- Usaa (Washington, DC)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... process and procedures. Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. Collects evidence of potential … more
- Usaa (Charlotte, NC)
- …data governance standards. Proven background in Anti-Money Laundering (AML) and/or Fraud Investigations . Familiarity in financial crimes concepts, including ... transaction monitoring, AML and Fraud investigations , and case management systems. Mastery...comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program… more
- Usaa (Seattle, WA)
- …ensure compliance with laws, regulations, and policy provisions. Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ... is in the claim. Demonstrates intermediate knowledge of P&C insurance industry products, services, contracts, and internal processes/systems/procedures to… more
- DoorDash (Tempe, AZ)
- …Experience: + Google suite advance proficiency (sheets, docs, gmail, calendar) + Investigations experience ( fraud , insurance , law enforcement) Notice to ... About the Team The Fraud team reduces the cost of fraud and provides insights to protect our platform from would-be fraudsters. You'll help build a team from the… more
- Philadelphia Insurance Companies (Ewing, NJ)
- … investigations of suspect insurance claims and policy applications. Conduct insurance fraud investigations in accordance with applicable law and ... SIU to join our team! Summary : Evaluate referred insurance claims for potential insurance fraud...claims and applications referred to the SIU for possible fraud . Conduct database investigations , including use of… more
- MyFlorida (Miami, FL)
- …crimes investigations , financial examinations, health care fraud and/or insurance fraud investigations , analysis or other related investigative ... , financial examinations, health care fraud and/or insurance fraud investigations , analysis or...and possible criminal violators. 20% Review records collected during investigation and prepare reports pertaining to all aspects of… more
- USAA (Las Vegas, NV)
- …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
- Allied Universal (Winchester, VA)
- …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
- Kemper (Doral, FL)
- …will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop ... field as well as desk investigations of insurance claims referred to and accepted for investigation...Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified … more
- Allied Universal (Fargo, ND)
- …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
- MyFlorida (Tallahassee, FL)
- …investigators in the compilation and analysis of confidential information regarding insurance fraud investigations and recommends specific investigative ... detailed research of criminal investigations and documents relating to insurance fraud and arson. + Requests and receives information of a confidential… 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 and audits related to fraud , abuse, and waste through research and… more
- MyFlorida (Orlando, FL)
- …COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION ... Financial Services. This advertisement is for a Bureau of Insurance Fraud detective. Click here (https://www.myfloridacfo.com/division/cid/home) for additional… more
- Point32Health (Canton, MA)
- …criminal justice Experience + Required (minimum): 1-3 years' related experience in health insurance fraud investigations . + Preferred: Related experience in ... Investigation Unit ("SIU") responsible for leading complex provider investigations related to fraud , waste, and abuse,...+ Paid time off + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition program… more
- Zelis (Boston, MA)
- …and the personal interests that shape who you are. Position Overview The Fraud Investigation Analyst, Enterprise Fraud , will contribute significantly to ... fraudulent activities by conducting comprehensive reviews of all internal and external fraud monitoring alerts, performing fraud investigations , and… more
- Louisiana Department of State Civil Service (LA)
- …White-Collar Crimes, Violent Crime and Drug Unit, Sexual Predator Apprehension Team, and the Insurance Fraud Unit. The Criminal Division also serves: + Medicaid ... Division assists federal, state, and local agencies in the investigation and prosecution of a wide range of criminal...Fraud Control Unit: The Louisiana Medicaid Fraud … more
- PennyMac (Carrollton, TX)
- …well as policies and procedures, by coordinating and conducting detailed fraud investigations . The Compliance Fraud Investigation Analyst will : + ... the complete mortgage journey. A Typical Day The Compliance Fraud Investigation Analyst will work with Corporate...You'll Bring + Knowledge of AML and experience performing fraud investigations , required + Broad knowledge of… more
- CIBC (Chicago, IL)
- …Type** Regular **Weekly Hours** 40 **Skills** Analytical Thinking, Customer Experience (CX), Fraud Investigations , Fraud Monitoring, Group Problem Solving, ... learn more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) Responsibilities The Fraud Analyst will report to the Fraud Operations… more
- MVP Health Care (Tarrytown, NY)
- …RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC ... a related field, and minimum of five years of insurance claims investigation experience; or five years...SIU personnel. + Keep abreast of Federal and State Anti- Fraud investigation and reporting requirements including HIPAA,… more
- EFI Global (St. Paul, MN)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire… more
