- 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...analyzes periodic reports related to Unit statistics and initiates investigations into identified fraud . This position uses… 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)
- …field **Required Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse, Payment Integrity ... Education** * Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other… more
- American Family Insurance - Corporate (Sacramento, CA)
- …the courts/legal system. + Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop and ... maintain contact with public agencies and other sources concerning insurance fraud issues and investigations . Acts as a liaison between the company, police… more
- CareFirst (Baltimore, MD)
- …statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the investigation and to report possible ... and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert Coder-AHIMA or… more
- MyFlorida (Miami, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Allied Universal (Rutland, VT)
- …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- Travelers Insurance Company (Alpharetta, GA)
- …obtain assistance in conducting investigations . + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- Kemper (Miami, FL)
- …will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop ... will conduct field and desk investigations of insurance claims referred to and accepted for investigation...Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified … 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 ... DESCRIPTION OF WORK As a Special Investigator 2, you will conduct advanced investigations of insurance companies, producers and any other persons or entities… more
- Allied Universal (Billings, MT)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- State of Massachusetts (Boston, MA)
- …employees to ensure they understand the procedures and standards related to fraud investigation and compliance. *Preferred Qualifications:* * Knowledge of basic ... team effectively, including planning, motivating, and leading staff. * Extensive experience in fraud investigation , compliance, or a related field, with a proven… more
- MyFlorida (Tallahassee, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: WORKERS' COMPENSATION FRAUD , OFFICE… more
- MyFlorida (Tallahassee, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- MyFlorida (Tallahassee, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: OPERATIONAL SUPPORT SERVICES SECTION, OFFICE OF… more
- MyFlorida (Plantation, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: BUREAU OF FIRE, ARSON & EXPLOSIVES… more
- AIG (Atlanta, GA)
- …your skills and experience as a valued member of the team. Make your mark in Fraud Investigation Our Claims teams are the proven problem solvers of choice for ... 5+ years of experience within TPA/Vendor management ideally in insurance + Understanding of the typical/standard Fraud ...in insurance + Understanding of the typical/standard Fraud and Recovery KPIs or indicators + Strong administration… more
- MyFlorida (Tallahassee, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... TITLE: OFFICE AUTOMATION SPECIALIST II (PENDING RECLASSIFICATION) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: SUPPORT SERVICES CITY: TALLAHASSEE COUNTY: LEON… more
- MyFlorida (Miami, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... investigations and audits related to waste, abuse, and fraud . This role ensures that all audits comply with...or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or CMS. + Prior… more
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