• Criminal Insurance Fraud

    Arkansas Government Job (Little Rock, AR)
    CRIMINAL INSURANCE FRAUD INVESTIGATOR Date: Nov 19, 2024 Req ID: 41518 Location: Little Rock, AR, US, 72202 Category: STATE INSURANCE DEPARTMENT Anticipated ... FLSA Status: EXEMPT Salary Range: $45,010.00 - $65,265.00 Summary The Criminal Insurance Fraud Investigator is responsible for monitoring criminal activity… more
    Arkansas Government Job (11/19/24)
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  • Deputy Attorney General, OAG, Criminal Law…

    Idaho Division of Human Resources (Boise, ID)
    Deputy Attorney General, OAG, Criminal Law Division - Insurance Fraud Posting Begin Date: 2024/11/04 Posting End Date: 2025/01/03 Category: Legal Sub Category: ... the Attorney General's Special Prosecutions Unit to handle cases dealing with insurance fraud . Duties of this position include handling all aspects of … more
    Idaho Division of Human Resources (11/05/24)
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  • Medicaid Fraud Control Unit Investigative…

    Idaho Division of Human Resources (Boise, ID)
    …The ideal candidate will have prior investigative experience, preferably in areas such as insurance fraud , healthcare fraud , or financial fraud . ... Medicaid Fraud Control Unit Investigative Auditor , OAG Posting...State employee benefits which include low-cost health and dental insurance , paid vacation and sick leave, 11 paid holidays,… more
    Idaho Division of Human Resources (10/18/24)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the ... , waste, and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert Coder-AHIMA… more
    CareFirst (11/27/24)
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  • Mid-level field SIU investigator

    USAA (San Antonio, TX)
    …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... procedures. + Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects evidence of potential fraud more
    USAA (11/23/24)
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  • Senior Major Case Field SIU Investigator…

    USAA (Chicago, IL)
    …procedures. + Applies advanced knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Processes large quantities of ... USAA and our members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact to USAA. This may involve… more
    USAA (11/08/24)
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  • Manager, SIU - Dallas, Houston or

    USAA (San Antonio, TX)
    …contributing to fraud control objectives, as well as compliance with state insurance fraud -related laws and regulations. This is a **field-based** role for ... TX** are encouraged to apply. **What you'll do:** + Responsible for insurance fraud detection and investigation services to reduce fraud -related claim… more
    USAA (11/22/24)
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  • SIU Investigator

    Allied Universal (Dallas, TX)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud ...of Insurance policies and the components of fraud to determine If claims warrant reporting to the… more
    Allied Universal (11/23/24)
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  • District Attorney Investigator I/II

    Ventura County (Ventura, CA)
    …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... experts in a wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions: the Major Crimes… more
    Ventura County (10/19/24)
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  • Program Coordinator III

    State of Massachusetts (Boston, MA)
    …of federal and state laws, regulations, and policies related to Unemployment Insurance (UI), fraud prevention, and program integrity. * Advanced analytical ... The Department of Unemployment Assistance (DUA) administers the Unemployment Insurance (UI) program, providing temporary income assistance to Massachusetts workers… more
    State of Massachusetts (10/19/24)
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  • Claims Investigator - Part-Time

    Allied Universal (Charleston, WV)
    …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
    Allied Universal (11/20/24)
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  • Law Enforcement Investigator II

    MyFlorida (Tampa, FL)
    …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: TAMPA COUNTY: HILLSBOROUGH SPECIAL NOTES: ... investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + Fire,… more
    MyFlorida (11/26/24)
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  • Law Enforcement Investigator II

    MyFlorida (Pensacola, FL)
    …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: PENSACOLA COUNTY: ESCAMBIA ATTENTION CANDIDATES ... investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + Fire,… more
    MyFlorida (11/15/24)
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  • Fraud & Recovery TPA Analyst

    AIG (Atlanta, GA)
    fraud process + 5+ years of experience within TPA/Vendor management ideally in insurance + Understanding of the typical/standard Fraud and Recovery KPIs or ... help customers to manage risk. Join us as a Fraud & Recovery TPA Analyst to play your part...peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world… more
    AIG (11/16/24)
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  • Law Enforcement Investigator II

    MyFlorida (Lake Wales, FL)
    …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... operating in the State of Florida against acts of fraud , arson, and the misuse of state funds. Available...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance options… more
    MyFlorida (11/14/24)
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  • Chief Of Forensic Services

    MyFlorida (Havana, FL)
    …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...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance options… more
    MyFlorida (11/23/24)
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  • Forensic Technologist

    MyFlorida (Havana, FL)
    …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... operating in the State of Florida against acts of fraud , arson, and the misuse of state funds. Available...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance options… more
    MyFlorida (11/06/24)
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  • Compliance Auditor - Enterprise Risk - System Wide

    Bon Secours Mercy Health (Cincinnati, OH)
    …cycle risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud ; Managed Care or Governmental Value-Based payment programs and/or ... of compliance internal monitors and audit protocols and the prevention of fraud , waste and abuse. + Develops compliance monitors and audit protocols specific… more
    Bon Secours Mercy Health (11/25/24)
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  • Surveillance Investigator -Entry Level

    Command Investigations (Orlando, FL)
    JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert ... /CERTIFICATIONS REQUIREMENTS + Valid state-issued driver's license. + Current auto insurance - required liability limits reflecting 100/300/100 for Bodily injury per… more
    Command Investigations (11/19/24)
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  • Assistant General Counsel

    AIG (Atlanta, GA)
    …requirements and AIG corporate governance practices. + Provide legal advice regarding insurance anti- fraud activities to the AIG Global Investigative Services ... risks with complex workers' compensation, general liability and commercial auto insurance programs. + Promptly and accurately complete claims service agreements with… more
    AIG (09/14/24)
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