- Manulife (Boston, MA)
- …+ Ability to apply a working knowledge of state laws and regulations related to insurance fraud and SIU requirements **What motivates you?** + You obsess about ... build their JH careers. We are looking for a candidate with experience in insurance , Medicare, Long-Term Care or Disability fraud with expertise assessing and… more
- State of Colorado (Denver, CO)
- …referrals, assist with investigation of allegations of both securities and insurance fraud , and ultimately make charging decisions. We would be excited ... attorney will work on a multi-disciplinary team to prosecute insurance and securities fraud throughout the state....investigators, and paralegals who are dedicated exclusively to the investigation and prosecution of fraud . The attorney… more
- CareFirst (Columbia, MD)
- …statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the investigation and to report possible ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + Certified… more
- MyFlorida (Fort Lauderdale, FL)
- …crimes investigations , financial examinations, health care fraud and/or insurance fraud investigations , analysis or other related investigative ... and/or 5 years of work experience conducting Health Care Fraud Investigations . The Work You Will Do:...and possible criminal violators. 20% Review records collected during investigation and prepare reports pertaining to all aspects of… more
- USAA (Orlando, FL)
- … fraud industry investigation experience. + Expert knowledge and understanding of fraud investigations as well as application of case law and state laws ... protect USAA and our members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact to USAA. This may… more
- USAA (Colorado Springs, CO)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects...with industry, law enforcement and other contacts involved in fraud investigation , detection, and prevention. + May… more
- MyFlorida (Fort Myers, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Allied Universal (St. Paul, MN)
- …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- Ventura County (Ventura, CA)
- …in a wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions: the Major Crimes ... real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division… more
- MyFlorida (Tallahassee, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics ... well as a desire to innovate. The selected candidate will assist in conducting investigations related to fraud , abuse, and waste through research and analysis of… more
- MyFlorida (Jacksonville, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Allied Universal (Charleston, WV)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- State of Massachusetts (Boston, MA)
- …employees to ensure they understand the procedures and standards related to fraud investigation and compliance. *Preferred Qualifications:* * Knowledge of basic ... team effectively, including planning, motivating, and leading staff. * Extensive experience in fraud investigation , compliance, or a related field, with a proven… more
- MyFlorida (Pensacola, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD … more
- MyFlorida (Lakeland, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD … more
- MyFlorida (Lake Wales, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS BUREAU: FIRE, ARSON & EXPLOSIVES INVESTIGATIONS … more
- MyFlorida (Tallahassee, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... TITLE: OFFICE AUTOMATION SPECIALIST II (PENDING RECLASSIFICATION) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: SUPPORT SERVICES CITY: TALLAHASSEE COUNTY: LEON… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. Make your mark in Fraud Investigation Our Claims teams are the proven problem solvers of choice for ... 5+ years of experience within TPA/Vendor management ideally in insurance + Understanding of the typical/standard Fraud ...in insurance + Understanding of the typical/standard Fraud and Recovery KPIs or indicators + Strong administration… more
- CVS Health (Wellesley, MA)
- …fraudulent activities. ** Investigation Management:** + Direct and oversee complex investigations into suspected healthcare fraud , waste, and abuse. + Ensure ... investigations when necessary. + Prepare comprehensive reports summarizing investigation outcomes, risk assessments, and fraud trends. **Compliance and… more
- MyFlorida (Havana, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Fire, Arson, and Explosives ... Investigations + Public Assistance Fraud + Theft/Misuse of State Funds + Fire and...Division Supplemental Application + Interview + Fingerprinting + Background Investigation + Financial credit report OUR SALARY & BENEFITS… more