- Elevance Health (Costa Mesa, CA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- ADP (San Dimas, CA)
- ADP is hiring a **Senior Fraud , Client Svc & Prod Supt Consultant** - Wisely Card Product in our Employee Financial Solutions organization. The Senior Fraud ... Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to… more
- Kemper (Ontario, CA)
- …(FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations ... to our stakeholders that delivers on our promises._ **Position Summary** The SIU Investigator III is responsible for the investigation of complex, large loss, and… more
- Allied Universal (Orange, CA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- EFI Global (Riverside, CA)
- …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
- Elevance Health (Costa Mesa, CA)
- …evaluate and recommend focused investigative activities involving market trends indicating Fraud , Waste and Abuse within the healthcare industry. **How You Will ... Make an Impact:** + Assisting the team manager with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy Investigations** ; coordinating and conducting case reviews for quality assurance, investigative… more