- Arkansas Government Job (Little Rock, AR)
- CRIMINAL INSURANCE FRAUD INVESTIGATOR Date: Sep 18, 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
- USAA (San Antonio, TX)
- …contributing to fraud control objectives, as well as compliance with state insurance fraud -related laws and regulations. We offer a flexible work environment ... Opportunity** As a dedicated **Director, Special Investigations Unit for Property & Casualty Insurance ** , you will be responsible for the Claims fraud … more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... investigates a wide range of fraudulent and criminal acts including insurance fraud , worker's compensation fraud , fire, arson, and explosive investigations,… more
- USAA (Toledo, OH)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures.… more
- Allied Universal (Baltimore, MD)
- …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
- 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
- New York State Civil Service (New York, NY)
- …in NYSIF sponsored training to adapt investigative skills for the detection of insurance fraud .* Provides fraud detection training and mentoring to ... NY HELP No Agency Insurance Fund, State Title Investigative Officer 1 (SIF)...the Investigative Officer 1 (SIF) supervises extensive investigations of fraud , waste and abuse by claimants, policyholders and medical… 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
- Federal Emergency Management Agency (Washington, DC)
- …Serves as the principal point of contact with the Inspector General on insurance program fraud prevention and is challenged with minimizing the element ... Security (DHS), Federal Emergency Management Agency (FEMA), Resilience, Federal Insurance Directorate. The Assistant Administrator, Federal Insurance ...of fraud . Speaks authoritatively in meetings with senior FEMA officials,… 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 ... customers to manage risk. Join us as a Claims Fraud Investigator to play your part in that transformation....peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world… more
- 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
- 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
- New York State Civil Service (Albany, NY)
- …experience in conducting financial fraud investigations to include no -fault insurance fraud ; an understanding of law enforcement agencies throughout the ... financial institutions in support of DFS' efforts to enforce the Banking, Insurance and Financial Services laws. This may involve travel and undercover operations… more
- EFI Global (Springfield, OH)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... OH area.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire loss,… more
- EFI Global (Sacramento, CA)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire loss, and multiple… 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 ... County employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles County… more
- SUNY Upstate Medical University (Syracuse, NY)
- …preferred. Knowledge of medical billing requirements and ability to recognize insurance fraud /abuse strongly preferred. Experience with medication reimbursement, ... Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is coded correctly to… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Knowledge of medical authorizations, billing requirements and the ability to recognize insurance fraud /abuse is strongly preferred. Ability to multitask in a ... including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Knowledge of medical authorizations, billing requirements and the ability to recognize insurance fraud /abuse is strongly preferred. Ability to multitask in a ... incoming/outgoing patient appointment referrals for all providers. Obtain all required insurance authorizations. Work with/advise patients on insurance carrier… more
- Providence (CA)
- …and experience + 5+ years coding experience at a healthcare provider, facility or health insurance company + 2+ years fraud and abuse audit experience at a ... + Proactively learns and applies data analysis related to fraud risk identification and prevention + Able to manage...health plan, health insurance company, healthcare provider, facility or other relevant healthcare… more
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