Fire Inspectors and Investigators

**Why USAA?**

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

**The Opportunity**

We are seeking a talented Director, Bank Claims Investigations and Recovery. In this role, you will lead teams responsible for protecting the financial interests of USAA and our members by thoroughly investigating and resolving complex and moderately complex fraud and non-fraud transactional claims filed by members on their credit cards, debit cards and deposit accounts in compliance with federal and state Laws, Rules, and Regulations (LRRs). Attempts to recover funds in accordance with payment association rules (Visa, Amex, NACHA, Zelle, etc.). Operates in a highly regulated environment where performance is measured by quality and productivity metrics aligned to business scorecards. Fosters collaboration and leads Disputes employees and teams to achieve a shared member service vision. Organizes and leads the execution of Disputes operational and strategic business plans.

We offer a flexible work environment that requires an individual to be **in the office 4 days per week.** This position can be based in the following locations: San Antonio, TX, Phoenix, AZ, Tampa, FL, Colorado Springs, CO, Charlotte, NC, Plano, TX or Chesapeake, VA.

Relocation assistance is **not** available for this position.

**What you'll do:**

+ Provides oversight for the end-to-end process of bank disputes and resolutions.

+ Ensures bank dispute operations is efficiently utilizing allocated resources and effective in terms of meeting member, organizational and regulatory requirements.

+ Maintains knowledge of relevant regulatory environment to ensure compliance across areas of responsibility, and identifies, develops, and recommends improvements to Disputes Fraud and Non-Fraud processes and service delivery across all channels.

+ Leads functional projects, programs, and initiatives through successful execution and implementation.

+ Responsible for oversight of budgets and forecasts based upon the approved operational plan and vision.

+ Directs department resources across all units to achieve service and relationship goals, to include internal employees, contractors and offshore third-party vendors.

+ Ensures controls are completed in adherence to guidelines and timelines; may own or assist with the mitigation and closure of internal Issues.

+ Interacts with and responds on a regular basis to both internal and external audit and regulatory examination teams.

+ Builds and manages a high performing team through hiring activities, mentoring, training, coaching, and development of direct reports.

+ Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

**What you have:**

+ Bachelor’s degree OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.

+ 8 years of related experience in bank operations to include program/project management, process improvement, or business analysis.

+ 4 years of operational risk experience in a highly regulatory environment.

+ 3 years direct team lead or management experience providing coaching, development and/or leadership in a team-oriented environment.

+ 3 years of experience working with Federal Regulations as it relates to Fraud and Disputes, specifically knowledge of Regulation E, Regulation Z and/or UDAAP.

+ Strong leadership, motivational, and interpersonal skills.

+ Advanced experience handling customer complaints and disputes related to Deposit or Credit Card accounts.

+ Comprehensive understanding of end-to-end process for Fraud and Non-Fraud Credit Card, Debit Card and Deposit transactional disputes.

**What sets you apart:**

+ Experience leading Regulation E fraud and non-fraud investigation teams, consistently exceeding performance targets.

+ Subject matter expert in NACHA, Zelle and Visa network rules, with a proven ability to optimize recoveries.

+ Experience optimizing controls and exception functions within fraud and non-fraud claims environment.

+ Proven ability to effectively presented recommendations, and strategic insights to senior leadership.

+ Ability to apply critical thinking to analyze and improve claims operations.

+ U.S. military experience through military service or a military spouse/domestic partner.

**Compensation range:** The salary range for this position is: $103,450 - $197,730.

**USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).**

**Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

**Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

_Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._

_USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._

**If you are an existing USAA employee, please use the internal career site in OneSource to apply.**

**Please do not type your first and last name in all caps.**

**_Find your purpose. Join our mission._**

USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity.

USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself – you just need to share our passion for serving our more than 13 million members.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

California applicants, please review our HR CCPA - Notice at Collection (https://statmcstg.usaa.com/mcontent/static\_assets/Media/enterprise\_hr\_cpra\_notice\_at\_collection.pdf) here.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

Looking for a motivated, self-starter, with experience in reviewing wire activity, specifically for sanctions compliance.

+ Able to adapt to changes to operational and compliance protocols quickly, while maintaining a professional and team atmosphere.

+ Able to follow instructions as provided with accuracy and quality.

+ Able to work independently with multiple priority levels and deadlines.

+ Able to make decisive decisions and articulate rationale clearly and concisely.

+ Able to decern sanctions risk and escalate appropriately.

+ Able to multitask additional tasks as assigned.

Conducts investigations to identify, assess, decision and report on activity that indicates an exposure to financial crimes. Ensures potential threats and investigations are evaluated, documented, managed and escalated by following standard operating procedures. Provides subject matter expertise and oversight of criminal risk by following a disciplined and intelligence-based approach to detection and research of activities and events in alignment with criminal risk frameworks and standards to ensure compliance as well as support trending, analysis and insights generation.

+ Develops solutions and makes recommendations based on an understanding of business strategy and stakeholder needs.

+ Provides advice and guidance to assigned business/group on implementation of solutions.

+ Helps determine business priorities and best sequence for execution of business/group strategy.

+ Conducts independent analysis and assessment to resolve strategic issues.

+ Supports the execution of strategic initiatives in collaboration with internal and external stakeholders.

+ Builds effective relationships with internal/external stakeholders (e.g. law enforcement agencies and other Financial Institutions to collaborate in investigations).

+ Ensures alignment between stakeholders.

+ Integrates information from multiple sources to enable more efficient processes, enhanced analysis and/or streamlined reporting.

+ Identifies business needs, provides content/develops tools and training programs; may include delivery of training to audiences.

+ Analyzes and assesses incidents or cases that may be complex and require knowledge on several different product lines.

+ Prepares reports, notifications and activity/case filings per guidelines and standards.

+ Supports the planning and implementation of programs designed to minimize risk exposures and maximize the efficiency and effectiveness of the analytical processes.

+ Provides input and develops recommendations for process and customer service improvements.

+ Stays abreast of financial crimes risk trends, relevant regulations and compliance standards.

+ Monitors and analyzes various information provided through detection systems, tools, reports, or manually to evaluate, investigate and determine required actions.

+ Supports the collection of evidence and information to be used for multiple purposes including incident reports/filings, loss prevention, litigation and criminal prosecution, management information and statistics, and process improvements.

+ Documents actions and information found throughout the investigation to develop and maintain account/case files.

+ Develops and maintains an understanding of the financial crime management processes, frameworks and techniques.

+ Gathers and formats data into regular and ad-hoc reports, and dashboards.

+ Analyzes data and information to provide insights and recommendations.

+ Executes routine tasks such as service requests, transactions, queries etc. within relevant service level agreements.

+ Provides notification, information and instructions to internal/external stakeholders related to incidents as necessary.

+ Focus may be on a business/group.

+ Thinks creatively and proposes new solutions.

+ Exercises judgment to identify, diagnose, and solve problems within given rules.

+ Works mostly independently.

+ Broader work or accountabilities may be assigned as needed. **Qualifications:**

+ Typically, between 3-5 years of relevant experience and a post-secondary degree in related field of study or an equivalent combination of education and experience.

+ Knowledge of risk and regulatory requirements as they apply to financial crimes is an asset.

+ Knowledge of banking products, services, processes, and organization is an asset.

+ Specialized knowledge from education and/or business experience.

+ Verbal & written communication skills - In-depth.

+ Collaboration & team skills - In-depth.

+ Analytical and problem solving skills - In-depth.

+ Influence skills - In-depth.

**Salary:**

$41,714.00 - $77,500.00

**Pay Type:**

Salaried

The above represents BMO Financial Group’s pay range and type.

Salaries will vary based on factors such as location, skills, experience, education, and qualifications for the role, and may include a commission structure. Salaries for part-time roles will be pro-rated based on number of hours regularly worked. For commission roles, the salary listed above represents BMO Financial Group’s expected target for the first year in this position.

BMO Financial Group’s total compensation package will vary based on the pay type of the position and may include performance-based incentives, discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance, tuition reimbursement, accident and life insurance, and retirement savings plans. To view more details of our benefits, please visit: https://jobs.bmo.com/global/en/Total-Rewards

**About Us**

At BMO we are driven by a shared Purpose: Boldly Grow the Good in business and life. It calls on us to create lasting, positive change for our customers, our communities and our people. By working together, innovating and pushing boundaries, we transform lives and businesses, and power economic growth around the world.

As a member of the BMO team you are valued, respected and heard, and you have more ways to grow and make an impact. We strive to help you make an impact from day one – for yourself and our customers. We’ll support you with the tools and resources you need to reach new milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we’ll help you gain valuable experience, and broaden your skillset.

To find out more visit us at https://jobs.bmo.com/us/en

BMO is proud to be an equal employment opportunity employer. We evaluate applicants without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or any other legally protected characteristics. We also consider applicants with criminal histories, consistent with applicable federal, state and local law.

BMO is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please send an e-mail to BMOCareers.Support@bmo.com and let us know the nature of your request and your contact information.

Note to Recruiters: BMO does not accept unsolicited resumes from any source other than directly from a candidate. Any unsolicited resumes sent to BMO, directly or indirectly, will be considered BMO property. BMO will not pay a fee for any placement resulting from the receipt of an unsolicited resume. A recruiting agency must first have a valid, written and fully executed agency agreement contract for service to submit resumes.

SIU Desk Investigator - CF08JE

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.

The mission of the Special Investigations Unit (SIU) is to contribute to claims accuracy by building fraud awareness and effectively investigating questionable claims. Reporting to the SIU Desktop Manager, the Disability Desktop Investigator will be responsible for developing and executing thorough, impartial, and timely desktop investigations to support the accurate resolution of disability claims by the Company.The Disability Desktop Investigator will conduct investigations in a desktop environment utilizing various computer-based tools while also conducting interviews and obtaining recorded statements by phone. Interaction is expected with claimants, employers, and other professionals on a routine basis. Excellent interpersonal, communication and interview skills as well as computer-based researching proficiency are required. The role also involves liaising with claim personnel to promote fraud awareness and quality SIU referrals.•Review SIU disability referrals for desktop investigative potential. Initial assessment will include detailed reviews of appropriate claims utilizing a variety of background search tools.•Develop, implement, and oversee effective investigative strategies to support the accurate and timely resolution of disability claims by the Company. Routinely interact telephonically with claimants, employers, and providers to gather information as part of the investigation. Excellent interpersonal, communication and interview skills are required. Must understand and exhibit appropriate investigative behaviors and methods while handling all aspects of a claim under investigation.•Act as SIU liaison with Disability Claim Operations, promoting fraud awareness and quality SIU referrals. Provide support to claims partners and other departments within the Company, which may include participation in developing & presenting training at the direction SIU Management.•Continually enhance investigative skills and understanding of emerging issues impacting Group Benefits claims.

Job Qualifications:Minimum of 3 years insurance claim handling experience required. Long Term Disability claim experience preferred.SIU and/or law enforcement experience preferredCollege degree with criminal justice emphasis preferredSolid understanding of SIU or relevant claim processes, practices and applicable laws and regulationsConsistent high level of performance and achievement over career spanAbility to lead without having formal authority and to work both independently and in a team environmentAbility to manage multiple priorities in a challenging and fast-paced environmentStrong analytical and research skillsDemonstrated fraud awareness and aptitudeEffective interviewing and communication skills (written and verbal)Proven ability to build strong partnerships across segments and functionCustomer centricityThis role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$69,600 - $104,400

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age

About Us (https://www.thehartford.com/about-us) | Our Culture (https://www.thehartford.com/about-us/corporate-culture) | What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees) | Perks & Benefits (https://www.thehartford.com/careers/benefits)

Every day, a day to do right.

Showing up for people isn’t just what we do. It’s who we are – and have been for more than 200 years. We’re devoted to finding innovative ways to serve our customers, communities and employees—continually asking ourselves what more we can do.

Is our policy language as simple and inclusive as it can be? Can we better help businesses navigate our ever-changing world? What else can we do to destigmatize mental health in the workplace? Can we make our communities more equitable?

That we can rise to the challenge of these questions is due in no small part to our company values that our employees have shaped and defined.

And while how we contribute looks different for each of us, it’s these values that drive all of us to do more and to do better every day.

About Us (https://www.thehartford.com/about-us)

Our Culture

What It’s Like to Work Here (https://www.thehartford.com/careers/our-employees)

Perks & Benefits (https://www.thehartford.com/careers/benefits)

Legal Notice (https://www.thehartford.com/legal-notice)

Accessibility StatementProducer Compensation (https://www.thehartford.com/producer-compensation)

EEO

Privacy Policy (https://www.thehartford.com/online-privacy-policy)

California Privacy Policy

Your California Privacy Choices (https://www.thehartford.com/data-privacy-opt-out-form)

International Privacy Policy

Canadian Privacy Policy (https://www.thehartford.com/canadian-privacy-policy)

Unincorporated Areas of LA County, CA (Applicant Information)

MA Applicant Notice (https://www.thehartford.com/ma-lie-detector)

Sr GFC Investigator – Proficiency Coach

Chandler, Arizona;Phoenix, Arizona

**To proceed with your application, you must be at least 18 years of age.**

Acknowledge

Refer a friend

**To proceed with your application, you must be at least 18 years of age.**

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**Job Description:**

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day.

One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization.

Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us!

**Job Description:**

This job is responsible for performing end-to-end investigations or investigations support functions of external financial crimes activities across one or more lines of business. Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or terrorist financing and acting as the liaison to Law Enforcement as required. Job expectations include providing coaching and inputs to investigators to improve case quality, ensure all cases are sufficiently investigated and findings are adequately documented.

The Global Financial Crimes (GFC) Proficiency Coach role is responsible for delivering coaching and inputs to investigators to improve case quality, ensure all cases are sufficiently investigated and findings are adequately documented with the appropriate evidence reviewed. Proficiency Coaches are expected to effectively communicate with all levels within the organization.

**Responsibilities:**

+ Reviews, analyzes, and makes recommendations on investigations, while identifying enhancements to ensure cases meet or exceed closure and quality metrics

+ Reviews Suspicious Activity Reports (SAR) in a timely and accurate manner for submission to regulators and/or law enforcement

+ Reports facts of the investigation to senior stakeholders, assisting in identifying potential operational or compliance risks and partners with Global Financial Crimes (GFC) Management and/or Front Line Units (FLU) to resolve investigations

+ Performs quality control functions, training, communications, guidance, monitoring scenario development/enhancement input and testing, or law enforcement liaison responsibilities in an investigative support role

+ Supports the identification of improvements to the investigations and case assignment processes to enhance the effectiveness of investigative procedures

+ Participates in the case assignment process to distribute work across the investigative team

**Skills:**

+ Coaching

+ Fraud Management

+ Quality Assurance

+ Regulatory Compliance

+ Investigation Management

+ Policies, Procedures, and Guidelines Management

+ Risk Management

+ Issue Management

+ Reporting

+ Written Communications

**Required Qualifications**

+ Minimum 5 years' experience in financial crimes, AML,regulatory risk,audit, or related risk fields, **PLUS** some degree of investigations experience

+ Financial crimes compliance support experience a must

+ Previous proficiency coaching experience required

+ Demonstrated ability to accept and implement candid feedback and skillfully provide 360 degree coaching to all levels from associate to manager

+ Demonstrated strong leadership and coaching skills

+ Proficient in Microsoft PowerPoint, Excel and Word; Sharepoint, Webex, Mattermost

**Desired Qualifications**

+ Independent worker and self-motivated

+ Excellent organizational skills

+ Strong verbal and written communication skills

+ Demonstrated commitment to improving the team

+ Able to adapt to change and various working environments

+ Consistently shows pride in themselves and their work

+ Responsible and accountable for actions and results

+ Skilled at building relationships, and engaging with partners

+ Able to adhere to a hybrid work schedule

+ Certified Anti-money Laundering Specialists (CAMS) and Certified Fraud Examiner (CFE) Certifications a plus

+ Bachelor's Degree in related field

+ Experience in financial services and/or a related government entity

**Shift:**

1st shift (United States of America)

**Hours Per Week:**

40

Bank of America and its affiliates consider for employment and hire qualified candidates without regard to race, religious creed, religion, color, sex, sexual orientation, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law, and as such affirms in policy and practice to support and promote the concept of equal employment opportunity, in accordance with all applicable federal, state, provincial and municipal laws. The company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that is irrelevant to the performance of our teammates.

To view the "Know your Rights" poster, CLICK HERE (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12.pdf) .

View the LA County Fair Chance Ordinance (https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf) .

Bank of America aims to create a workplace free from the dangers and resulting consequences of illegal and illicit drug use and alcohol abuse. Our Drug-Free Workplace and Alcohol Policy (“Policy”) establishes requirements to prevent the presence or use of illegal or illicit drugs or unauthorized alcohol on Bank of America premises and to provide a safe work environment.

To view Bank of America’s Drug-free Workplace and Alcohol Policy, CLICK HERE .

Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated with your role. These expectations are subject to change at any time and at the sole discretion of the Company. To the extent you have a disability or sincerely held religious belief for which you believe you need a reasonable accommodation from this requirement, you must seek an accommodation through the Bank’s required accommodation request process before your first day of work.

This communication provides information about certain Bank of America benefits. Receipt of this document does not automatically entitle you to benefits offered by Bank of America. Every effort has been made to ensure the accuracy of this communication. However, if there are discrepancies between this communication and the official plan documents, the plan documents will always govern. Bank of America retains the discretion to interpret the terms or language used in any of its communications according to the provisions contained in the plan documents. Bank of America also reserves the right to amend or terminate any benefit plan in its sole discretion at any time for any reason.

Sr GFC Investigator – Proficiency Coach

Chandler, Arizona;Phoenix, Arizona

**To proceed with your application, you must be at least 18 years of age.**

Acknowledge

Refer a friend

**To proceed with your application, you must be at least 18 years of age.**

Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Chandler/Sr-GFC-Investigator---Proficiency-Coach\_25025500-1)

**Job Description:**

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day.

One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization.

Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us!

**Job Description:**

This job is responsible for performing end-to-end investigations or investigations support functions of external financial crimes activities across one or more lines of business. Key responsibilities include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or terrorist financing and acting as the liaison to Law Enforcement as required. Job expectations include providing coaching and inputs to investigators to improve case quality, ensure all cases are sufficiently investigated and findings are adequately documented.

The Global Financial Crimes (GFC) Proficiency Coach role is responsible for delivering coaching and inputs to investigators to improve case quality, ensure all cases are sufficiently investigated and findings are adequately documented with the appropriate evidence reviewed. Proficiency Coaches are expected to effectively communicate with all levels within the organization.

**Responsibilities:**

+ Reviews, analyzes, and makes recommendations on investigations, while identifying enhancements to ensure cases meet or exceed closure and quality metrics

+ Reviews Suspicious Activity Reports (SAR) in a timely and accurate manner for submission to regulators and/or law enforcement

+ Reports facts of the investigation to senior stakeholders, assisting in identifying potential operational or compliance risks and partners with Global Financial Crimes (GFC) Management and/or Front Line Units (FLU) to resolve investigations

+ Performs quality control functions, training, communications, guidance, monitoring scenario development/enhancement input and testing, or law enforcement liaison responsibilities in an investigative support role

+ Supports the identification of improvements to the investigations and case assignment processes to enhance the effectiveness of investigative procedures

+ Participates in the case assignment process to distribute work across the investigative team

**Skills:**

+ Coaching

+ Fraud Management

+ Quality Assurance

+ Regulatory Compliance

+ Investigation Management

+ Policies, Procedures, and Guidelines Management

+ Risk Management

+ Issue Management

+ Reporting

+ Written Communications

**Required Qualifications**

+ Minimum 5 years' experience in financial crimes, AML,regulatory risk,audit, or related risk fields, **PLUS** some degree of investigations experience

+ Financial crimes compliance support experience a must

+ Previous proficiency coaching experience required

+ Demonstrated ability to accept and implement candid feedback and skillfully provide 360 degree coaching to all levels from associate to manager

+ Demonstrated strong leadership and coaching skills

+ Proficient in Microsoft PowerPoint, Excel and Word; Sharepoint, Webex, Mattermost

**Desired Qualifications**

+ Independent worker and self-motivated

+ Excellent organizational skills

+ Strong verbal and written communication skills

+ Demonstrated commitment to improving the team

+ Able to adapt to change and various working environments

+ Consistently shows pride in themselves and their work

+ Responsible and accountable for actions and results

+ Skilled at building relationships, and engaging with partners

+ Able to adhere to a hybrid work schedule

+ Certified Anti-money Laundering Specialists (CAMS) and Certified Fraud Examiner (CFE) Certifications a plus

+ Bachelor's Degree in related field

+ Experience in financial services and/or a related government entity

**Shift:**

1st shift (United States of America)

**Hours Per Week:**

40

Bank of America and its affiliates consider for employment and hire qualified candidates without regard to race, religious creed, religion, color, sex, sexual orientation, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law, and as such affirms in policy and practice to support and promote the concept of equal employment opportunity, in accordance with all applicable federal, state, provincial and municipal laws. The company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that is irrelevant to the performance of our teammates.

To view the "Know your Rights" poster, CLICK HERE (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12.pdf) .

View the LA County Fair Chance Ordinance (https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf) .

Bank of America aims to create a workplace free from the dangers and resulting consequences of illegal and illicit drug use and alcohol abuse. Our Drug-Free Workplace and Alcohol Policy (“Policy”) establishes requirements to prevent the presence or use of illegal or illicit drugs or unauthorized alcohol on Bank of America premises and to provide a safe work environment.

To view Bank of America’s Drug-free Workplace and Alcohol Policy, CLICK HERE .

Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated with your role. These expectations are subject to change at any time and at the sole discretion of the Company. To the extent you have a disability or sincerely held religious belief for which you believe you need a reasonable accommodation from this requirement, you must seek an accommodation through the Bank’s required accommodation request process before your first day of work.

This communication provides information about certain Bank of America benefits. Receipt of this document does not automatically entitle you to benefits offered by Bank of America. Every effort has been made to ensure the accuracy of this communication. However, if there are discrepancies between this communication and the official plan documents, the plan documents will always govern. Bank of America retains the discretion to interpret the terms or language used in any of its communications according to the provisions contained in the plan documents. Bank of America also reserves the right to amend or terminate any benefit plan in its sole discretion at any time for any reason.

Description

The Special Projects & Investigations team is looking for an experienced, motivated industry specialist with background in risk, digital fraud, compliance, or cyber investigations who also have advanced data analysis skills (SQL, Python, Machine Learning, Data Science). This role will manage critical and high impact projects and scale their findings through technology and analytics to interpret risks across Amazon’s entire business segment or apply other industry experience to develop feasible, systematic solutions to endemic problems.

The Customer Trust (CT) organization's mission is to keep Amazon stores safe and trustworthy for our buyers, brands and selling partners, by enabling our selling partners to provide great CX while ensuring bad actors are kept out of our stores. The Special Projects & Investigations (SPI) team protects Amazon’s WW stores store by creating projects and programs focused on the detection of abuse at its earliest point and identifying the root causes, vulnerabilities or exploits to systematically address to prevent future abuse. We search out highly skilled candidates who move fast, have an entrepreneurial spirit to create new solutions, a tenacity to get things done, thrive in an environment of ambiguity and change, and are capable of breaking down and solving complex problems. We value individual expression, respect different opinions, and work together to create a culture where each of us is able to contribute fully. The combination of our unique backgrounds and perspectives strengthens our ability to achieve Amazon's mission of being Earth's most customer-centric company.

We catch bad actors and stop online fraud. It’s fun. It’s hard. It matters. We are passionate about protecting our selling partners and customers from bad actors and want a candidate that shares that passion. Amazon is one of the world’s most trusted companies. Help us keep it that way. To achieve this, the ideal candidate should be passionate about use of advanced data analytics and technology approaches to identify patterns and establish connections to uncover process and technology gaps and prevent fraud across Amazon stores worldwide. Your decisions are not only fundamental to helping protect customers and selling partners but will help maintain the health of Amazon’s catalog and product listings ecosystem.

Key job responsibilities

• Complete risk analyses and manipulate data in complex data sets (SQL, Python, R etc.)

• Use high-level judgment to inform our most complex enforcement decisions

• Identify gaps and risks in Amazon's current mechanisms and policies and recommend solutions to product/policy owning teams.

• Use data and/or technical skills to discover new ways to scale deep dive signals resulting in the identification of many bad actors and sizing the issue

• Owning the complete life cycle of one or more complex problems - from identification through scaling the solutions

• Break problems into manageable pieces, ruthlessly prioritizing, and delivering results in an ambiguous environment

• Conduct large scale deep dives to derive insights about tactics used to conduct abuse on our stores, identifying gaps and risk in Amazon's current mechanisms, systems, and policies

• Write documents for partner teams and executives that identify problems, propose technical solutions, and drive alignment among stakeholders

• Own partnerships with stakeholder teams and guide appropriate trade-offs, clearly communicate goals, roles and responsibilities.

A day in the life

Your day might involve diving deep into data to uncover emerging fraud patterns, collaborating with teams across Amazon to implement protective solutions, or developing new detection methods. You'll balance independent analytical work with team collaboration, sharing insights and supporting colleagues in our shared mission.

About the team

Our team is comprised of practitioners of fraud and abuse, working to understand bad actor ecosystems using threat intelligence analytics and technical skills. We complement specialized industry skills with broad risk experiences, to deliver results - we wear a lot of hats and take ownership of hard to solve problem areas whenever possible. We speak 12 languages, write code in 3 (mostly self-taught, on the job), and celebrate learning and taking risks. We encourage experimentation and curiosity while supporting each other to constantly learn and grow.

Our work is to solve hard puzzles and identify what hasn’t already been discovered - typically with data and always with a lot persistence and curiosity. If you like the sound of that, come join us.

Basic Qualifications

• Bachelor’s or postgraduate degree in Information Security, Computer Science, Data Science/Analytics, Engineering, Mathematics, Statistics or related discipline.

• 3+ years of relevant industry experience in risk or fraud investigations, regulatory compliance, ecommerce, analytics, or security

• Proficient with deriving insights from big data using SQL & experience manipulating/processing data with Python

• Proven ability to deliver complex projects across multiple teams

Preferred Qualifications

• Experience working in e-commerce organizations

• Experience working within fraud, compliance, law enforcement, or intelligence organizations

• Experience with AWS services like Redshift, Neptune or Sagemaker

• Masters degree in or practical experience with data science or machine learning

• Excellent written and verbal communication skills to communicate security and business risk to a broad range of technical and non-technical audiences.

• High level of integrity and discretion to handle confidential information.

• Exceptional ownership and bias for action: willing to move quickly and decisively

• Proven ability to problem solve in large/complex/technical systems

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $91,800/year in our lowest geographic market up to $196,300/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits . This position will remain posted until filled. Applicants should apply via our internal or external career site.

**Your opportunity**

At Schwab, you’re empowered to make an impact on your career. Here, innovative thought meets creative problem solving, helping us “challenge the status quo” and transform the finance industry together.

The Visa Fraud Investigations team (VFI) is a department within the Financial Crimes Risk Management Enterprise. Our charter is to protect our client’s and the firm’s assets by preventing and mitigating fraud losses. VFI is responsible for conducting fraud investigations and pursuing recovery efforts of unauthorized debits to client accounts. Types of case investigations conducted include unauthorized Visa debit card transactions for both the Bank and Broker Dealer products.

As the business continues to grow, the Business Process Manager will pursue the right level of changes to ensure VFI continues to meet the needs of the business and regulators in both proactive fraud investigations as well as fraud claim management. The Business Process Manager must demonstrate initiative with minimal direct supervision when addressing their team’s daily responsibilities. Consistency in exercising good judgment and decision making with respect to risk and fraud issues is key. The ability to effectively manage multiple projects and additional daily responsibilities at a high level of proficiency and quality is required.

**Key Responsibilities include but are not limited to:**

+ Manage workflow enhancements within case management system to decrease AHT while maintaining regulatory focus.

+ Process Q/C caseload to ensure all tools used by VFI/VROM/TROM are working as designed and are meeting regulatory guidelines.

+ Manage various ad-hoc projects that assist VFI/VROM/TROM in continuing to meet demands of the business as well as internal/external regulators and auditors

+ Continual documentation of process and procedures used by VFI/VROM/TROM

+ Work cross functionally with our peers processing disputes as well as front line teams to ensure consistency in case handling

+ Support other managers/department when the need emerges

**Key Factors for Success in This Role**

+ Organizational skills: ability to anticipate, improvise, and adapt to the needs of the department. Consistently manage workloads effectively. Can orchestrate multiple activities at once to accomplish a goal. Use resources effectively and efficiently. Arrange information and files in a useful manner. Ensure that all follow-up responsibilities are completed timely and with limited direct supervision.

+ Quality: ability to problem solve with results-oriented style delivering good quality changes that meet or exceed the needs of the department and regulations. Demonstrated skills in the areas of critical thinking and judgment as they relate to assessing and mitigating updates to processes and procedures.

+ Communication skills: Ability to present complex materials, work effectively across functions, maintain composure in stressful situations, and diffuse tense situations comfortably.

+ Client Focus: dedicated to meeting the expectations and requirements of internal and external clients. Act with the client in mind.

**What you have**

Required Qualifications:

+ Minimum of 2 years of investigative experience in the areas of: Visa Check Card fraud investigations required.

+ Working knowledge of Regulation E a must.

+ Ability to think and act critically when making changes to workflows, processes, and procedures.

+ Demonstrated personal initiative to work through new and unfamiliar issues while demonstrating good judgment and decision making with respect to risk issues.

+ Demonstrated work history of working well with others in a team environment.

+ Effective skills in the management of personal workloads with an emphasis on producing quality work with minimal errors in a demanding environment.

+ Strong verbal and written communication skills. Ability to clearly present complex materials to a broad audience with differing backgrounds.

+ Detailed knowledge of Schwab systems related to both the Broker Dealer and the Schwab Bank sides of the business with respect to Visa debit card transactions is preferred (System knowledge to include, but not limited to: Visa CATS (Client Administrative Tools & Services), Visa Online, Client Central, Legacy and various other systems that are used to review and research payment transactions

+ Required experience within financial industry.

Preferred Qualifications:

+ 3-5 years financial services/banking experience with direct customer contact servicing Visa Check Card issues preferred.

+ Familiarity with financial industry operations preferred.

**What’s in it for you**

At Schwab, we’re committed to empowering our employees’ personal and professional success. Our purpose-driven, supportive culture, and focus on your development means you’ll get the tools you need to make a positive difference in the finance industry. Our Hybrid Work and Flexibility approach balances our ongoing commitment to workplace flexibility, serving our clients, and our strong belief in the value of being together in person on a regular basis.

We offer a competitive benefits package that takes care of the whole you – both today and in the future:

+ 401(k) with company match and Employee stock purchase plan

+ Paid time for vacation, volunteering, and 28-day sabbatical after every 5 years of service for eligible positions

+ Paid parental leave and family building benefits

+ Tuition reimbursement

+ Health, dental, and vision insurance

What’s in it for you:

At Schwab, we’re committed to empowering our employees’ personal and professional success. Our purpose-driven, supportive culture, and focus on your development means you’ll get the tools you need to make a positive difference in the finance industry. Our Hybrid Work and Flexibility approach balances our ongoing commitment to workplace flexibility, serving our clients, and our strong belief in the value of being together in person on a regular basis.

We offer a competitive benefits package that takes care of the whole you – both today and in the future:

401(k) with company match and Employee stock purchase plan

Paid time for vacation, volunteering, and 28-day sabbatical after every 5 years of service for eligible positions

Paid parental leave and family building benefits

Tuition reimbursement

Health, dental, and vision insurance

Schwab is an affirmative action employer, focused on employing and advancing in employment, qualified women, racial and ethnic minorities, protected veterans, and individuals with disabilities in the workplace. If you have a disability and require reasonable accommodations in the application process, contact Human Resources at applicantaccessibility@schwab.com or call 800-275-1281.

DHS Credentialed Background Investigator

Job Category: Service Contract Act

Time Type: Full time

Minimum Clearance Required to Start: Top Secret

Employee Type: Regular

Percentage of Travel Required: Up to 25%

Type of Travel: Local

* * *

At CACI, background investigation is more than research and reports; it's your chance to contribute to the safety and security of our nation in the company of colleagues who value trust and integrity above all else. CACI fosters a culture based on integrity, strong ethics, quality, and professionalism. Our staff has been an industry-leading provider of federal background investigations since 2004 and employs full-time and part-time investigators in all 50 U.S. states, Puerto Rico, Guam, the U.S. Virgin Islands, and other U.S. territories.

**What You’ll Get to Do**

+ Conduct comprehensive interviews with subjects, employers, associates, references, and other knowledgeable individuals and review appropriate records to obtain facts to resolve all material issues in a case or to establish the background, reputation, character, suitability, or qualifications of the subject under investigation. Document all information received and submit a detailed report of investigation within a strict timeline.

+ TDY opportunity at locations across the U.S. for 2 or more weeks in duration

+ Opportunities to work on multiple field investigation contracts

**You’ll Bring These Qualifications**

+ Customer credential or the ability to obtain based on National Training Standard certification and experience conducting background investigations

+ Proven quality, timeliness, and production metrics

+ A Bachelor’s Degree or 4 years of general experience demonstrating progressive responsibility in problem solving, planning and organizing work, and communicating effectively orally and in writing.

+ Clearance: Active Top Secret Clearance based on a T5 Investigation

+ Ability to maintain a favorable determination based on T5 Investigation

+ A sense of mission in support of national security initiatives

+ An impeccable work ethic, integrity, and can-do attitude

+ A current driver’s license, reliable personal vehicle, and willingness to extensively travel locally on a daily basis dependent on assignment location

+ A home office equipped with high-speed Internet ($50 monthly internet stipend is provided)

+ A personal computer compatible with Microsoft applications (e.g. Word and Excel)

+ Ability to walk, type, sit, or stand for long periods of time

+ Excellent time management skills

+ Exceptional written and oral communication skills, such as typing detailed, extensive, and lengthy reports and includes:

+ Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately.

+ Shows understanding, friendliness, courtesy, tact, empathy, concern, and politeness to others; develops and maintains effective relationships with others; may include effectively dealing with individuals who are difficult, hostile, or distressed; relates well to people from varied backgrounds and different situations; is sensitive to cultural diversity, race, gender, disabilities, and other individual differences.

+ Recognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material that is appropriate for the intended audience.

**This position description is not an active opening but is representative of positions within CACI that are consistently available. Individuals who apply may be considered for other positions at CACI.**

What We Can Offer You:

- We’ve been named a Best Place to Work by the Washington Post.

- Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives.

- We offer competitive benefits and learning and development opportunities.

- We are mission-oriented and ever vigilant in aligning our solutions with the nation’s highest priorities.

- For over 60 years, the principles of CACI’s unique, character-based culture have been the driving force behind our success.

This position is contingent on funding and may not be filled immediately. However, this position is representative of positions within CACI that are consistently available. Individuals who apply may also be considered for other positions at CACI.

**________________________________________________________________________________________**

**What You Can Expect:**

**A culture of integrity.**

At CACI, we place character and innovation at the center of everything we do. As a valued team member, you’ll be part of a high-performing group dedicated to our customer’s missions and driven by a higher purpose – to ensure the safety of our nation.

**An environment of trust.**

CACI values the unique contributions that every employee brings to our company and our customers - every day. You’ll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality.

**A focus on continuous growth.**

Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground — in your career and in our legacy.

**Your potential is limitless.** So is ours.

Learn more about CACI here. (https://careers.caci.com/global/en/life-at-caci)

**________________________________________________________________________________________**

**Pay Range:**

This posting is for a position covered by the Service Contract Labor Standards (SCA). The pay and benefits provided for this position will meet or exceed the minimum required amounts detailed in the wage determination issued by the Department of Labor and made applicable to this position, as incorporated into CACI’s government contract for the work location.​

**Minimum Req** **uired Hourly Wage:**

$25.82

There are a host of other factors that can influence final salary including, but not limited to, geographical location, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits. Learn more here (https://careers.caci.com/global/en/employee-benefits) .

_CACI is_ _an Equal Opportunity Employer._ _All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any_ _other protected characteristic._

**Description**

**Working across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients, here and abroad, to tackle their most complex challenges with integrity, respect, responsibility, and professionalism.**

V2X Professional Services (VPS) is looking for Automotive Product Investigators to support vehicle investigations throughout the United States. This position is responsible for conducting neutral, unbiased customer and dealership interviews as well as performing thorough vehicle inspections, research of the vehicle history, insurance claims, and / or repairs, etc. The ideal candidate will have Dealership or Independent Service Center Technician, Service Engineering and/or Service Management experience. This position may include interviewing the vehicle owner, obtaining the vehicle history, obtaining specific vehicle data, completing detailed inspection forms and assisting with the interpretation of the inspection results

**Southwest region, Phoenix , AZ to Northern California(San Francisco)**

Hourly wage rate depends on specific experience but will be between $23/hour to $30/hour

**Specific rolls and responsibilities include:**

+ Generate and upload technical vehicle reports in a timely fashion

+ Maintain knowledge of customer’s vehicle product lines and systems

+ Hands-on vehicle expertise and knowledge in an automotive service department setting

+ Crash Data Retrieval from powered and unpowered vehicles

+ Customer and witness interviews

+ Obtaining copies of police, fire department, and/or vehicle service history reports

+ Take appropriate, clear photos of vehicle and/or parts, as needed

**Important to note:**

+ Requires availability during regular business hours to perform vehicle inspections.

+ Requires local and regional travel dependent on vehicle inspection locations.

+ **Is part-time/casual (there is no guarantee of minimum work hours)**

**Required Skills**

+ Minimum of 8 years related automotive service industry experience

+ Current or prior ASE certifications A1 – A8, with a preference for Electrical Electronics or T1 – T8

+ Knowledge of automotive systems and repair procedures

+ Knowledge of diagnostic test equipment (set up, instrumentation, OEM scan tool etc.)

+ Excellent oral communication skills to include demonstrated face-to-face customer interaction

+ Basic working knowledge of MS Word, Outlook and Excel

+ Familiarity with the TREAD Act

+ Experience writing detailed technical reports and report generation expertise

+ Valid driver’s license

+ Reliable transportation

+ Ability to work independently

+ Attention to detail

+ Ability to transfer and upload case files

+ Flexibility for local and/or overnight travel

**Desired Skills**

+ Good collaboration skills to obtain data from different parties

+ Strong PC/ Microsoft Office suite usage skills.

+ Service management experience

+ Ability to act as an expert witness **Required Education**

+ High School diploma or equivalent, required.

+ Associate degree in automotive technology or successful completion of a formal Automotive Technology Program, preferred. **Work Environment** Work is performed in salvage yards, dealership parking lots (holding area), ports, and/or shop bay settings. Work environment may involve exposure to various weather conditions, automotive fumes, fluids, noise, smells, sharp edges and bump hazards that require continuous use of personal protective equipment, i.e., safety glasses, gloves, and head protection. Work may involve standing, sitting, walking (even, uneven areas), occasional lifting (overhead, waist level) from floor, bending, frequent near vision use for reading and computer use. **Physical Requirements** While performing the duties of this position, the employee is frequently required to sit, stand, bend, kneel, stoop, communicate, reach, and manipulate objects. Travel to complete an investigation may require sitting in a vehicle up to 4 hours one way to reach the investigation site. Duties may involve moving materials weighing up to 35 pounds. Less frequent requirements for moving materials weighing over 35 pounds do exist with the assistance of lifting and moving equipment, i.e., hoists and lift tables. Manual dexterity and coordination are required over 50% of the work period while working in investigation areas as well as operating equipment such as computer keyboard, monitor, projector, calculator, printer, and standard office equipment.

V2X is committed to building a diverse and inclusive environment in which we recognize and value each other’s differences as well as fostering a culture that promotes its core values: Professionalism, Integrity, and Respect. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, or status as a protected veteran

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

**JOB DESCRIPTION**

**Job Summary**

The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position ensures adherence to state and federal policies, CPT guidelines, internal policies, and contract requirements. This position completes a medical review to facilitate a referral to law enforcement or for payment recovery.

**KNOWLEDGE/SKILLS/ABILITIES**

+ Reviews post pay claims with corresponding medical records to determine accuracy of claims payments.

+ Review of applicable policies, CPT guidelines, and provider contracts.

+ Devise clinical summary post review.

+ Communicate and participate in meetings related to cases.

+ Critical thinking, problem solving and analytical skills.

+ Ability to prioritize and manage multiple tasks.

+ Proven ability to work in a team setting.

+ Excellent oral and written communication skills and presentation skills.

**JOB QUALIFICATIONS**

**Required Education**

High School Diploma / GED (or higher)

**Required Experience**

+ 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location

+ Thorough knowledge of PC based software including Microsoft Word (edit/save documents) and Microsoft Excel (edit/save spreadsheets, sort/filter)

**Required License, Certification, Association**

Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA)

**Preferred Education**

Bachelor's degree (or higher)

**Preferred Experience**

+ 2+ years of experience working in the group health business preferred, particularly within claims processing or operations.

+ A demonstrated working knowledge of Local, State & Federal laws and regulations pertaining to health insurance, investigations & legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.)

+ Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems.

+ Demonstrated ability to use MS Excel/Access platforms working with large quantities of data to answer questions or identify trends and patterns, and the ability to present those findings.

**Preferred License, Certification, Association**

+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred

+ Certified Fraud Examiner and/or AHFI professional designations preferred

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $21.82 - $51.06 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.