- Texas Mutual Insurance Company (Austin, TX)
- …Fall intern with a desire to grow their knowledge of workers' compensation insurance fraud investigations from multiple perspectives in a broad-based internship. ... Fall 2024 semester.Have an interest in learning worker's compensation insurance and how the three types of fraud... insurance and how the three types of fraud are investigated.Be proficient in Microsoft Office applications.Flex-Hybrid Work… more
- Hillcrest Family Services (Dubuque, IA)
- …Develop policies and programs that encourage staff to report suspected fraud and other improprieties without fear of retaliation.Other duties as assigned.What ... benefits package for full-time employees working 30+ hours a week:Health insurance (up to 79% employer paid)Dental insuranceVision insurance401(k)with profit sharing… more
- LTCG (MN)
- …maintains a clear understanding of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting * Demonstrated ability to ... technology services to individual and group insurers. The company blends insurance industry knowledge, technology leadership and operational execution to prepare… more
- State of Massachusetts (MA)
- …analyzes advanced queries and ad hoc reports for potential incidents of Unemployment Insurance fraud and takes appropriate action towards deter and prevention of ... The Department of Unemployment Assistance (DUA) administers the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts… more
- Travelers Insurance Company (Melville, NY)
- …to obtain assistance in conducting investigations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... independently, while making decisions to successfully pursue medical and non-medical insurance fraud through establishing significant facts while preserving… more
- American Family Insurance - Corporate (Madison, WI)
- …fraud forensic analysts, examiners, and business partners to proactively identify insurance fraud activity. + Develop and maintain meaningful relationships ... of special investigation operations to include processes, performance measures, strategies, insurance fraud schemes and associated indicators. + Demonstrated… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …P&C, Surety Bail and surplus lines. + Review reports and referrals of insurance fraud or statutory violations. + May independently conduct investigations of ... (CID (https://portal.ct.gov/cid?language=en\_US) ) is currently accepting applications for an Insurance Associate Examiner (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=1781AR&R1=&R3=) within the Fraud … more
- American Family Insurance - Corporate (Orlando, FL)
- Investigate complex insurance fraud activity involving multi-line claims, build and maintain meaningful industry social network and assist special investigations ... + Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop and maintain contact with public… more
- USAA (Phoenix, AZ)
- …contributing to fraud control objectives, as well as compliance with state insurance fraud -related laws and regulations. We offer a flexible work environment ... **not** available for this position. **What you'll do:** + Responsible for insurance fraud detection and investigation services to reduce fraud -related claim… more
- MyFlorida (Tallahassee, FL)
- …Healthcare 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
- Premera Blue Cross (Spokane, WA)
- …handling sensitive information. + Comprehensive knowledge of regulations and laws pertaining to insurance fraud and judicial processes relating to fraud ... the **Investigator III** will be responsible for investigating allegations of external fraud , waste, and abuse (FWA). The reports prepared by this position are… more
- Manulife (Boston, MA)
- …Requirements: + Bachelor's degree in Criminal Justice or related field required + Experience with insurance fraud in Long Term Care or Disability a plus + Ex-law ... apply a working knowledge of state laws and regulations related to insurance fraud and SIU requirements + Experience testifying in legal proceedings **What can… more
- MyFlorida (Tallahassee, FL)
- …defense attorney. + Five (5) years' experience in white collar/economic crime or insurance fraud , as a law enforcement agency legal advisor, insurance ... Fraud (DPAF). They advise sworn and civilian investigators state-wide on insurance fraud , public assistance fraud , workers' compensation fraud , theft… more
- Allied Universal (New Haven, CT)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud ...of Insurance policies and the components of fraud to determine If claims warrant reporting to the… more
- NJM Insurance (Trenton, NJ)
- …the Associate level) to join its Analytics Team in their efforts to combat insurance fraud through technology and data analytics. This highly motivated and ... the development of data projects, analytical dashboards, and predictive fraud models. This individual will also assist in technological...for data mining and exploration of issues related to fraud and to support SIU business needs. + Ensures… more
- Ventura County (Ventura, CA)
- …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... experts in a wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions: the Major Crimes… more
- American Family Insurance - Corporate (Madison, WI)
- …of workloads following established triage guidelines and practices. Assist in the detection of insurance fraud activity and improve fraud awareness. You will ... and contingent workers are not eligible for American Family Insurance Group benefits. We are an equal opportunity employer....federal, state and local law. \#LI-CF1 At American Family Insurance , we know how hard our customers and employees… more
- Allied Universal (Beckley, WV)
- …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
- State of Massachusetts (Boston, MA)
- …Office of Attorney General, the Executive Office of Health and Human Services, the Insurance Fraud Bureau, the US Attorney's Office, the Federal Bureau of ... within the Bureau as well as subjects such as drug diversion, insurance fraud , and other law enforcement issues. . Thorough knowledge of litigation practice… more
- Command Investigations (Tampa, FL)
- JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert ... /CERTIFICATIONS REQUIREMENTS + Valid state-issued driver's license. + Current auto insurance - required liability limits reflecting 100/300/100 for Bodily injury per… more
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