Private Detectives and Investigators

**Job Description:**

Select Health is a not-for-profit community health plan serving more than 1 million members in the Intermountain west. Select Health’s line of businesses (LOB) includes Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans and fully funded and self-funded Commercial plan. An Investigator in the Special Investigations Unit at Select Health receives and investigates allegations of Fraud Waste and Abuse (FWA) by gathering evidence through data analytics, records reviews, investigative interviews or by many other means, then presents findings in writing and orally to Select Health senior leadership as well as law enforcement agencies. This position is directly responsible for helping to protect billions of premium dollars used to pay claims, ensuring claims are paid appropriately and accurately.

**This role is remote the candidate must be able to work remotely and be okay to have virtual interactions with the team via teams. including on camera meetings and have a room that is isolated from outside traffic with a professional background.**

**We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.**

**Essential Functions**

+ Receives referrals through various sources and investigates potential Fraud Waste and Abuse allegations, seeking evidence by means of data analytics, records reviews, investigative interviews, surveillance, onsite audits and many other methods.

+ Presents investigative findings to executive leadership along with recommended corrective action plans to implement with subjects of investigations. These plans can vary greatly but often include provider education, overpayment collection, contract terminations and fraud referrals to law enforcement and other regulators.

+ Prepares detailed investigative reports for local and federal law enforcement agencies as well as for other regulatory agencies.

+ Assists local and federal law enforcement agencies or other regulators in supporting investigative efforts where Select Health may have exposure to the Fraud Waste or Abuse being investigated. This may be anything from sharing investigative findings, sharing industry knowledge up to and including testifying in court to work performed on specific investigations.

+ Ensures all regulatory and contract requirements are met in regard to work done in the Special Investigations Unit. Also assists in audit preparation and interviews when regulators or the Intermountain Internal Audit team audits Select Health’s Fraud Waste and Abuse program.

+ Prepare and present Fraud Waste and Abuse awareness training for new customer service agents, other departments within Select Health and Intermountain and at seminars and conferences.

+ Builds and maintains strong working relationships with other departments within Select Health critical to the success of the Special Investigations Unit. This position will also build and maintain these same working relationships with other insurance companies’ Special Investigations Units as well as Law Enforcement Agencies within the Select Health service area.

**Skills**

+ Analytical Thinking

+ Interpersonal Communication

+ Investigative Interviewing

+ Computer Literacy

+ Criminal Justice

+ Legal

+ Project Management

+ Insurance Fraud

+ Law Enforcement

+ Accounting

**Qualifications**

Minimum Qualifications

Eight years of professional experience in medical insurance, insurance fraud, law enforcement or related field. College degrees can also be counted towards years of professional experience when obtained through an accredited institution and is verified

Experience requiring effective problem-solving, critical thinking, process analysis, and other strong analytical skills.

Experience in managing or planning work assignments that require strong interpersonal and organizational skills and managing time effectively with minimum supervision.

Demonstrated collaboration, team-orientation, and initiative skills.

Demonstrated ability to interact professionally with mid– to upper-level management of clinics, pharmacies or other organizations.

Demonstrated ability to work independently, adapt to change quickly, deal with ambiguity, and multi-task.

Demonstrated proficiency in word processing and spreadsheets.

Ability to travel when necessary to attend educational opportunities such as conferences and seminars, to attend taskforce meetings or to conduct onsite audits and interviews to support investigations. Occasionally, travel will involve overnight stays.

Preferred Qualifications

Bachelor’s Degree in related field such as Business, Computer Science or Criminal Justice. Degree must be obtained through an accredited institution and is verified.

Certified Health Care Professional

Experience investigating, interviewing and working with law enforcement

Database querying skills, specifically using Standard Query Language (SQL)

Ability to proactively identify fraud schemes or anomalies in billing trends through data analytics

Health care and/or Health Insurance industry knowledge of medical and/or pharmacy claims, payment policies and terminology

Knowledge of federal and state fraud statutes including but not limited to mandatory reporting statutes, False Claims Act, Stark Laws, Anti-Kickback Statutes etc

Excellent problem solving, negotiation, and process improvement skills.

**Physical Requirements**

+ Ongoing need for employees to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

+ Frequent interactions with colleagues and providers require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

**Physical Requirements:**

**Location:**

SelectHealth - Murray

**Work City:**

Murray

**Work State:**

Utah

**Scheduled Weekly Hours:**

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$30.55 - $48.12

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

**Become a part of our caring community and help us put health first**

The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported, alleged, or suspected fraud, waste, or abuse. This role involves varied work assignments that often require interpretation and independent judgement to determine the most appropriate course of action.

The Fraud and Waste Professional 2 works collaboratively with multiple departments to identify trends and analyze claims for potential fraud, waste, and abuse (FWA), ensuring accuracy, appropriate contract interpretation, and compliance with established policies and procedures. This role gathers and organizes evidence and documentation to support successful adjudication, where appropriate. The position requires experience preparing complex investigative and audit reports and presenting case outcomes and making recommendations to senior leadership. Responsibilities include initiating, coordinating, and reviewing audits of provider records to verify billing practices and ensuring compliance with state and federal regulations. The position requires understanding department, segment, and organizational strategy and operating objectives, including their linkages to related areas. The Fraud and Waste Professional 2 makes independent decisions regarding work methods, including in situations with ambiguity, and requires minimal direction, while following established guidelines and procedures.

**Use your skills to make an impact**

**Required Qualifications**

+ Registered and/or Pharmacy Technician Certification and at least 3 years retail, specialty, or mail order pharmacy experience or equivalent experience in FWA investigations

+ At least 3 years of experience with pharmacy and/or medical FWA investigations

+ In-depth knowledge of healthcare industry, claims processing, and payment methodologies

+ Strong organizational, interpersonal, and communication skills

+ Demonstrated ability to work independently, self-motivate, and effectively prioritize cases with minimal oversight

+ Extensive understanding of investigative procedures

+ Strong analytical skills with the ability to create and interpret metrics and data

+ Proficiency in Microsoft Office, particularly Excel

+ High standard of personal and professional ethics

+ Willingness and ability to travel up to 15%

**Preferred Qualifications**

+ CFE and/or AHFI Certifications

+ Bachelor's degree and/or other professional certifications or advanced degrees

+ Experience developing and establishing investigative processes and creating and revising policies and procedures

+ Experience using and/or creating visualizations in Power BI for data analysis and reporting

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

**Scheduled Weekly Hours**

40

**Pay Range**

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

**Description of Benefits**

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 07-22-2025

**About us**

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

​

**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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

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 gathered through years of experience 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.

Government Solutions & Investigations Associate (#949) - Phoenix

Dorsey & Whitney LLP is seeking a Government Solutions and Investigations associate with one to three years of experience to join our Phoenix office. This associate will have the opportunity to work in all phases of government investigations, internal investigations, and government-facing and other complex litigation, from pleading through trial and appeal and in State and Federal courts throughout the United States. This position will involve significant responsibility over pending cases, investigations experience, compliance advising in various areas including anti-corruption and whistleblowing, and in-court experience and active motion and trial practice. Specifically, this associate will handle the following types of tasks for complex litigation and investigation matters:

- discovery

- oral advocacy

- brief writing

- depositions and witness interviews

- assisting with the analysis and development of compliance programs

- research

- trial preparation

- preparation of investigative reports for clients

The following qualifications are required:

- A JD degree from an ABA-accredited law school

- One to three years of law firm associate experience, with demonstrable skills in fact development, document review, legal writing and time/deadline management

- Arizona bar admission or the ability to be admitted to the Arizona bar

- Excellent research and writing skills

- Strong academic performance

Dorsey offers a collaborative and dynamic environment, with competitive compensation and excellent benefits. Our benefits are available to attorneys working 17+ hours/week along with their dependents, including spouses and domestic partners regardless of gender. Dorsey’s benefits package includes: comprehensive medical insurance with coverage for infertility, gender-affirming care, behavioral health, and access to virtual providers; dental insurance; vision insurance; 401(k) retirement savings plan; basic and optional life insurance; short and long-term disability; flexible time off; up to 15 weeks of paid parental leave with up to an additional 6-8 weeks of paid short-term disability for attorneys who give birth; paid holidays; adoption assistance; healthcare, dependent care, and transportation pre-tax reimbursement accounts; back-up child and elder care program; education and college advising program; virtual tutoring; wellbeing programs and activities; mass transit program (certain offices); travel assistance program; 24/7 employee assistance program with access to five confidential visits with a licensed counselor at no cost. Where applicable, attorneys may be eligible for a discretionary bonus and/or a productivity bonus, clerkship bonus, relocation expenses, and bar review expenses. First-year associates are also eligible for a salary advance and bar review stipend. (Some benefits are subject to eligibility criteria and may result in taxable income to the recipient.)

You will receive consideration for employment without regard to race, color, creed, religion, ancestry, sex, national origin, sexual orientation, gender identity, affectional preference, disability, age, marital status, familial status, status with regard to public assistance, military or veteran status, or any other legally-protected status.

Dorsey participates in E-Verify.

About Dorsey

Clients have relied on the international law firm of Dorsey & Whitney LLP since 1912 as a trusted legal advisor and valued business partner. With locations across the United States as well as Canada, Europe and Asia, Dorsey provides an integrated, dedicated approach to its clients' legal and business needs. Dorsey’s diverse client base includes more than one-third of Fortune 100 companies.

Our lawyers apply superb legal knowledge and skills with practical wisdom and a deep understanding of business and industry. We serve clients in nearly all industries, but focus on six key industries in which we have excellent depth and a history of achieving client success:

- Banking and Financial Institutions

- Development and Infrastructure

- Energy & Natural Resources

- Food, Beverage & Agribusiness

- Healthcare

- Technology

Among Dorsey’s many distinguished alumni are U.S. Supreme Court Justice Harry Blackmun, noted law professor and scholar William Prosser, Minnesota’s first woman judge Betty Washburn, former U.S. Vice President and Ambassador to Japan Walter Mondale, U.S. Senator Amy Klobuchar, former Corporation Counsel of the City of New York Zachary Carter, and U.S. Secretary of Agriculture Tom Vilsack. Recognized for our dedication to community, Dorsey has met the ABA Law Firm Pro Bono Challenge every year since the Challenge began in 1993 by devoting more than 3% of billable hours to pro bono work.

One of our greatest strengths is a friendly, cooperative culture that values and appreciates each individual. Dorsey has received external recognition for our welcoming workplace, including:

- Mansfield Certification Plus (Diversity Lab)

- Best Law Firms for Women (Seramount)

- 100% rating on the Corporate Equality Index (Human Rights Campaign)

- Top 100 Adoption-Friendly Workplace (Dave Thomas Foundation for Adoption)

How to Apply

Dorsey accepts online applications at https://www.dorsey.com/careers. We do not accept application materials by mail or email except as a reasonable accommodation for qualified disabled applicants. Dorsey is committed to providing disability and religious-based accommodations, as well as menopause, pregnancy, and lactation-related reasonable accommodations. If you require a reasonable accommodation in connection with the application or interview processes, or you have questions about a workplace reasonable accommodation, please contact us at 612-492-5033.

We are accepting application for this position until September 30, 2025.

Please note that Dorsey is not currently accepting search firm submissions in connection with this opening.

#LI-Hybrid

Seeking experienced Part-Time Private Investigators in the area to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims. We are seeking individuals who possess proven investigative skill sets within the industry. Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a calm intensity are a few characteristics of our Investigators and staff. Investigators with Scene Investigation and Recorded Statement experience are encouraged to apply.

If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at www.GoCommand.com .

Requirements:

+ 1+ years of experience as an Surveillance Investigator

+ Must be licensed as a Private Investigator in your state (if required)

+ Flexibility to work varied/irregular hours and days including weekends and holidays

+ Valid state issued driver's license

The Surveillance Investigator should demonstrate proficiency in the following areas:

+ Obtaining quality surveillance video evidence

+ Writing accurate and detailed reports

+ Strong initiative, integrity, and work ethic

+ Securing written/recorded statements

+ Accident scene investigations

+ Ability to prioritize and organize multiple tasks

+ Computer literacy to include Microsoft Word and Microsoft Outlook email

Full-Time benefits Include:

+ Medical, dental and vision insurance

+ 401K

+ Extensive performance bonus program

+ Dynamic and fast paced work environment

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Description

Selling Partner Trust and Store Integrity (TSI) is responsible for creating a trustworthy shopping experience across Amazon stores worldwide by protecting customers, brands, selling partners, vendors and Amazon from fraud, counterfeit, and abuse as well as providing world‐class support and building loyalty with Amazon’s millions of selling partners. 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. Our growth requires 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. We are looking for an experienced Manager with background in risk, digital fraud, compliance, and/or cyber investigations. You will manage the core investigative function to provide feedback to partner teams by identifying and interpreting risk across Amazon’s global stores. You will set the vision, direction and execution of key deliverables in the risk management space, developing business cases and requirements, and prioritizing competing opportunities. You will work with a wide range of global cross-functional teams and senior leaders to build feedback loops to drive scalable improvement across the broader organization. You will align your team to high impact business areas and executing to high expectations in a fast-paced and highly visible delivery area. The ideal candidate should have a blend of strong individual investigation skills along with experience managing a high performing risk team. You should be passionate about using and understanding data to discover bad actor trends and help us ensure that customers make great purchase decisions and our selling partners using Amazon are successful listing and selling their products. Your decisions and deliverables will help proactively mitigate risk and empower partner teams in making high confidence decisions that are fundamental to protecting Amazon customers, selling partners, and will help maintain the overall health of Amazon's WW stores.

Key job responsibilities

- Lead a high performing risk team by prioritizing high impact investigative leads that drive down business impact metrics

- Work within a sprint process to properly prioritize work and deliver results consistently

- Own end to end investigation flywheel to intake high quality leads from multiple sources to identify abuse and share detailed investigation briefs with partner teams to drive scalable detection and solutions

- Manage a strong risk team with a broad knowledge of abuse/fraud to conduct deep dives to derive insights about tactics used to conduct abuse on our WW stores

- Use high-level judgment to inform our most complex enforcement decisions and understand downstream impact and tradeoffs

- Develop goals, KPIs and metrics to track investigation health, progress, and impact. Effectively communicate challenges/roadblocks, progress and success to business and senior leadership.

- Provide feedback to partner teams and intake sources to improve the quality of leads and investigation outputs

- Break down problems into understandable and manageable pieces, ruthlessly prioritizing, and delivering results in an ambiguous environment

A day in the life

This role is focused on managing a high performing risk team and maintaining the health of the investigative flywheel from threat intelligence leads through long-term scalable detection solutions.

Your day might involve collaborating with partner teams across Amazon to develop and improve the quality and processes for investigation leads, diving deep into data to uncover emerging fraud patterns, or developing new detection methods. You'll balance independent analytical work with team collaboration, sharing insights and supporting internal partner teams to understand their priorities, capabilities, and workflows to see how/if your program should interact with their tools and goals. You will be making decisions that drive the strategic vision of your program in alignment with broader organizational goals and working with partner teams across Amazon to collaborate around strategic initiatives. You are on the front lines of protecting Amazon customers and stopping abuse in our stores.

About the team

Our team is comprised of experts in the risk domains like fraud, cybersecurity, data security, internal risk, threat intelligence, regulatory compliance, vendor risk, etc. with data analysis and/or technical skills. We complement specialized industry skills with broad risk career experience - 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.

- 5+ years of relevant industry experience, either as an IC or manager, in risk or fraud investigations, regulatory compliance, ecommerce, analytics, or security

- Prior experience managing a high performing team

- Proven ability to deliver complex projects across multiple teams

- High level of integrity and discretion to handle confidential information

- Excellent written and verbal communication skills to communicate security and business risk to a broad range of technical and non-technical audiences, including senior leadership

Preferred Qualifications

- Experience working in e-commerce organizations

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

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

- 5+ years of high performance team management

- Experience with threat intel collection and combing through multiple leads or large data to identify top priorities

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 $119,900/year in our lowest geographic market up to $198,300/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.

**I. Job Summary**

Responsible for managing and leading in-depth and complex workplace investigations.

**II. Essential Duties and Responsibilities**

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned.

+ Investigate high-level workplace complaints of employment practices, including, but not limited to, discrimination, harassment, sexual harassment, retaliation, employee relations, and code of conduct

+ Conducts complex analysis and produces high quality written investigation summaries and reports; the investigator will generally work independently, partnering with appropriate personnel throughout the investigative process

+ Follows established investigation and case management procedures

+ Meets established timelines and treats all individuals engaged in the complaint process with sensitivity and respect

+ Gathers and secures relevant evidence and documentation

+ Keeps detailed, consistent, and accurate records in electronic database for periodic production of metrics

+ May mentor and foster growth of peers and team members

+ Maintains timely communication with all involved parties and key stakeholders

+ Able to work within a matrixed and complex organization and manage conflict and competing priorities

+ Maintains the highest degree of confidentiality and sensitivity for all issues

**III. Supervisory Responsibilities**

This job has no supervisory duties, but may occasionally act as a team lead.

**IV. Qualifications**

The requirements listed below are representative of the qualifications necessary to perform the job. **Must live and work in the US.**

A. Education and Experience

+ Education: Bachelor's Degree (accredited) in Business Administration or similar area of study, or in lieu of degree, High School Diploma or GED (accredited) and four (4) years of relevant work experience.

+ Experience: Five (5) years of relevant work experience (in addition to education requirement)

B. Other Knowledge, Skills or Abilities Required

+ Advanced knowledge and understanding of employment practices.

+ Requires problem solving capabilities, strong analytical skills and the ability to react quickly and discreetly in sensitive situations.

+ Must have excellent interpersonal, written and oral communication skills, including active listening skills.

+ Good negotiation skills. Capable of bringing others together and trying to reconcile differences.

+ Good active listening skills. Listening to what other people are saying and asking questions as appropriate.

+ Know how to find information and identify essential information.

+ Problem identification skills. Identifying the nature of problems.

+ Ability to work independently and collaboratively in a team.

+ Time management skills.

+ Foreign language proficiency in Spanish or French a plus.

**V. Work Environment**

Listed below are key points regarding environmental demands and work environment of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

+ Normal setting for this job is: both office and facility setting.

+ Required travel (including extensive overnight travel) up to TBD percent per week

+ The position requires significant travel and non-traditional working hours.

The expected base pay range for this position across the U.S. is $93,700- $139,955. This range represents a good faith estimate for this position. The specific salary offered to a successful candidate may be influenced by a variety of factors including the candidate’s relevant experience, education, training, certifications, qualifications, and work location.

**Benefits**

At WM, eligible employee receives a competitive total compensation package including Medical, Dental, Vision, Life Insurance and Short Term Disability. As well as a Stock Purchase Plan, Company match on 401K, and more! Our employees also receive Paid Vacation, Holidays, and Personal Days. Please note that benefits may vary by site.

If this sounds like the opportunity that you have been looking for, please click “Apply.”

Equal Opportunity Employer: Minority/Female/Disability/Veteran

What you can expect

We are seeking an Investigations and Risk Management (IRM) Analyst to join Zoom’s Trust & Safety (T&S) team. T&S plays a critical role in keeping the platform safe. We detect and investigating harmful behavior, address abuse reports, respond to global law enforcement requests, enforce export control regulations, and develop tools to prevent and mitigate abuse.

About the Team

The Investigations and Risk Management (IRM) team leads in-depth investigations and analytics to uncover abuse that occurs both on and beyond the Zoom platform. Collaborating with internal stakeholders and external organizations, IRM leverages advanced internal tools, data analysis, and engineering support to prioritize transparency, user safety, and platform integrity—all while upholding user privacy. We’re looking for an experienced analyst to strengthen IRM’s internal and external impact.

Responsibilities

+ Detecting and investigating suspicious or abusive behavior across the platform, including spam, account takeover (ATO), impersonation, and child safety concerns.

+ Identifying, monitoring, and mitigating abusive activities across the Zoom platform by researching and developing detection and prevention strategies.

+ Developing investigative processes and conduct deep-dive investigations into abuse trends and behavioral anomalies using mid-to-advanced OSINT techniques and internal tools.

+ Triaging, investigating, and resolving abuse reports in a queue-based environment, ensuring compliance with Zoom’s Terms of Service and Acceptable Use Guidelines.

+ Reviewing and assessing sensitive, confidential, or controversial content as part of enforcement workflows.

+ Collaborating with Engineering, Product, Support, and Data Science teams to identify platform vulnerabilities, analyze trends, and close enforcement gaps.

+ Producing internal reports, executive summaries, and data-driven presentations to inform leadership and support decision-making.

+ Serving as an escalation point for urgent or complex incidents, performing thorough root cause analyses and recommending corrective actions.

What we’re looking for

+ 5+ years of experience in Trust & Safety, abuse investigations, or a related field.

+ Prove ability to analyze complex data and recognize patterns of abuse or risk.

+ Demonstrate proficiency in SQL and comfort working with large, unstructured datasets.

+ Show communication, organizational, and project management skills, with experience reporting, presenting findings, and delivering feedback.

+ Demonstrate attention to detail, curious, and skilled at navigating ambiguity and troubleshooting complex issues.

+ Collaborate cross-functionally to improve tools, processes, and policies.

+ Demonstrate growth mindset with the ability to adapt in a fast-paced and evolving environment.

+ Require participation in a rotating on-call schedule for escalations during weekends and holidays.

Salary Range or On Target Earnings:

Minimum:

$65,400.00

Maximum:

$158,700.00

In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value.

Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience.

We also have a location based compensation structure; there may be a different range for candidates in this and other locations

At Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application!

Anticipated Position Close Date:

07/17/25

Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.

BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (https://careers.zoom.us/benefits) for more information.

About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We’re problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment.

Our Commitment​

At Zoom, we believe great work happens when people feel supported and empowered. We’re committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know—we’re here to support you at every step.

If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1127274756253361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.

#LI-Remote

**About the Role**

Uber is a technology company that is changing the way the world thinks about transportation. Whether it's heading home from work, getting a meal delivered from a favorite restaurant, or a way to earn extra income, Uber is becoming part of the fabric of daily life. We're making cities safer, smarter, and more connected.

As **Senior Manager, Special Investigations and Insurance Fraud** , you will be a pivotal player in shaping and optimizing Uber's insurance fraud strategy through data-driven insights. You and your team will be key members of the growing **US&C Claims** team, operating as a senior manager and reporting to the **Director, Claims Services** . Your expertise will be crucial in leading efforts around Carriers, Major case investigation, fraud operations team.

While a background in Special Investigations is important, this role also emphasizes strong analytical skills and the ability to leverage data to drive strategic decisions. We're looking for a highly influential and proactive leader who is detail-oriented, moves with pace, and is capable of driving significant change to reduce the cost of insurance through identifying fraud, and taking action to eliminate or mitigate the impact thus continuing to keep Safety First. The ideal candidate has a strong understanding of the role of claims and fraud investigations within the insurance ecosystem, proven experience in developing and utilizing claims reporting and analytics, and is ready to "go get it." This role requires someone who can shape strategy, think big, and understand detail (#SeeTheForestAndTheTrees), all while operating with a high level of autonomy.

Uber embraces a hybrid work model, where employees are in office three days a week. This approach promotes a balanced and productive work environment that accommodates both individual preferences and organizational needs.

What You'll Do

+ **SIU/Fraud Partnerships:** Serve as the primary point of contact for all external claims SIU partners - Carrier SIU teams, industry groups such as NICB and the Coalition Against Insurance Fraud, and various law enforcement agencies.

+ **Major Case Investigations:** Drive claims outcomes on major case investigations, including EUO and litigation support. Leverage claims expertise and advanced analytical capabilities to identify complex relationships and fraud schemes. Utilize data visualization tools to effectively communicate complex data findings.

+ **Operational Performance and Collaboration:** Develop, implement, and monitor operational health metrics and key performance indicators (KPIs) in collaboration with internal investigations and carrier partner SIU teams. Provide regular updates to key stakeholders, highlighting trends and areas for improvement. Provide expert consultation to external insurance partners on data and reporting best practices, and collaborate on data-driven performance improvement initiatives. Provide data-driven input into the design, documentation, and deployment of SIU processes, ensuring alignment with the various stakeholders.

+ **Fraud Operations:** Manage the fraud operations team responsible for responding to carrier partner SIU inquiries, drive investigation and outcomes on non-major case issues including account review and actioning.

Basic Qualifications

+ 8+ years of experience in the insurance industry (carrier, broker, MGU, TPA, etc.) with a focus on claims, claims operations, claims analytics, insurance data strategy, or actuarial roles.

Preferred Qualifications

+ 5+ years experience leading claims or fraud teams

+ Experience managing complex investigations and supporting various forms of fraud related litigation.

+ **Analytical and Data Strategy Expertise:** Deep familiarity with designing, developing, and utilizing claims-related data, reporting, and analytics; proven experience in developing and implementing fraud strategies, including tool selection and vendor management; able to understand and interpret complex metrics and KPIs.

+ **Influence, Communication, and Collaboration:** Exceptional ability to influence stakeholders at all levels, build strong relationships with internal and external partners, and adapt presentations and messaging to different levels of audience, from individual contributors to senior executive leaders.

+ **Strategic Thinking and Execution:** Proven ability to shape strategy, think big, and understand detail, demonstrating a balance of strategic vision and tactical execution; strong attention to detail while maintaining a fast pace to deliver high-quality results efficiently; highly independent and proactive, with a strong understanding of industry trends and a passion for leveraging data to drive change.

+ **Change Management Expertise:** Significant experience driving major change across large, complex organizations.

For Chicago, IL-based roles: The base salary range for this role is USD$162,000 per year - USD$180,000 per year. For New York, NY-based roles: The base salary range for this role is USD$180,000 per year - USD$200,000 per year. For Phoenix, AZ-based roles: The base salary range for this role is USD$144,000 per year - USD$160,000 per year. For San Francisco, CA-based roles: The base salary range for this role is USD$180,000 per year - USD$200,000 per year. For all US locations, you will be eligible to participate in Uber's bonus program, and may be offered an equity award & other types of comp. You will also be eligible for various benefits. More details can be found at the following link https://www.uber.com/careers/benefits.

Uber is proud to be an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you have a disability or special need that requires accommodation, please let us know by completing this form- https://docs.google.com/forms/d/e/1FAIpQLSdb_Y9Bv8-lWDMbpidF2GKXsxzNh11wUUVS7fM1znOfEJsVeA/viewform

**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.