- CVS Health (Morgantown, WV)
- …each and every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of ... or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's an ... and efficiency. How you will create an impact The Senior Claims Investigator is responsible...The investigator will provide assistance to the claims adjuster in progressing the claim and… more
- CVS Health (Bismarck, ND)
- …anywhere in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- MyFlorida (Orlando, FL)
- SENIOR CHILD PROTECTIVE INVESTIGATOR - 60022401 Date: Oct 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 863830 Agency: Children and Families Working Title: SENIOR CHILD PROTECTIVE INVESTIGATOR - 60022401 Pay Plan: Career… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will… more
- Manulife (Workman, MN)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... and trains more junior investigators on long term care claim cases and processes + Ability to travel on...short notice and responds to urgent long term care claim investigations + Maintains knowledge of sophisticated investigative techniques,… more
- Manulife (NY)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... and trains more junior investigators on long term care claim cases and processes + Ability to travel on...short notice and responds to urgent long term care claim investigations + Maintains knowledge of sophisticated investigative techniques,… more
- EFI Global (Los Angeles, CA)
- …Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- EFI Global (Detroit, MI)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Insight Global (Norfolk, VA)
- …Our client is seeking two contract-to-hire professionals to join their team as Claims Investigators / Process Specialists. These roles are pivotal in ensuring the ... accuracy and efficiency of claims processing. Key Responsibilities: -Develop Solutions: Create and implement processes to address overpaid claims challenged by… more
- The Boeing Company (Ridley Park, PA)
- …your future with us. **Boeing Defense Space & Security** **(BDS)** is looking for a ** Senior (Level 4 or Level 5) System Safety Engineer** to join our team onsite in ... + Participates in the discussion of legal cases and claims with in-house and outside counsel. + Researches, acquires...market and business considerations. **Summary Pay Range** : + Senior (Level 4): $129,200 - $174,800 + Senior… more
- Ally (Raleigh, NC)
- …so shouldn't your opportunities be, too? **The Opportunity** The primary role of the Senior Bank Fraud Investigator to investigate and deter fraud against Ally ... in bank fraud investigations of all types of forgery claims and schemes (ie, kite schemes, counterfeit checks, forgeries,...knowledge of UCC codes and industry defenses to adverse claims . * CFE, CAFP, and CFCI certifications preferred. *… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately...CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in… more
- New York State Civil Service (Syracuse, NY)
- …State NY Zip Code 13203 Duties Description Under the direction of a Senior Investigator , within the Compliance/Enforcement Unit, the position will conduct field ... and employers daily while in the field and from the office. The Investigator instructs them on the requirements of the Workers' Compensation Law. Specific duties… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …professional certification(s) (eg, Certified Insurance Fraud Investigator (CIFI), * Fraud Claim Law Associate (FCLA), Senior Claim Law Associate (SCLA) ... Market Regulation Investigator - Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5138436) Apply Market Regulation … more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6481) Job Brief Assists the Incident Management Investigator with conducting investigations into situations, which may violate… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... recommendations. 5. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports to… more
- Aramco Services Company (Houston, TX)
- …Audit on special assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of ... Special assignments include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or calls and manages… more
- Mount Sinai Health System (New York, NY)
- …Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more