- 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 ... Status: EXEMPT Salary Range: $45,010.00 - $71,792.00 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
- Kemper (Miami, FL)
- …Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner ... will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A… more
- Allied Universal (Fairfax, VA)
- …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
- NBT Bank (Lakeville, CT)
- Pay Range: $27.48 - $36.65 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security Officer ... patterns of customer activity + Must be a skilled investigator with understanding of types of fraud ...an option to purchase additional long-term coverage. + Life Insurance : Employer-paid basic life insurance , with… more
- Elevance Health (Washington, DC)
- **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
- RGP (New York, NY)
- RGP Financial Services team is seeking a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in addressing ... reports, and will involve leading interrogative-style interviews to uncover fraud , misconduct, and regulatory violations. The ideal candidate will bring… 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
- Umpqua Bank (Tigard, OR)
- Fraud Investigator Financial Crimes Tigard, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ employees and ... Heart, Enjoyment, and Relationships. **About the Role:** Investigate potentialinternaland external fraud incidents related to the bank and the bankscustomers. +… more
- Zions Bancorporation (Midvale, UT)
- …are endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time work ... including the case management system. + Keeps current on fraud and BSA/AML investigative operations and the application of...experience and location Benefits: + Medical, Dental and Vision Insurance - START DAY ONE! + Life and Disability… 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
- State of Minnesota (St. Paul, MN)
- **Working Title: INVESTIGATOR - MEDICAID FRAUD DIVISION** **Job Class: Legal Assistant 5, 6, or 7 (LA 5, 6, 7)** **Agency: Attorney General's Office** + **Job ... to uncover, investigate, and stop fraudulent claims made to taxpayer-funded public health insurance programs. This investigator makes a difference in the lives… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- MyFlorida (Miami, FL)
- FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004722 Date: Dec 20, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 843021 Agency: Office of Financial Regulation Working Title: FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004722 Pay Plan: Career Service Position Number:… more
- MyFlorida (Miami, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001296 Date: Jan 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001296 Pay Plan: Career Service Position...the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. This position is… more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: Jan 8, 2025...EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal Investigations Division… 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 ... a Special Investigator 2, you will conduct advanced investigations of insurance companies, producers and any other persons or entities engaged and operating in… 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
- NCR Atleos (Atlanta, GA)
- …institutions and retailers across the globe. **Global Security Senior Investigator ** **Location:** Atlanta, GA (midtown office) **Workstyle:** Hybrid (in office ... M/Tu/W/Th and remote Fri) **Position Summary:** As a Global Security Senior Investigator , you will be chartered with conducting a wide variety of internal and… more
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