Credit Card Fraud Investigator jobs in Tulsa, OK

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 and Waste Investigator
  • Humana
  • Tulsa, OK FULL_TIME
  • Become a part of our caring community and help us put health first
     

    Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

    Take advantage of Humana’s competitive pay, lucrative 401k matching programs and more! Apply now to begin your future with a Fortune 40 Company!

                   

    The Fraud and Waste Professional 2:

    • Coordinates investigation with law enforcement authorities
    • Assembles evidence and documentation to support successful adjudication, where appropriate
    • Conducts on-site audits of provider records ensuring appropriateness of billing practices
    • Prepares complex investigative and audit reports
    • Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
    • Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
    • Follows established guidelines/procedures.


    Use your skills to make an impact
     

    WORK STYLE: Primarily work at home/remote with 5-10% travel. Employees are welcome to work from a local Humana office should they prefer to do so.

    WORK HOURS: Business hours are 40 hours per week, Monday-Friday, typically 8AM-5PM in the employee's time zone. Some flexibility in work scheduling is possible, depending on business needs.

    Required Qualifications

    • Must reside in Oklahoma

    • Healthcare fraud, waste, and abuse investigations experience

    • Knowledge of healthcare payment methodologies

    • Strong organizational, interpersonal, and communication skills

    • Inquisitive nature with ability to analyze data to metrics

    • Computer literate (MS Word, Excel)

    • Strong personal and professional ethics

    • Must be passionate about contributing to an organization focused on continuously improving   consumer experiences

    • Up to 10% travel within the region


    Preferred Qualifications

    • Bachelor’s degree

    • Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI)

    • Analytical background

    • Understanding of healthcare industry, claims processing and investigative process development

    • Experience in a corporate environment and understanding of business operations


    Additional Information

    Work at Home Requirements

    •    WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
    •    A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
    •    Satellite and Wireless Internet service is NOT allowed for this role.
    •    A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

    Additional Information - How We Value You  

    •    Benefits starting day 1 of employment 

    •    Competitive 401k match  

    •    Generous Paid Time Off accrual  

    •    Tuition Reimbursement 

    •    Parent Leave 

    Interview Format 

    As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

    If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

    If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

    #ThriveTogether #WorkAtHome

    Scheduled Weekly Hours

    40


    About us
     

    Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


    Equal Opportunity Employer

    It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

  • 12 Days Ago

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Greeting Card Retail Merchandiser
  • Field Force Merchandising
  • Owasso, OK PART_TIME
  • Assignment description:Field Force Merchandising is currently seeking part time retail service merchandisers to maintain a GREETING CARD displays .THIS IS SUPPLEMENTAL INCOME 1 STORE AFTER EVERY MAJOR...
  • 24 Days Ago

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Credit Analyst
  • Archon Resources
  • Tulsa, OK OTHER
  • Position: Credit Analyst Position Type: Direct Hire Compensation: $65K Location: Tulsa, OK Responsibilities Gather and review financial data about loan applicants, including their payment habits and h...
  • 1 Month Ago

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Gift card Merchandiser kj/kt
  • Merchandisers on Demand 1
  • Tulsa, OK PART_TIME
  • Immediately Hiring Merchandisers for gift card continuity and service work at various retail locations in the area Working Days/evenings ( you set your schedule) PLEASE NOTE THIS IS APPROXIMATELY 5-20...
  • 21 Days Ago

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Credit & Collections Representative
  • Miratech
  • Tulsa, OK FULL_TIME
  • Reports to: Controller Cooperates with: All Departments Primary Responsibility: Responsible for managing customer credit accounts, ensuring timely payments, and maintaining positive relationships with...
  • 24 Days Ago

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Credit Analyst 1
  • Arvest Bank
  • Bartlesville, OK FULL_TIME
  • Position is Monday through Friday 8 am to 5 pm with ability to work additional hours as needed. Location: 100 SE Frank Phillips Blvd, Bartlesville, OK 74003. Pay is based on a number of factors includ...
  • Just Posted

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0 Credit Card Fraud Investigator jobs found in Tulsa, OK area

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Certified Pharmacy Tech
  • Ardent Health Services
  • Tulsa, OK
  • Overview Join our team as a PRN Certified Pharmacy Tech in Tulsa, OK. Fulfilling your purpose begins here: People First,...
  • 3/28/2024 12:00:00 AM

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ACCOUNTING TECHNICIAN
  • The Muscogee Nation
  • Okmulgee, OK
  • MUSCOGEE (CREEK) NATION Seeking an ACCOUNTING TECHNICIAN Description: The Accounting Technician(s) performs any combinat...
  • 3/28/2024 12:00:00 AM

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Dental Assistant
  • Department of Veterans Affairs
  • Tulsa, OK
  • Summary The Muskogee and Tulsa VA Medical Center, part of the Eastern Oklahoma VA Health Care System (EOVAHCS), Dental S...
  • 3/28/2024 12:00:00 AM

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Pre Documentation Review Specialist
  • Regents Bank
  • Tulsa, OK
  • Summary: The Pre Documentation Specialist is responsible for accurately managing loan documentation through our establis...
  • 3/28/2024 12:00:00 AM

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Medical Support Assistant
  • Department of Veterans Affairs
  • Tulsa, OK
  • Summary The Medical Support Assistant (MSA) performs duties related to the receipt, intake and indexing of health and ad...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - Direct Hire - Incentive eligible-AMENDED
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (6 Month Roster) - Amended
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

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Manufacturing Accountant
  • Pure & Gentle, Inc.
  • Tulsa, OK
  • Job Description Job Description RELOCATION PACKAGE INCLUDED - $5,000 (Seguin, TX) ROLE AND RESPONSIBILITIES The Manufact...
  • 3/24/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credit Card Fraud Investigator jobs
$32,797 to $47,055
Tulsa, Oklahoma area prices
were up 1.2% from a year ago