time
This position is responsible for the investigation of complaints and other inquiries made to the North Carolina Medical Board that will ensure the proper regulation of the practice of medicine in N...Show moreLast updated: 30+ days ago
  • Promoted
INSURANCE REPRESENTATIVE

INSURANCE REPRESENTATIVE

Transamerica Agency NetworkRaleigh, NC, United States
Full-time
The Insurance Representative is directly responsible for writing new quality business, conserving existing business, providing ongoing quality service to policy owners in accordance with the Insura...Show moreLast updated: 1 day ago
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FRAUD OPERATIONS ANALYST

FRAUD OPERATIONS ANALYST

Dogwood State BankRaleigh, NC, United States
10 days ago
Job type
  • Full-time
Job description

About Us

Join Dogwood, a North Carolina state-chartered community bank named as a Best Employer in North Carolina for multiple consecutive years! Dogwood has had immense success in recent years with a passion for serving our customers and communities. As a vital asset to Dogwood, our team members play a crucial role in delivering exceptional financial services through our branches and online offerings across the Carolinas and Tennessee. With deep roots in the communities we serve, we pride ourselves on being an employer of destination. At Dogwood, our core values of love and respect shine through in every aspect of our work. We are a dedicated team, committed to making a meaningful impact on the lives of our customers and communities.

Position Summary

A Fraud Operations Analyst plays a vital role in protecting the institution and its customers from financial losses due to Fraud. This position is responsible for monitoring consumer transactions and accounts, detecting fraudulent activities, and employing detection strategies to protect against fraud. Ultimately, the Fraud Operations Analyst is integral to maintaining the integrity of the Banks operations.

Key Responsibilities

  • Monitors customer accounts and transactions to identify unauthorized activity and potential fraud.
  • Analyze financial data to identify patterns indicative of fraudulent activities.
  • Conducts thorough investigations of suspicious events, documents all actions taken in the case management system.
  • Interacts with external partners, including law enforcement, vendors, and other financial institutions, to validate information and address fraudulent activities.
  • Prepares case files for investigations and research customer claims, gathers relevant evidence.
  • Utilizes fraud solutions and employing prevention and detection strategies.
  • Reviews data and reports to identify patterns, trends, and anomalies that could indicate fraudulent activities.
  • Analyzes fraud behavior and emerging strategies to recommend potential solutions.
  • Collaborates with various departments within the organization, to share insights, provide training on fraud awareness, and coordinate efforts to strengthen the overall fraud prevention system.
  • Conducts regular tests and simulations to evaluate fraud prevention measures
  • Ensures that the Bank complies with relevant laws, regulations, and industry standards related to fraud prevention and data security.
  • Performs other duties as assigned.

Requirements

General Qualifications

  • Bachelor's degree in a related field or equivalent combination of education and related experience preferred.
  • 3-5 years of experience in fraud analysis and fraud detection or other comparable experience.
  • Optional : Certifications such as Certified Fraud Examiner (CFE)
  • Demonstrates knowledge of bank administration, lending and operations products and services, related state and federal laws and regulations and other bank operational policies and procedures.
  • Strong aptitude for research, coupled with robust problem solving and analytical skills.
  • Strong working knowledge of Microsoft ®Office Suite (with an emphasis on Excel), and any other systems or applications utilized in the Branch network.
  • Excellent written and verbal communication skills.
  • Physical and Mental Demands

    Vision, hearing, speech, movements requiring the use of wrists, hands and / or fingers. Must be able to sit, stand, stoop, bend and lift up to 50 pounds. Must have the ability to work the days and hours required to fulfill the essential functions of the position. Quick thinking, adaptability, and exercise discretion when necessary.