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State Licensed SIU Investigator
Conduct in-depth claim file reviews to identify suspected fraudulent activity and make compliance recommendations Educate claims staff on insurance fraud awareness and best practices through training and consultations Coordinate investigations with internal
Senior Fraud Operations Engineer
Key Responsibilities Lead the deployment and optimization of voice-fraud detection systems and algorithms Design analytic dashboards and automated alerts for call-pattern anomalies Collaborate with internal teams for fraud investigations and produce
Program Integrity Auditor
pharmacy claims audits and collaborate with pharmacy facilities to validate compliance of claims Determine corrective actions for noncompliant claims and document audit details for management Provide consultation on project guidelines and assist with internal
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Technical Abuse Investigator
and disrupt misuse of products related to biological and chemical threats Collaborate with various teams to conduct thorough investigations and develop tracking strategies Communicate investigative findings to stakeholders and assist in enhancing internal
Program Manager - Payment Integrity
Key Responsibilities Collaborates with internal business projects and cross-functional teams to deliver products through the design process to completion Plans and directs project schedules and budgets, monitoring progress from inception through delivery
Compliance Associate
under AML regulations Perform in-depth blockchain analysis and analyze customer data for compliance purposes Prepare Suspicious Activity Reports (SARs) and develop recommendations for control enhancements Required Qualifications: BA/BS degree or international
Senior Associate, Compliance
investigations to identify potential financial crime Draft and prepare Suspicious Activity Reports for regulatory agencies Conduct customer outreach to gather additional information regarding customer activity Required Qualifications: BA/BS degree or international
Lead Compliance Investigator
to determine reporting needs Review and ensure high-quality SAR filings and manage the SAR filing workflow Advise on suspicious activity trends and contribute to the development of the compliance program Required Qualifications: BA/BS degree or international
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