- Elevance Health (Washington, DC)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... 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
- NBT Bank (Lakeville, CT)
- Pay Range: $27.48 - $36.65 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security Officer ... patterns of customer activity + Must be a skilled investigator with understanding of types of fraud ...: Includes employer contributions to HSA for High Deductible Health Plan participants. + Dental and Vision Coverage :… more
- CVS Health (Tallahassee, FL)
- …and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). ... Bring your heart to CVS Health . Every one of us at CVS ...complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct… 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
- Umpqua Bank (Tigard, OR)
- Fraud Investigator Financial Crimes Tigard, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ employees and ... contributions, an employee assistance program, life insurance , disability insurance , tuition assistance, mental health resources, identity theft protection,… more
- Zions Bancorporation (Midvale, UT)
- …are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time work ... and Disability Insurance , Paid Parental Leave and Adoption Assistance + Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts + Paid… more
- State of Minnesota (St. Paul, MN)
- …drive to uncover, investigate, and stop fraudulent claims made to taxpayer-funded public health insurance programs. This investigator makes a difference in ... **Working Title: INVESTIGATOR - MEDICAID FRAUD DIVISION** **Job...providers suspected of defrauding the Minnesota Medicaid program. The investigator reviews complaints against public health care… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ... and abusive practices. The Fraud and Waste Professional 2 work assignments are varied...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- MyFlorida (Miami, FL)
- …office environment with a public service driven mission. Benefits include competitive health insurance , State of Florida retirement options, field work ... FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004722 Date: Dec 20, 2024...holiday. + Paid vacation and sick leave. + Excellent health & life insurance options for individuals… more
- CareFirst (Baltimore, MD)
- …fraud , waste, and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert ... Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the… more
- Kemper (Miami, FL)
- …Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner ... will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A… more
- MyFlorida (Miami, 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 - 41001296 Date: Jan 7, 2025...the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. This position is… more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: Jan 8, 2025...+ Career training opportunities. + $25,000.00 in automatic life insurance coverage. + Affordable health insurance… more
- Highmark Health (Dover, DE)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations ... in Financial Analysis in an acute care hospital or health insurance setting + 1 year in...(CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have… more
- Commonwealth of Pennsylvania (PA)
- …complaints and analyzes allegations of civil, criminal, regulatory, or employee misconduct (eg insurance fraud , financial fraud , theft, violations of PA laws ... Investigator 2, you will conduct advanced investigations of insurance companies, producers and any other persons or entities...value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health … 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
- Travelers Insurance Company (Alpharetta, GA)
- …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
- Executive Office for US Attorneys and the Office of the US… (Burlington, VT)
- …independently plan and conduct complex investigations and/or financial examinations relating to health care fraud civil actions and participate in investigative ... relevant state, local, and/or federal laws or regulations regarding health care fraud , contracting fraud ,...in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the… more
- Commerce Bank (Kansas City, MO)
- …this position may be eligible for the following employment benefits: employer sponsored health , dental, and vision insurance , 401(k), life insurance , paid ... Bank and the Bank's stakeholders. Essential Functions + Ensure fraud alerts are issued to lines of business timely...stakeholders + Answer calls and emails routed to the investigator and the Duty Line and Resource mailbox +… more
- MyFlorida (Plantation, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... LAW ENFORCEMENT INVESTIGATOR II - 43001557 Date: Jan 9, 2025...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance… more
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