• Criminal Insurance Fraud

    Arkansas Government Job (Little Rock, AR)
    CRIMINAL INSURANCE FRAUD INVESTIGATOR Date: Aug 20, 2024 Req ID: 41518 Location: Little Rock, AR, US, 72202 Category: STATE INSURANCE DEPARTMENT ... Status: EXEMPT Salary Range: $45,010.00 - $65,265.00 Summary The Criminal Insurance Fraud Investigator is responsible for monitoring criminal activity… more
    Arkansas Government Job (08/20/24)
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  • SIU Investigator - Part-Time

    Allied Universal (Burlington, VT)
    …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 (09/14/24)
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  • Surveillance / Claims Investigator

    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
    Allied Universal (09/12/24)
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  • Financial Investigator

    Medical Mutual of Ohio (Rossford, OH)
    fraud review in the health insurance industry. . Accredited Health Care Fraud Investigator preferred. . Health Care Anti- Fraud Associate preferred. . ... as a Financial Investigator or equivalent progressive fraud investigation experience in the health insurance ... Fraud Examiner preferred. . Accredited Health Care Fraud Investigator preferred. . Certified Professional Coder… more
    Medical Mutual of Ohio (09/12/24)
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  • Medicaid Fraud Investigator (Special…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4627371) Apply  Medicaid Fraud ... do not need to reapply. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud Control Unit ("COMFCU"). The… more
    State of Colorado (08/23/24)
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  • Sr. Fraud Investigator (SIU)

    Kelsey-Seybold Clinic (Pearland, TX)
    **Responsibilities** The Sr. Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's ... applied to all audits and investigations conducted **Job Title: Sr. Fraud Investigator (SIU)** **Location: Pearland Administrative Office** **Department:**… more
    Kelsey-Seybold Clinic (09/05/24)
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  • Claims Fraud Investigator

    AIG (Atlanta, GA)
    Fraud Investigator Join us as a Claims Fraud Investigator to grow your experience in Claims. Make your mark in Claims Our Claims teams are the proven ... efficiency. How you will create an impact The Claims Fraud Investigator is responsible for all aspects...be responsible for investigating high frequency, low complexity suspicious insurance claims or suspicious insurance related activities… more
    AIG (08/12/24)
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  • Fraud Investigator

    Independent Health (Buffalo, NY)
    …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Fraud Investigator develops, implements and administers the IH anti- ... fraud program, including a regular fraud risk assessment, and project managing the program, facilitating... Examiner (CFE) preferred. + Five (5) years of insurance claims investigation experience or professional investigation experience with… more
    Independent Health (07/01/24)
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  • Claims Fraud Investigator

    AIG (Atlanta, GA)
    …are reimagining the way we help customers to manage risk. Join us as a Claims Fraud Investigator to play your part in that transformation. It's an opportunity to ... 5+ years of experience within TPA/Vendor management ideally in insurance + Understanding of the typical/standard Fraud ...in insurance + Understanding of the typical/standard Fraud and Recovery KPIs or indicators + Strong administration… more
    AIG (08/17/24)
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  • Fraud Analyst/ Investigator

    IT Concepts (Woodlawn, MD)
    …driven and innovative individuals to join our team. IT Concepts is seeking a Fraud Analyst/ Investigator who will support several projects at a federal agency. ... as well as input from other sources to identify fraud + Communicates with internal and external sources related...- Competitive Paid Time Off, Medical, Dental and Vision Insurance , Identity Theft Protection, Legal Resources Coverage, 401(k) with… more
    IT Concepts (08/23/24)
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  • Medicaid Fraud Control Unit…

    Idaho Division of Human Resources (Boise, ID)
    Medicaid Fraud Control Unit Investigator , OAG, Criminal Law Division Posting Begin Date: 2024/09/09 Posting End Date: 2024/11/08 Category: Law Enforcement Sub ... State employee benefits which include low-cost health and dental insurance , paid vacation and sick leave, 11 paid holidays,...applicant will be assigned to the Attorney General's Medicaid Fraud Control Unit (MFCU). This investigator will… more
    Idaho Division of Human Resources (09/10/24)
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  • Fraud Investigator

    Tennessee Comptroller of the Treasury (Knoxville, TN)
    Fraud Investigator The Tennessee Comptroller of the Treasury is seeking an Investigator to investigate allegations of fraud , waste, and abuse in ... work a flexible schedule to meet deadlines. Candidate A successful Investigator exhibits familiarity with accounting, auditing, and/or investigative procedures and… more
    Tennessee Comptroller of the Treasury (09/06/24)
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  • Fraud Investigator I (Mid Level)…

    USAA (Tampa, FL)
    …a part of what makes us so special! **The Opportunity** **The Opportunity** As a Fraud Investigator I, you will conduct internal or external fraud ... activities while utilizing multiple applications and platforms in support of fraud operation activities to alleviate any potential negative impact to members… more
    USAA (09/11/24)
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  • Regulation Agent 9-P11 ( Fraud

    State of Michigan (MI)
    Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ...  Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health,… more
    State of Michigan (07/16/24)
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  • Clinical Fraud Investigator II

    Elevance Health (South Portland, ME)
    …**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 pose potential risk associated with fraud and abuse. **How you will make an impact:**...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
    Elevance Health (09/11/24)
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  • Fraud Investigator

    US Bank (Columbus, OH)
    …Bank is seeking a highly motivated and detail-oriented individual to join our Fraud Investigations team. The primary responsibility of this role is to investigate ... allegations of potential fraud and, when applicable, prepare and file Suspicious Activity...dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability… more
    US Bank (09/11/24)
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  • AML Fraud Case Investigator

    BMO Financial Group (Chicago, IL)
    + Banking experience - preferred + Fraud or investigation experience - preferred + Suspicious Activity Report experience - preferred + **Hybrid role** Conducts ... as other perks and rewards. BMO also offers health insurance , tuition reimbursement, accident and life insurance ,...health insurance , tuition reimbursement, accident and life insurance , and retirement savings plans. To view more details… more
    BMO Financial Group (09/05/24)
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  • External Fraud Investigator

    US Bank (Brookfield, WI)
    …+ Healthcare (medical, dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability and parental leave ... checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the… more
    US Bank (09/10/24)
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  • District Attorney Investigator I/II

    Ventura County (Ventura, CA)
    …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply  District Attorney Investigator I/II… more
    Ventura County (07/17/24)
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  • Law Enforcement Investigator II

    MyFlorida (Tallahassee, FL)
    LAW ENFORCEMENT INVESTIGATOR II - 41001235 Date: Aug 29, 2024 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 - 41001235 Pay Plan: Career Service Position...States. Position Summary: This position is in the Medicaid Fraud Unit. The Attorney General's Medicaid Fraud more
    MyFlorida (08/30/24)
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