- Allied Universal (Tampa, FL)
- …(FCLS) + Fraud Claim Law Associate (FCLA) + Certified Insurance Fraud Investigator (CIFI) + Certified Fraud Examiner (CFE) + Certified Financial ... Case Unit Investigators** Our operations team has an opening on our MCU Investigator team. This position is responsible for completing insurance fraud … more
- Aflac (GA)
- …Specialist (FCLS), Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in Spanish Travel + Less than or ... Investigator I The Company: Aflac Columbus The Location:...Assists business units in recognizing and identifying indicators of fraud as a part of the normal business process;… more
- Molina Healthcare (Nampa, ID)
- …: + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible ... when the balances exceed the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group Supervisor, who will: -… more
- Elevance Health (Chicago, IL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- Capital One (Mclean, VA)
- AML Senior Investigator II-SIU **The Anti-Money Laundering (AML) Supervisor** **supervises various AML processes, which might include suspicious activity ... investigations, closing reviews, or other AML processes. The associate will work closely with AML Process Managers to...managing the workflow of the AML analysis. The AML Investigator II coaches their team and teaches others about… more
- Capital One (Richmond, VA)
- …Sr. Investigator Job Description **Anti-Money Laundering (AML) Sr Investigator I** **Level: Associate ** **Job Description:** The Anti-Money Laundering ... due diligence or other AML processes. The AML Sr Investigator I will work closely with AML Process Managers...GED or equivalent certification -At least 1 year of fraud experience, or investigative experience, or compliance experience. -At… more
- Capital One (Wilmington, DE)
- …Research + Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or ... Anti-Money Laundering Investigator The qualified candidate will support various Anti-Money...+ 1+ years of experience in Anti-Money Laundering (AML), Fraud , Investigations, or as an Analyst + 6+ months… more
- Allied Universal (Chesapeake, VA)
- … Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- Allied Universal (Billings, MT)
- … Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... **Job Description:** Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigators validate the facts of loss for… more
- New York State Civil Service (Albany, NY)
- …No Agency State Inspector General, Office of Title Digital Forensic Investigator Occupational Category Enforcement or Protective Services Salary Grade NS Bargaining ... is entrusted with the responsibility of receiving and investigating complaints of fraud , corruption, criminal activity, conflicts of interest, and abuse in executive… more
- New York State Civil Service (Albany, NY)
- …No Agency Corrections and Community Supervision, Department of Title Senior Investigator - All Divisions Occupational Category Enforcement or Protective Services ... qualified candidates for consideration to serve as a Senior Investigator in one of its five divisions with cross-over...various forms of harassment or other misconduct; theft and fraud ; and escape plots. The Criminal Investigations Division (CID)… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or ... (OSI) is seeking qualified candidates for consideration to serve as an Investigator in one of its five divisions with cross-over and collaboration among… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope of ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
- Louisiana Department of State Civil Service (LA)
- Investigator /Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951050) Apply Investigator /Special Agent 1-4 Salary ... Justice, Office of Attorney General Liz Murrill, is seeking applications for an Investigator /Special Agent 1-4. As part of a Career Progression Group, vacancies may… more
- Insight Global (Norfolk, VA)
- …-Review and assess incoming referrals -Assist in the investigation of potential fraud , waste, and abuse. -Conduct research in support of an investigation. -Collect ... claims data, provider enrollment data, and other sources to refer to Investigator for investigation or settlement. -Assures accurate reimbursement is obtained and… more
- Kohl's (Menomonee Falls, WI)
- Shift: 1st shift (6:00 AM - 4:30 PM) About the Role As Operations Center Investigator , you will be the primary contact for store and Loss Prevention teams regarding ... fraud activity and significant events. You support field loss...law enforcement to resolve organized retail crime, answer incoming associate calls to assist with shoplifting apprehensions or significant… more
- CVS Health (OK)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...policies and procedures. **Education** - Bachelor's degree and/or an Associate 's degree or equivalent experience with two additional years… more
- Parsons Corporation (San Antonio, TX)
- …got what you're looking for. **Job Description:** Parsons is seeking a **Research Associate III** to support Naval Medical Research Unit - San Antonio (NAMRU-SA) and ... of DoD personnel engaged in routine and expeditionary operations. The Research Associate III will be responsible for assisting with the collection of supporting… more