- State of Michigan (Lansing, MI)
- Departmental Analyst 9-P11 - Insurance Fraud Prevention Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4783075) Apply Departmental ... Analyst 9-P11 - Insurance Fraud Prevention Salary $52,208.00 - $81,806.40 Annually Location Lansing, MI Job Type Permanent Full Time Job Number 2301-25-OIS009… more
- State of Arkansas (Little Rock, AR)
- CRIMINAL INSURANCE FRAUD INVESTIGATOR Date: Dec 31, 2024 Req ID: 45389 Location: Little Rock, AR, US, 72202 Category: STATE INSURANCE DEPARTMENT Anticipated ... FLSA Status: EXEMPT Salary Range: $45,010.00 - $71,792.00 Summary The Criminal Insurance Fraud Investigator is responsible for monitoring criminal activity… more
- Molina Healthcare (AZ)
- …Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse, Payment Integrity Program, Law Enforcement or ... Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other reporting… more
- American Family Insurance - Corporate (Sacramento, CA)
- Investigate low to moderately complex insurance fraud activity involving multi-line claims, develop meaningful industry social network and assist special ... + Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop and maintain contact with public… more
- 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
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal Investigations Division… 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 ... + Excels at working independently, while making decisions to successfully pursue insurance fraud through establishing significant facts while preserving material… more
- Allied Universal (Rutland, VT)
- …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
- Kemper (Miami, FL)
- …investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A ... or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are… more
- 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
- 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 ... PA Job Type Civil Service Permanent Full-Time Job Number CS-2024-15496-70820 Department Insurance Department Division IN Enf Div Opening Date 01/09/2025 Closing Date… more
- Allied Universal (Billings, MT)
- …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
- MyFlorida (Tallahassee, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: TALLAHASSEE COUNTY: LEON TheCriminal Investigations Divisionencompasses all… more
- MyFlorida (Tallahassee, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... of State Funds + Fire and Explosives Sample Analysis + Public Assistance Fraud Mission Statement Serving and safeguarding the public and businesses operating in the… more
- MyFlorida (Tallahassee, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: WORKERS' COMPENSATION FRAUD , OFFICE OF FISCAL INTEGRITY CITY: TALLAHASSEE COUNTY: LEON… more
- 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
- MyFlorida (Plantation, 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 (Tallahassee, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... + Fire and Explosives Sample Analysis + Public Assistance Fraud Mission Statement Serving and safeguarding the public and...+ Career training opportunities + $25,000.00 in automatic life insurance coverage + Affordable health insurance options… more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal Investigations Division… more
- 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
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