- 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
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
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