Credit Card Fraud Investigator jobs in Brockton, MA

Credit Card Fraud Investigator 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 analyzes loss trends and makes recommendations to prevent further loss. Requires a bachelor's degree. Additionally, Credit Card Fraud Investigator typically reports to a supervisor or manager. The Credit Card Fraud Investigator gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Credit Card Fraud Investigator typically requires 2 to 4 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.
  • 25 Days Ago

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Investigator
  • Disabled Persons Protect Comm
  • Braintree, MA FULL_TIME
  • The Disabled Persons Protection Commission (DPPC) is an independent agency of the Commonwealth. The mission of the Disabled Persons Protection Commission is to protect adults with disabilities from th...
  • 2 Months 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 ...
  • 26 Days Ago

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Fraud Liaison
  • Rockland Trust Career Site
  • Plymouth, MA FULL_TIME
  • This position plays a pivotal role in minimizing debit card losses for the bank and the customer by prioritizing education, early detection, and thorough investigation. As a key member of the Financia...
  • 2 Months 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...
  • 20 Days Ago

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

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Senior Manager, Tax
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: Reporting to the tax director, this position is a key contributor to the tax compliance group with sign...
  • 4/18/2024 12:00:00 AM

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Women Impact Tech Event - Technology
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: Congratulations! You have been identified as critical talent that would add value to the future of Fide...
  • 4/18/2024 12:00:00 AM

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Senior Audit Analyst
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: Position Description: Provides financial analysis and support to the Asset Management Quantitative Rese...
  • 4/17/2024 12:00:00 AM

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Account Receivable Analyst
  • AIT
  • Norwood, MA
  • Essential Job Functions. Follow-up on all open Accounts Receivables including email and phone conversations. Perform new...
  • 4/17/2024 12:00:00 AM

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Planning Consultant - Hingham, MA
  • Fidelity TalentSource LLC
  • Hingham, MA
  • Job Description: Planning Consultant As a Planning Consultant, you will provide a world-class planning experience, uncov...
  • 4/17/2024 12:00:00 AM

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Manager - Accounting Policy \u0026 Standards
  • Fidelity TalentSource LLC
  • Boston, MA
  • Job Description: The Accounting Policy and Standards Manager is responsible for guiding the application of accounting ru...
  • 4/16/2024 12:00:00 AM

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Manager, Accounting
  • Fidelity TalentSource LLC
  • Smithfield, RI
  • Job Description: The Role The Manager on the Fidelity Brokerage and Wealth Corporate Accounting & Controllership Team wi...
  • 4/16/2024 12:00:00 AM

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Bookkeeper
  • Brockton Home Health Care Agency LLC
  • Brockton, MA
  • Position: Bookkeeper Reports to: Administrator Revised: 11/16/2017 Job Summary: The bookkeeper will be responsiblefor fu...
  • 4/15/2024 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 jobs
$37,682 to $54,056
Brockton, Massachusetts area prices
were up 1.6% from a year ago