Credit Card Fraud Investigator, Sr. jobs in Brockton, MA

Credit Card Fraud Investigator, Sr. investigates suspected fraudulent use of credit cards issued by the organization. Interviews individuals involved and coordinates investigations with law enforcement personnel. Being a Credit Card Fraud Investigator, Sr. analyzes loss trends and makes recommendations to prevent further loss. Requires a bachelor's degree. Additionally, Credit Card Fraud Investigator, Sr. typically reports to a supervisor or manager. The Credit Card Fraud Investigator, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Credit Card Fraud Investigator, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Fraud Investigator - Special Investigations Unit
  • P32HS Point32Health Services Inc
  • Canton, MA FULL_TIME
  • Who We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click here. Job Summary The Investigator is an essential team member of the Special Investigation Unit (SIU) responsible for leading complex provider investigations related to fraud, waste, and abuse, and developing action plans to address the investigative findings and prevent future loss. The Investigator works closely with other members of the SIU to set investigative priorities, develop effective investigative strategies and techniques, and recommend measures to address new and evolving schemes. Key Responsibilities/Duties – what you will be doing Lead complex investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. Apply laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation. Prepare reports of investigative findings and reporting investigative findings to providers. Work with SIU management to educate providers, recover overpayments, take action to prevent future loss, and monitor provider activity post-investigation Identify root causes of fraud, waste and abuse and recommending internal and external corrective actions to address these root causes. Recommend investigative priorities, strategies, and techniques. Work with the analytics and intake team to develop and refine data mining to address new and evolving schemes and Sharie expertise and promoting investigative best practices among SIU management and staff. Educating and collaborate with various business units to raise awareness of potential FWA concerns. Perform out-of-the-box thinking, collaborate with others, and make a difference every day. Qualifications – what you need to perform the job Bachelor’s degree, preferably in a clinical or scientific field, business, accounting, computer science, or criminal justice. 1-3 years related experience in health insurance and/or fraud investigations. Certified Professional Coder (“CPC”); Certified Fraud Examiner (“CFE”) designation a plus. experience in audits/investigations (preferred). SKILL REQUIREMENTS: Ability to produce clear, concise, and well-organized documents. Resilient, collaborative, flexible, innovative. WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS: Must be able to work under normal office conditions and work from home as required. May be required to attend meetings at other company locations or other external meetings. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. May be required to work additional hours beyond standard work schedule. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/ Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The Point32Health name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.
  • 1 Month Ago

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Commercial Credit Analyst
  • SCU Credit Union
  • Brockton, MA FULL_TIME
  • DescriptionSCU Credit Union has a mission to positively impact the financial well-being of our members by providing access to a wide range of products and services; to support the diverse communities ...
  • 1 Month Ago

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Fraud Risk Management Officer
  • Rockland Trust Career Site
  • Norwood, MA FULL_TIME
  • This position works closely with first line business units, second line Enterprise Risk Management colleagues and external contacts (e.g., third parties) as a thought leader in the maturation of Rockl...
  • 1 Month Ago

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Fraud Risk Management Officer
  • Rockland Trust
  • Norwood, MA FULL_TIME
  • This position works closely with first line business units, second line Enterprise Risk Management colleagues and external contacts (e.g., third parties) as a thought leader in the maturation of Rockl...
  • 27 Days Ago

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Anticipated Opening-SY 2024-2025- Middle School Math/ELA Teacher
  • East Bridgewater Jr/Sr High School
  • East Bridgewater, MA FULL_TIME
  • Anticipated opening for the 2024-2025 school year. East Bridgewater Junior-Senior High School (Grades 7-12) is accepting applications for middle school math/ELA teacher. Certification required.
  • 15 Days Ago

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Anticipated Opening-SY 2024-2025-World Language Teacher-Spanish
  • East Bridgewater Jr/Sr High School
  • East Bridgewater, MA FULL_TIME
  • The East Bridgewater School District is anticipating an opening for a World Language Teacher-Spanish for the 2024-2025 School Year. All applicants must be DESE certified.
  • 15 Days Ago

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0 Credit Card Fraud Investigator, Sr. jobs found in Brockton, MA area

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Financial Consultant - Westwood, MA
  • Fidelity TalentSource LLC
  • Westwood, MA
  • Job Description: Financial Consultant If you no longer want to spend your time on sourcing new clients and would rather ...
  • 4/26/2024 12:00:00 AM

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Senior Risk Manager - SOX 404
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: The Role Fidelity's Risk Assessment and Testing Center of Excellence has set standards for performing r...
  • 4/26/2024 12:00:00 AM

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Financial Consultant - Providence, RI
  • Fidelity TalentSource LLC
  • Providence, RI
  • Job Description: Financial Consultant If you no longer want to spend your time on sourcing new clients and would rather ...
  • 4/26/2024 12:00:00 AM

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Financial Analyst
  • Fidelity TalentSource LLC
  • Smithfield, RI
  • Job Description: The Role Leading the preparation and presentation of monthly business reviews and other reporting, incl...
  • 4/23/2024 12:00:00 AM

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Manager, Treasury
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: Based within the Treasury Risk and Program Management team in Corporate Treasury, this role is accounta...
  • 4/23/2024 12:00:00 AM

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Investment Consultant - Westwood, MA
  • Fidelity TalentSource LLC
  • Westwood, MA
  • Job Description: Investment Consultant You joined the financial services industry to make a difference in the lives of y...
  • 4/22/2024 12:00:00 AM

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Risk Director - SOX 404
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: The Risk Assessment and Testing Center of Excellence (CoE) is seeking a hardworking and driven professi...
  • 4/22/2024 12:00:00 AM

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VP, Municipal Finance
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: Fidelity Capital Markets (FCM) seeks a Vice President of Municipal Finance to support the growth of our...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 21.6 square miles (56 km2), of which 21.5 square miles (56 km2) is land and 0.1 square miles (0.26 km2) (0.56%) is water. Brockton is the 162nd largest city by land area in the Commonwealth, and the twelfth largest of the twenty-seven towns in Plymouth County. Brockton is bordered by Stoughton to the northwest, Avon to the north, Holbrook to the northeast, Abington to the northeast, Whitman and East Bridgewater to the southeast, West Bridgewater to the south, and Easton to the west. Brockton is approximately 25 miles s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credit Card Fraud Investigator, Sr. jobs
$53,589 to $73,179
Brockton, Massachusetts area prices
were up 1.6% from a year ago

Credit Card Fraud Investigator, Sr. in Middlesex, NJ
Credit card frauds form a part of cyber security investigations and thus the credit card fraud investigator must possess sharp technical skills for handling software, ethical hacking ways, accessing databases etc.
December 29, 2019
Credit Card Fraud Investigator, Sr. in Los Angeles, CA
They have to be familiar with certain concepts and practices that an investigator must know and perform the tasks accordingly in regulation with the law, whether it is federal or state.
December 09, 2019
Credit Card Fraud Investigator, Sr. in Springfield, OR
In order to restrict those incidences and provide secured credit card transactions to clients, financial organizations appoint credit card investigators to investigate such scams and book the offenders.
January 07, 2020