- Allied Universal (Billings, MT)
- …Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... exclusive perks. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims ...Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Universal (Fredericksburg, VA)
- …Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims...Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...assigned + Obtain adjuster licenses as needed Qualifications: + Associate college degree required except in the following circumstances:… more
- Kemper (Sacramento, CA)
- …Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud ... delivers on our promises._ **POSITION SUMMARY** : The SIU Investigator III is responsible for the investigation of complex,...for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator , Sr. is to assist in the reduction and recuperation of losses ... of financial business records, provider and subscriber medical data, claims , systems? reports, medical records, analysis of contract documents, provider/subscriber… more
- Kemper (Los Angeles, CA)
- …Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud ... that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations...conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the… more
- Kemper (Miami, FL)
- …Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud ... that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance... will conduct field and desk investigations of insurance claims referred to and accepted for investigation by the… more
- City of Pittsburgh (Pittsburgh, PA)
- OMI Investigator Print (https://www.governmentjobs.com/careers/pittsburgh/jobs/newprint/4795353) Apply OMI Investigator Salary See Position Description ... legal investigations, auditing, private investigations, law enforcement intelligence, insurance claims , investigating employee conduct and/or worker's compensation claims… more
- Commonwealth of Pennsylvania (PA)
- Labor Law Investigator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4791951) Apply Labor Law Investigator Salary $50,836.00 - ... experience to provide valuable services within the Commonwealth? A Labor Law Investigator conducts audits and investigations regarding enforcement of 13 state labor… more
- San Jose State University (San Jose, CA)
- … Investigator Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=544207&lJobSourceTypeID=837&sLanguage=en-us) Job no: 544207 ... MPP, At-Will, Compliance/Legal, Full Time Job Summary The Civil Rights Investigator is responsible for conducting investigations pertaining to protected status… more
- Centene Corporation (Charleston, WV)
- …benefits including a fresh perspective on workplace flexibility. Pharmacy FWA Investigator - Pharmacy Fraud, Waste and Abuse (Previous or current Pharmacy ... Technician with Excel, claims analysis and data analysis) - Remote **Position Purpose:**...when a credible allegation of fraud exists. **Education/Experience:** + Associate 's degree in a related field or equivalent combination… more
- City of New York (New York, NY)
- …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send ... Job Description Claims and Collections pursues monetary recoveries owed to...nature involving public or private funds; or 2. An associate degree or 60 semester credits from an accredited… more
- Elevance Health (Atlanta, GA)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Humana (Indianapolis, IN)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the program integrity … more
- Centene Corporation (Austin, TX)
- …Purpose:** Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited ... overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of our academic community. **Description** KEY RESPONSIBILITIES: The Civil Rights Investigator will investigate claims of harassment and/or discrimination, as ... Equal Opportunity and Discriminatory Harassment Policy 1.3. The Civil Rights Investigator will investigate allegations of civil rights violations in the workplace… more
- City of New York (New York, NY)
- …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
- AmeriHealth Caritas (Columbia, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as part of the… more
- Navy Federal Credit Union (Winchester, VA)
- Overview To identify, review, investigate fraud activity, claims /cases and risk exposures from various delivery channels. Review transactional activities, ... Federal's policies and procedures + Review data gathered to substantiate/disqualify a loss claim or charge off, and escalate as needed + Research public record… more
- University of Pennsylvania (Philadelphia, PA)
- …making and publications for a growing research portfolio in the capacity of co- investigator . The role of the Associate Director also includes promoting ... of health and wellness programs and resources, and much more. Posted Job Title Associate Data Director E - Research (Department of Medical Ethics) Job Profile Title … more