• Nurse and CPC - Clinical Fraud

    Elevance Health (Miami, FL)
    **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 that may… more
    Elevance Health (12/31/24)
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  • SIU Specialist Investigator

    Kemper (Miami, FL)
    …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations ... our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims referred… more
    Kemper (01/09/25)
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  • Investigator , SIU-Miami, Florida

    Molina Healthcare (Miami, FL)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
    Molina Healthcare (12/15/24)
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  • Financial Investigator -Criminal Enforce

    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 (01/08/25)
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  • Law Enforcement Investigator II

    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 (01/08/25)
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  • Financial Crime Investigator I

    MyFlorida (Miami, FL)
    FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: Jan 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 844434 Agency: Financial Services Working Title: FINANCIAL CRIME INVESTIGATOR I - 43061934 Pay Plan: Career Service Position Number: 43061934… more
    MyFlorida (01/09/25)
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  • Law Enforcement Investigator II

    MyFlorida (Plantation, FL)
    LAW ENFORCEMENT INVESTIGATOR II - 43001557 Date: Jan 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 844433 Agency: Financial Services Working Title: LAW ENFORCEMENT INVESTIGATOR II - 43001557 Pay Plan: Career Service Position Number: 43001557… more
    MyFlorida (01/10/25)
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  • Investigator , SIU RN

    Molina Healthcare (Miami, FL)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
    Molina Healthcare (01/04/25)
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  • Surveillance Investigator -Experienced

    Command Investigations (Miami, FL)
    …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... need to apply: + Approximately 1 year of experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Hold a valid Private Investigator more
    Command Investigations (11/19/24)
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  • Senior AML Financial Crime Risk…

    TD Bank (Fort Lauderdale, FL)
    …Crime Risk Management **Job Description:** The Senior AML Financial Crime Risk Investigator conducts end to end investigations of various higher complexity and ... 314a/314b, and internal referrals. The Senior AML Financial Crime Risk Investigator conducts holistic reviews of client relationships; assesses risks related to… more
    TD Bank (01/10/25)
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  • Financial Crimes Sr Investigator II…

    Truist (Miami, FL)
    …of suspicious financial and/or fraudulent activity, to include money laundering, terrorist financing, fraud and/or any other financial risk or crime. As part of this ... of money laundering, terrorist financing and other criminal activity. A Senior Investigator in the FIU performs critical functions in the enterprise-wide suspicious… more
    Truist (12/20/24)
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  • IT Security Incident Response Leader

    University of Miami (Miami, FL)
    …generation, maintenance, and protection of required incident records, such as investigator journals. + Organizes, participates in and, if required, chair ... for other events that fall outside the security incident realm, such as fraud attempts based on electronic channels or high-impact outages due to reasons other… more
    University of Miami (01/06/25)
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  • Drug Inspector

    MyFlorida (Miami, FL)
    …is to protect public health, safety, and welfare by preventing fraud , adulteration, misbranding, and false advertising in the preparation, manufacture, repackaging, ... cosmetics. Your Specific Responsibilities: This is a career service, non-sworn investigator position assigned to the Jacksonville Office. The selected applicant: +… more
    MyFlorida (11/09/24)
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