- LTCG (MN)
- …integrity, learning and initiative. WE ARE THE KIND OF EMPLOYER YOU DESERVE. A SIU / Fraud Investigator is responsible for working with multiple business units ... from claims organization, as assigned * Coordinates and performs investigations with oversight of lead investigator *...terminology * Experience in fraud detection and investigations within the long -term care or health… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - SIU ...aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* Oversee and manage the Special Investigations Unit in an effective and engaging manner with our Health Plan Accountable for development, ... Insurance Fraud Bureaus; the Federal Bureau of Investigations ; CMS Investigative Unit ; and other agencies....additional * Licensure: No additional * Certification: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud … more
- Manulife (AL)
- …to drive savings associated with fraud , waste & abuse. The LTC Investigator will conduct desktop investigations of high complexity related to LTC customers ... careers. We are looking for a candidate with experience in insurance, Medicare, Long -Term Care or Disability fraud with expertise assessing and investigating… more