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Case Investigation Analyst Jobs

Detection & Investigation Quality Lead
By PNC Financial Services Group At , Cleveland, 44135, Oh

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our ...

Detection & Investigation Analyst Lead - Zelle Fraud
By PNC Financial Services Group At , Pittsburgh, 15222, Pa

Job Profile Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our ...

Fraud Investigation Agent Jobs
By Barclays At , Hamilton, 45011, Oh
Able to work with others in a fast-paced, team environment and to interact effectively with all levels of management
Excellent written and verbal communications skills
Interpersonal skills; proven ability to develop skill-set to meet and exceed performance standards
Skills that will help you in the role:
Managing assigned case volume and ensuring adherence to department quantity and quality standards
Identifying service delivery failures and escalating issues or impact to appropriate business owners and leadership
Fraud Investigation Analyst Jobs
By CIBC At , Chicago, Il
Excellent time management and prioritization skills
Has strong analytical and organizational skills and demonstrates the ability to solve complex problems by reviewing related information.
Experience working in a team environment
Excellent verbal and written communication skills
Advanced Excel and Power Point Skills
Knowledge and understanding of Positive pay tool
Cps Investigation Case Worker
By State of New Mexico At , Albuquerque, Nm $42,352 - $67,763 a year
Education and years of experience must be related to the purpose of the position.
These combinations of education and experience qualify you for the position:
Associate's degree in the field(s) specified in the minimum qualification
Bachelor's degree in the field(s) specified in the minimum qualification
Master's degree or higher in the field(s) specified in the minimum qualification
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Special Investigation Unit Investigator
By Centene At , , Fl
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud

Are you looking for an exciting and challenging opportunity to use your analytical skills to help solve complex cases? We are looking for a Case Investigation Analyst to join our team and help us uncover the truth behind our investigations. You will be responsible for analyzing data, conducting interviews, and developing strategies to uncover the facts. If you are a detail-oriented problem solver with a passion for uncovering the truth, this could be the perfect job for you!

Overview Case Investigation Analyst is responsible for conducting investigations into potential cases of fraud, abuse, or other criminal activity. They use a variety of investigative techniques to gather evidence, analyze data, and develop reports to present to law enforcement or other authorities. They must be able to work independently and as part of a team, and must have excellent communication and problem-solving skills. Detailed Job Description Case Investigation Analysts are responsible for conducting investigations into potential cases of fraud, abuse, or other criminal activity. They use a variety of investigative techniques to gather evidence, analyze data, and develop reports to present to law enforcement or other authorities. They must be able to work independently and as part of a team, and must have excellent communication and problem-solving skills. Case Investigation Analysts must be able to identify and analyze patterns of suspicious activity, and develop investigative plans to pursue leads. They must be able to conduct interviews, collect and analyze evidence, and prepare detailed reports of their findings. They must also be able to work with law enforcement and other authorities to ensure that cases are properly investigated and prosecuted. Job Skills Required
• Excellent communication and problem-solving skills
• Ability to identify and analyze patterns of suspicious activity
• Ability to conduct interviews and collect evidence
• Ability to analyze data and develop reports
• Ability to work independently and as part of a team
• Knowledge of relevant laws and regulations
• Knowledge of investigative techniques
Job Qualifications
• Bachelor’s degree in criminal justice, law enforcement, or a related field
• Previous experience in law enforcement or investigations
• Certification in fraud investigation or related field
• Knowledge of relevant laws and regulations
Job Knowledge
• Knowledge of investigative techniques
• Knowledge of relevant laws and regulations
• Knowledge of computer systems and software
• Knowledge of financial systems and processes
Job Experience
• Previous experience in law enforcement or investigations
• Experience in fraud investigation or related field
• Experience in data analysis and report writing
Job Responsibilities
• Identify and analyze patterns of suspicious activity
• Develop investigative plans to pursue leads
• Conduct interviews and collect evidence
• Analyze data and develop reports
• Work with law enforcement and other authorities
• Prepare detailed reports of findings
• Monitor cases and provide updates to authorities