- 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
- CareFirst (Columbia, MD)
- …statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the investigation and to report possible ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + Certified… more
- USAA (Chicago, IL)
- … fraud industry investigation experience. + Expert knowledge and understanding of fraud investigations as well as application of case law and state laws ... protect USAA and our members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact to USAA. This may… more
- 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. ... Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects...with industry, law enforcement and other contacts involved in fraud investigation , detection, and prevention. + May… more
- USAA (San Antonio, TX)
- …TX or Houston, TX** are encouraged to apply. **What you'll do:** + Responsible for insurance fraud detection and investigation services to reduce fraud ... control objectives, as well as compliance with state insurance fraud -related laws and regulations. This is...SIU. + First and Third-Party auto and property claims investigations . + SIU or Fraud Investigation… more
- Allied Universal (St. Paul, MN)
- …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
- Ventura County (Ventura, CA)
- …in a wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions: the Major Crimes ... real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division… more
- Allied Universal (Charleston, WV)
- …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 (Pensacola, 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: INSURANCE FRAUD … more
- MyFlorida (Tampa, 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: INSURANCE FRAUD … more
- MyFlorida (Lake Wales, 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 BUREAU: FIRE, ARSON & EXPLOSIVES INVESTIGATIONS … 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 (Havana, FL)
- …the 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...Division Supplemental Application + Interview + Fingerprinting + Background Investigation + Financial credit report OUR SALARY & BENEFITS… more
- MyFlorida (Havana, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Investigations + Fire, Arson, and Explosives Investigations + Theft/Misuse of State Funds + Fire and...operating in the State of Florida against acts of fraud , arson, and the misuse of state funds. Available… more
- First National Bank of Omaha (IA)
- …**EXPERIENCE AND BACKGROUND REQUIREMENTS** + Minimum 2 years previous Chargeback experience in Fraud and/or Non- Fraud Investigations is REQUIRED. + High ... at 1601 Dodge Street Omaha Nebraska 68197. As a Fraud and Non- Fraud Specialist at FNBO, you...and hold cardholders accountable if needed Conduct an in-depth investigation and attempt to identify a suspect Contact law… 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 ... revenue cycle risk areas + Assists in auditing and investigations requested by the System Director, Compliance. + Assists...payments discovered as a result of claims audit or investigation . + Maintains awareness of fraud , waste… more
- Command Investigations (Orlando, FL)
- JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert ... REQUIREMENTS + Valid state-issued driver's license. + Current auto insurance - required liability limits reflecting 100/300/100 for Bodily...us to stand out as a leader in the investigation industry. At Command Investigations , we take… more
- Humana (Indianapolis, IN)
- …**Required Qualifications** + Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment ... part 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… more
- Guidehouse (Richardson, TX)
- …such as OFAC Sanctions, Anti-Money Laundering, KYC, CDD, EDD and/or Financial Fraud Investigations . + Understanding of the legal, corporate governance, and ... None **What You Will Do** **:** Guidehouse is seeking experienced Farud Investigations Analysts to conduct, identify and monitor financial crime risk and report… more
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