• Criminal Insurance Fraud

    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 ... 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 (11/19/24)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    fraud , waste, and abuse investigations of all levels. **Licenses/Certifications** Certified Insurance Fraud Investigator (CIFI) Preferred Certified Expert ... Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the… more
    CareFirst (11/27/24)
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  • SIU Investigator

    Allied Universal (Tampa, FL)
    …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 (11/20/24)
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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 (11/14/24)
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  • Lightstream Fraud Investigator I…

    Truist (Winston Salem, NC)
    … concerns, and identity theft disputes on applications and accounts for the portfolio to Fraud Investigator 2 or Fraud Manager. 6. Identifies and escalates ... potential fraud trends, rings, and scams to Fraud Investigator 2. 7. Makes recommendations on improved or new operational procedures which help mitigate … more
    Truist (11/15/24)
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  • Nurse and CPC - Clinical Fraud

    Elevance Health (Los Angeles, CA)
    **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... **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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  • 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 (11/22/24)
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  • Senior Healthcare Fraud Investigator

    CVS Health (Hartford, CT)
    …care more personal, convenient and affordable. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or ... suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
    CVS Health (11/19/24)
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  • Lightstream Fraud Investigator II…

    Truist (San Diego, CA)
    …to perform the essential functions. 1. Bachelor's Degree 2. Proven mastery of the Fraud Investigator 1 job responsibilities 3. Ability to work in a fast-paced, ... the following job description:** Responsible for analyzing and resolving complex fraud scenarios across multiple systems and products. Responsible for making… more
    Truist (11/15/24)
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  • Senior Healthcare Fraud Investigator

    CVS Health (Tallahassee, FL)
    …and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (11/21/24)
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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 (11/22/24)
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  • External Fraud Investigator Team…

    US Bank (Columbus, OH)
    …Bank is seeking an experienced, highly motivated, and strategic individual to join our Fraud Investigations team. This role will manage a team of fraud ... accuracy are crucial. The Team Lead will oversee the investigations of multiple fraud typologies, ensure the timely filing of Suspicious Activity Reports (SARs), and… more
    US Bank (11/19/24)
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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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  • Criminal Investigator III

    State of Colorado (Denver, CO)
    Criminal Investigator III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4733744) Apply  Criminal Investigator III Salary $71,940.00 - ... of Labor and Employment Division Division of Family and Medical Leave Insurance Opening Date 11/21/2024 Closing Date 12/3/2024 5:00 PM Mountain FLSA Determined… more
    State of Colorado (11/23/24)
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  • Investigator II, PD-Emergency…

    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 ... INVESTIGATOR II, PD-EMERGENCY APPOINTMENT/HOMELESS INITIATIVE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4391024) Apply  INVESTIGATOR more
    The County of Los Angeles (10/24/24)
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  • Supervising Criminal Investigator

    Sacramento County (Sacramento, CA)
    Supervising Criminal Investigator *Promotional Only* Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4738274) Apply  Supervising Criminal ... Investigator *Promotional Only* Salary $138,037.68 - $167,791.68 Annually Location...Requirement: Investigators in the District Attorney's Office and Welfare Fraud Investigation Division are designated peace officers by the… more
    Sacramento County (11/23/24)
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  • Principal Claims Investigator

    AIG (Atlanta, GA)
    …to ensure that the fraud risk to AIG is minimized. As an Insurance Claims Investigator , you will be responsible for investigating high complexity suspicious ... to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's...insurance claims or suspicious insurance related activities… more
    AIG (09/06/24)
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  • Law Enforcement Investigator II

    MyFlorida (Lake Wales, FL)
    …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... LAW ENFORCEMENT INVESTIGATOR II - 43001585 Date: Nov 13, 2024...operating in the State of Florida against acts of fraud , arson, and the misuse of state funds. Available… more
    MyFlorida (11/14/24)
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  • Law Enforcement Investigator II

    MyFlorida (Tampa, FL)
    …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: TAMPA COUNTY: HILLSBOROUGH SPECIAL NOTES: ... LAW ENFORCEMENT INVESTIGATOR II - 43001801 Date: Nov 26, 2024...wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation … more
    MyFlorida (11/26/24)
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