- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... live within 50 miles of one of our Elevance Health PulsePoint locations. **Hybrid Workplace Strategy:** 1-2 days in...Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying… more
- TEKsystems (West Des Moines, IA)
- … Examiner (CFE) (preferred), Certified Fraud Specialist (CFS) or Certified Insurance Fraud Investigator (CIFI) and/or Certified Anti-Money Laundering ... individual will be responsible for conducting complex investigations involving potential insurance fraud and/or money laundering where questionable or suspicious… more
- Humana (Indianapolis, IN)
- …of our caring 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 and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- 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 ... We are looking for a candidate with experience in insurance , Medicare, Long-Term Care or Disability fraud ...partner with all squads to drive savings associated with fraud , waste & abuse. The LTC Investigator … more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4680830) ... Apply Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Macomb,...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health ,… more
- Ally (Raleigh, NC)
- …your opportunities be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against Ally Bank. ... problem solver. You will work independently on various bank fraud projects and present findings and solutions to loss...* Supporting your Health & Well-being: flexible health and insurance options including dental and… more
- US Bank (Columbus, OH)
- …and discover what you excel at-all from Day One. **Job Description** The **External Fraud Investigator Team Lead** partners with leaders in their assigned Line ... designed to help you and your family boost your health , protect your financial security and give you peace...dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability… more
- Ventura County (Ventura, CA)
- …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II… more
- State of Colorado (Denver, CO)
- …benefits package (https://stateofcoloradobenefits.com/) including competitive medical and dental health plans, employer-paid life insurance , paid holidays, ... that we offer, including: + Medical (https://www.colorado.gov/pacific/dhr/medical) anddental (https://www.colorado.gov/pacific/dhr/dental) health plans + Employer-paid life insurance +… more
- CareFirst (Columbia, MD)
- …Unit. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + ... Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the… more
- MyFlorida (Fort Lauderdale, FL)
- … Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the ... FINANCIAL INVESTIGATOR - CP - 41000964 Date: Oct 31,...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- The County of Los Angeles (Los Angeles, CA)
- …conducting investigations (eg, criminal investigations, administrative-financial crimes, medical or insurance fraud , digital forensic investigations, and private ... INVESTIGATOR II, PD-EMERGENCY APPOINTMENT/HOMELESS INITIATIVE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4391024) Apply INVESTIGATOR … more
- MyFlorida (West Palm Beach, FL)
- …+ Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental, vision, and other supplemental ... LAW ENFORCEMENT INVESTIGATOR II - 41000796 Date: Oct 31, 2024...the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. This… more
- MyFlorida (Fort Myers, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... FINANCIAL CRIME INVESTIGATOR I - 43002083 Date: Nov 5, 2024...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance… more
- Travelers Insurance Company (Franklin, TN)
- …to obtain assistance in conducting investigations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... at working independently, while making decisions to successfully pursue insurance fraud through establishing significant facts while...license required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible… more
- AIG (Atlanta, GA)
- …to ensure that the fraud risk to AIG is minimized. As an Insurance Claims Investigator , you will be responsible for investigating high complexity suspicious ... to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's...insurance claims or suspicious insurance related activities… more
- MyFlorida (Fort Lauderdale, FL)
- …of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis or other ... Control Unit and/or 5 years of work experience conducting Health Care Fraud Investigations. The Work You...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… more
- The County of Los Angeles (Los Angeles, CA)
- …those involving the investigation of various types of fraud (eg, auto insurance , workers' compensation, health care, real estate, and consumer). You may also ... INVESTIGATOR , DA Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2434815) Apply INVESTIGATOR , DA Salary $82,080.00 - $110,616.00 Annually… more
- MyFlorida (Lakeland, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: LAKELAND COUNTY: POLK ATTENTION CANDIDATES ... wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation ...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance… more
- MyFlorida (Miami, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE ATTENTION CANDIDATES ... wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation ...+ Career training opportunities. + $25,000.00 in automatic life insurance coverage. + Affordable health insurance… more
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