Top 42 Fraud examiner Jobs in Atlanta Ga

SIU Investigator
Allied Universal® Compliance and Investigations —Atlanta, GA
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
11d
Healthcare Fraud Investigator
Contact Government Services, LLC —Atlanta, GA
- $85,000 - $105,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- 3 years
Quick Apply
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Atlanta, GA
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Special Agent
National Insurance Crime Bureau —Atlanta, GA
- $66,750 a year
- Full-time
- Mid-level
- 3 years
- Driver's License
- 401(k)
- Paid time off
Quick Apply
Fraud Examiner
LGE Community Credit Union —Marietta, GA
- Full-time
- Management
- Research
- Mid-level
Affirmative Civil Enforcement (ACE) Investigator
Contact Government Services, LLC —Atlanta, GA
- $51,435.30 - $66,131.10 a year
- Full-time
- Hybrid work
- Microsoft Access
- Microsoft Outlook
- Office
- Health insurance
- Dental insurance
Quick Apply
Auditor
Contact Government Services, LLC —Atlanta, GA
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Digital Fraud Review Analyst
Ameris Bank —Atlanta, GA
- Full-time
- Customer service
- Computer literacy
- Research
- Health savings account
- AD&D insurance
Internal Auditor
Georgia Lottery Corporation —Atlanta, GA
- $80,000 - $90,000 a year
- Full-time
- CPA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Fraud Monitoring Analyst - Intermediate
Equifax —Alpharetta, GA
- Full-time
- Mid-level
- Office
- SQL
- Health insurance
- Paid time off
3h
Senior Digital Fraud Review Anly
Ameris Bank —Atlanta, GA
- Full-time
- Customer service
- Computer literacy
- Mid-level
- Health savings account
- AD&D insurance
5d
Senior Internal Auditor
Kennesaw State University —Kennesaw, GA
- $86,400 - $96,000 a year
- Full-time
- Background check
- CPA
- Pass drug screening
- Paid holidays
- Health insurance
5d
Private Investigator / Aerial Surveillance Specialist
T.B.T. Enterprises —Atlanta, GA
- $30 - $50 an hour
- Part-time
- Clean driving record
- Military
- Computer literacy
- Professional development assistance
- Flexible schedule
Quick Apply
9d
Internal Auditor
Georgia Lottery Corp —Atlanta, GA
- $80,000 - $90,000 a year
- Full-time
- CPA
- 5 years
- Mid-level
Quick Apply
Cyber & Technology Auditor
Smurfit Westrock —Atlanta, GA
- Full-time
- Computer Science
- Mid-level
- Office
9d
Senior Auditor - Financial Crimes
U.S. Bank National Association —Atlanta, GA
- $81,515 - $95,900 a year
- Full-time
- Mid-level
- Office
- 3 years
- Paid holidays
- Disability insurance
7d
Sr. Dealer Financial Review & Examination Manager
Hyundai Capital America —Atlanta, GA
- $132,000 - $204,600 a year
- Full-time
- Hybrid work
- CPA
- Dealership
- Finance
- Health savings account
- Disability insurance
Transaction Fraud Analytics (Senior Fraud Risk Analyst)
ATLANTICUS SERVICES CORPORATION —Atlanta, GA
- 5 years
- Finance
- SQL
Quick Apply
Senior Auditor
Contact Government Services, LLC —Atlanta, GA
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
AML OVERSIGHT & FINANCIAL INTELLIGENCE Manager
Intuit —Atlanta, GA
- $146,000 - $251,000 a year
- Office
- Analysis skills
- Bachelor's degree
14d

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SIU Investigator

Allied Universal® Compliance and Investigations -
Atlanta, GA

Quick Apply

Job Details

Full-time
11 days ago

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Vision insurance
Retirement plan

Qualifications

Investigations regulatory compliance
Regulatory compliance in claims processing
Driver's License
Insurance regulation
Driving
Typing
Insurance claims fraud prevention
Mobile devices

Full Job Description

Company Overview:

Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.

Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.

Must possess a valid driver's license with at least one year of driving experience
Georgia applicants must independently complete the 70-hour course necessary to receive a Private Investigator’s license prior to applying.

RESPONSIBILITIES:

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found
Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor

QUALIFICATIONS (MUST HAVE):

Must possess one or more of the following:
- Bachelor’s degree in Criminal Justice
- High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
Proficient in utilizing laptop computers and cell phones.
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error
Flexibility to work varied and irregular hours and days including weekends and holidays

PREFERRED QUALIFICATIONS (NICE TO HAVE):

Military experience
Law enforcement
Insurance administration experience
Familiarity with California SIU regulations
One or more of the following professional industry certifications:
- Certified Fraud Investigator (CFE)
- Certified Insurance Fraud Investigator (CIFI)
- Fraud Claim Law Associate (FCLA)
- Fraud Claim Law Specialist (FCLS)
- Certified Protection Professional (CPP)
- Associate in Claims (AIC)
- Chartered Property Casualty Underwriter (CPCU)

BENEFITS:

Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law

Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com

If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

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Refine Your Search

fraud examiner jobs in atlanta ga

SIU Investigator

Healthcare Fraud Investigator

Investigator, Special Investigations Unit (Aetna SIU)

Special Agent

Fraud Examiner

Affirmative Civil Enforcement (ACE) Investigator

Auditor

Digital Fraud Review Analyst

Internal Auditor

Fraud Monitoring Analyst - Intermediate

Senior Digital Fraud Review Anly

Senior Internal Auditor

Private Investigator / Aerial Surveillance Specialist

Internal Auditor

Cyber & Technology Auditor

Senior Auditor - Financial Crimes

Sr. Dealer Financial Review & Examination Manager

Transaction Fraud Analytics (Senior Fraud Risk Analyst)

Senior Auditor

AML OVERSIGHT & FINANCIAL INTELLIGENCE Manager

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