• Criminal Insurance Fraud

    Arkansas Government Job (Little Rock, AR)
    CRIMINAL INSURANCE FRAUD INVESTIGATOR Date: Oct 17, 2024 Req ID: 41518 Location: Little Rock, AR, US, 72202 Category: STATE INSURANCE DEPARTMENT ... 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 (10/04/24)
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  • Fraud Investigator

    TEKsystems (West Des Moines, IA)
    … Examiner (CFE) (preferred), Certified Fraud Specialist (CFS) or Certified Insurance Fraud Investigator (CIFI) and/or Certified Anti-Money Laundering ... individual will be responsible for conducting complex investigations involving potential insurance fraud and/or money laundering where questionable or suspicious… more
    TEKsystems (10/25/24)
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  • Fraud Prevention Investigator

    M&T Bank (Baltimore, MD)
    …internal, card, ACH, wire, kiting and money movements) + Banking experience + Certified Insurance Fraud Investigator (CIFI) and/ or Certified Fraud ... **Overview:** Identifies root cause of fraud incidents and determines next steps to mitigate financial loss utilizing a wide range of systems to obtain evidence.… more
    M&T Bank (10/22/24)
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  • Senior Investigator (Hybrid)

    CareFirst (Columbia, MD)
    …Unit. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + ... Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the… more
    CareFirst (10/28/24)
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  • Surveillance / Claims Investigator

    Allied Universal (Billings, MT)
    …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
    Allied Universal (10/30/24)
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  • SIU Investigator

    Allied Universal (Rochester, NY)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
    Allied Universal (11/07/24)
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  • Agency For Health Care Administrator-SES

    MyFlorida (Tallahassee, FL)
    Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program...competitive set of employee benefits including: * State Group Insurance Coverage Options, including health, life, dental, vision, and… more
    MyFlorida (10/31/24)
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  • Senior Human Services Program Specialist

    MyFlorida (Tallahassee, FL)
    Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program...competitive set of employee benefits including: * State Group Insurance Coverage Options, including health, life, dental, vision, and… more
    MyFlorida (10/30/24)
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  • Ops Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program...income tax for residents of Florida; * State Group Insurance coverage options (must meet eligibility requirements), including health,… more
    MyFlorida (11/07/24)
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  • AML Analyst

    TEKsystems (West Des Moines, IA)
    … Examiner (CFE) (preferred), Certified Fraud Specialist (CFS) or Certified Insurance Fraud Investigator (CIFI) and/or Certified Anti-Money Laundering ... individual will be responsible for conducting complex investigations involving potential insurance fraud and/or money laundering where questionable or suspicious… more
    TEKsystems (10/25/24)
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  • Senior Field SIU Investigator - Injury…

    USAA (Atlanta, GA)
    …procedures. + Applies advanced knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Processes large quantities of ... of what makes us so special! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help protect USAA and our… more
    USAA (11/05/24)
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  • SOC - Auto Finance and Fraud

    Sunstates Security (Charlotte, NC)
    SOC - Auto Finance and Fraud Investigator - $23/hr (#95) Charlotte, NC, United States of America $23.00 -$23.00 BackApply Now Back Apply Now Overview Join one of ... Security is currently hiring aSOC - Auto Finance and Fraud Investigatorin Charlotte, NC. This Position offers a pay...detection, and response program. This is an entry level investigator position expected to demonstrate high motivation and utilize… more
    Sunstates Security (10/30/24)
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  • Senior Fraud and Waste Investigator

    Humana (Indianapolis, IN)
    …a 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 ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
    Humana (11/07/24)
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  • Clinical Fraud Investigator II - SIU…

    Elevance Health (Woburn, MA)
    **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
    Elevance Health (10/01/24)
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  • LTC Fraud Investigator

    Manulife (Boston, MA)
    …+ Ability to apply a working knowledge of state laws and regulations related to insurance fraud and SIU requirements **What motivates you?** + You obsess about ... We are looking for a candidate with experience in insurance , Medicare, Long-Term Care or Disability fraud ...partner with all squads to drive savings associated with fraud , waste & abuse. The LTC Investigator more
    Manulife (10/31/24)
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  • Regulation Agent 9-P11 ( Fraud

    State of Michigan (MI)
    Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4680830) ... Apply  Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Macomb,...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health,… more
    State of Michigan (10/25/24)
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  • Senior Bank Fraud Investigator

    Ally (Raleigh, NC)
    …your opportunities be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against Ally Bank. ... a high level problem solver. You will work independently on various bank fraud projects and present findings and solutions to loss prevention leadership **The Work… more
    Ally (11/02/24)
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  • External Fraud Investigator Team…

    US Bank (Columbus, OH)
    …and discover what you excel at-all from Day One. **Job Description** The **External Fraud Investigator Team Lead** partners with leaders in their assigned Line ... dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability...the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also… more
    US Bank (10/31/24)
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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 ... District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply  District Attorney Investigator I/II… more
    Ventura County (10/19/24)
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  • Special Prosecutions Investigator (Special…

    State of Colorado (Denver, CO)
    Special Prosecutions Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4693102) Apply  Special Prosecutions ... Investigator (Special Agent III) Salary $96,396.00 - $116,400.00 Annually...position will investigate matters involving drug-related crimes, election crimes, fraud , homicide, human trafficking, identity theft, public corruption related… more
    State of Colorado (11/05/24)
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