Conduct clinical audits for suspected fraud, waste, and abuse with high autonomy.
Document findings in formal reports, graphs, and audit logs, aligning with unit goals.
Develop and present FWA-related education to Oscar teams, ensuring compliance with regulations.
Oscar is a health insurance company built on a full stack technology platform, focused on serving members like a doctor in the family. Founded in 2012, it is a forward-thinking company that values diversity and innovation, with a culture of fostering belonging and support.
Lead healthcare fraud lead and case development, turning analytic leads from VA's Palantir platform into decision-ready War Room referral packages.
Build referral packages with documentation supporting administrative actions and weekly decision packages for executive-level audiences.
Collaborate with OIC staff, VA OIG, and VHA stakeholders while supporting knowledge transfer and process improvement.
Arlo Solutions is an information technology consulting services company that specializes in delivering technology solutions. The company focuses on quality, value-added solutions that reduce costs, improve business processes, and support federal clients.
Conduct fraud, waste, and abuse investigations and audits.
Prepare reports and correspondence of a confidential nature.
Assist in developing FWA program documentation and training.
CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. They offer a comprehensive benefits package and emphasize equity, diversity, and inclusion.
Communicating with other banks, law enforcement, and CIFAS to prevent and investigate fraud.
Investigating fraud claims, making decisions to uphold or decline claims, and taking necessary actions like account closure.
Providing support and advice to fraud victims to help them protect themselves and resume safe account usage.
Our mission is to earn and keep customers' trust, support safe growth, and contribute to building a safer society. We are a digital bank with a diverse and collaborative culture focused on fighting financial crime and protecting our customers.
Investigates and processes commercial claims, evaluating coverage and damages within assigned authority.
Communicates directly with insureds, claimants, agents, and internal customers to resolve claims.
Documents claim files, negotiates settlements, and identifies fraud or subrogation potential.
Liberty Mutual is a global insurance company offering commercial and personal insurance products and services. With a fast-growing and inclusive culture, the company values employee development, well-being, and diversity across its large national workforce.
Leads the Fraud Investigations department, developing policies to prevent fraud and recover losses.
Collaborates with law enforcement, business partners, and regulatory agencies to ensure compliance.
Stays updated on emerging fraud trends and implements mitigation strategies to protect members.
Peak Credit Union is a financial institution dedicated to serving its members with a range of banking products and services. The company fosters a supportive culture with comprehensive benefits and opportunities for professional growth.
Investigate and resolve fraud cases, communicating with other banks, law enforcement, and CIFAS to protect customers and prevent losses.
Provide empathetic after-care to fraud victims, offering advice and securing accounts while making independent decisions on claims.
Work proactively to prevent active fraud attempts by reviewing flagged transactions and collaborating with the team to block suspicious activity.
Monzo is a digital bank on a mission to make money work for everyone, offering a range of banking products from personal accounts to credit cards. With over 10 years in the UK, they have a growing team and a culture focused on innovation, customer service, and financial education.
Own and execute company reviews, payroll monitoring, and related processes with precision and clear communication.
Analyze data to spot and act on emerging risk signals for companies and payrolls.
Mitigate fraud incidents, document insights, and drive resolutions with cross-functional teams.
Check is rebuilding payroll infrastructure by powering businesses that offer payroll services. The company is a distributed team across the US that values creative problem-solving, simplicity, and breaking conventional role boundaries.
Interpret federal and state regulations to ensure compliance and drive process improvements.
Analyze data in Excel to identify trends, savings, and process improvements.
SIHO Insurance Services provides health insurance administration and related services, focusing on payment integrity and regulatory compliance. The company operates in a managed care environment and emphasizes collaboration, professionalism, and adaptability among its employees.
Review and triage fraud alerts and monitoring reports to detect unusual activity across multiple product types.
Conduct end-to-end fraud case investigations, analyzing account, transaction, and relationship data.
Execute card actions and document findings for regulatory, audit, and quality-assurance review.
Pathward is a financial empowerment company that works with innovators to increase financial availability, choice, and opportunity for all. We are a team of problem solvers and innovators who celebrate our differences and know that our unique perspectives make us stronger.
Investigate and close fraud cases across card fraud, application fraud, and travel marketplace disputes.
Triage Early Fraud Warning alerts and manage card disputes and chargebacks through full lifecycle.
Document cases to SAR filing standard and identify cross-case patterns.
Engine is the all-in-one travel and spend management platform trusted by 38K+ businesses and 1.8M+ travelers. The fastest-growing company in travel tech, Engine has been recognized as a top workplace for innovators and best places to work.