- Huntington National Bank (Cincinnati, OH)
- Description Summary: The Fraud Investigator role within the Fraud Investigations Departments at Huntington National Bank is responsible for investigating ... for building comprehensive cases for presentment to law enforcement. The Fraud Investigator is also responsible for filing accurate, complete and timely… more
- Elevance Health (Mason, OH)
- **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
- ASM Research, An Accenture Federal Services Company (Columbus, OH)
- As a Tier 1 Fraud Investigator , you will be joining our Converge Operations Team to be on the front lines protecting the retirement accounts of federal employees ... our clients and our firm. Further, as the Technical Investigator , you will be responsible for addressing all ...Investigator , you will be responsible for addressing all fraud related technical matters, including data analytics and communicating… more
- Molina Healthcare (OH)
- …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
- Humana (Columbus, OH)
- …experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting day 1 of ... of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location +...CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all… more
- Elevance Health (Columbus, OH)
- ** Investigator Assistant** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a hybrid ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support to the… more
- EFI Global (Springfield, OH)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire loss, and multiple… more
- TEKsystems (Columbus, OH)
- …or domestic alerts, handling wire transfers/ACH's, PEP, Branch Referrals, Credit Card, Fraud Schemes, etc. they get exposure to a little bit of everything ... development and execute on tactical strategies for goal attainment Skills fraud , aml, compliance, kyc, anti money laundering, Reporting, Investigation and analysis,… more