- MTA (Brooklyn, NY)
- Claims Fraud Investigator (Special Investigations) Job ID: 7127 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular ... with enforcement agencies, insurance carriers and organizations dedicated to combating claims fraud. Education and Experience Claim Fraud Investigator +… more
- The Hartford (NJ)
- SIU Investigator - CF08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... our team as we help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be based out… more
- State of Massachusetts (Boston, MA)
- …the Senior Investigator will also recommend improvements to internal and financial controls and will assist in the writing of public advisories and letters ... basis of integrity and demonstrated ability in accounting, auditing, financial analysis, law, management analysis, public administration, investigation or criminal… more
- Elevance Health (Iselin, NJ)
- …check, or ask you for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... + Georgia, Atlanta + New Jersey, Morristown **Description** **Senior Investigator ( Investigator Sr)** _Location: This position will...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- National General Insurance Company (Uniondale, NY)
- ** This role is a field Investigator role where the investigator would travel within a territory of Essex county, Union County and Bergen county, NJ AND the 5 ... Manhattan, Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job Summary: This job is… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Senior** + Job Family: FRD > Investigation + Type: Full time + Date ... + California, Costa Mesa + District of Columbia, Washington **Description** ** Investigator Senior** **Supports the Payment Integrity line of business** _Location:… more
- Elevance Health (Columbus, OH)
- …check, or ask you for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... Maine, South Portland + New Jersey, Morristown **Description** Job Description **Senior Investigator ** **Schedule:** 1-2 days per week in the office (Hybrid 1)… more
- SGI Global, LLC (Raleigh, NC)
- SGI Global is seeking a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States ... Attorney's Office for the Eastern District of North Carolina. The investigator will be assigned cases and matters that vary in scope and complexity, but… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Agency's Equal Employment Opportunity & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner of EEO&D… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Investigator OR Senior Investigator ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Who May Apply** ... employee will function independently and as a member of a medical, financial , or investigation team, in training, developing, and implementing strategies toward… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... + Maine, South Portland + New Jersey, Morristown **Description** Job Description ** Investigator Assistant** **Schedule:** 1-2 days per week in the office (Hybrid 1)… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator I** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... ATLANTA + OH, COLUMBUS + OH, COLUMBUS + TN, NASHVILLE **Description** **JR111671 Investigator l** **Location** : This position will work a hybrid model (remote and… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... North Carolina, Winston + District of Columbia, Washington **Description** ** Investigator Assistant** **Supports the Payment Integrity line of business** _Location:… more
- Woodforest National Bank (The Woodlands, TX)
- …relationships and discovering opportunities to better serve our communities and understand the financial needs of every customer we serve. At Woodforest we care and ... of one of the largest employee-owned banks in the country! The Fraud Investigator I is responsible for reviewing and compiling evidence to substantiate allegations… more
- SMBC (NC)
- …customers' best interests. We are a close-knit and fun-loving team of seasoned financial services professionals who came together for the challenge of building a ... to deliver an exciting concept of evolved banking. **SUMMARY:** As a Fraud Investigator , you will investigate and research cases of identified fraud, fraud loss, or… more
- Elevance Health (Las Vegas, NV)
- …check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraid Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Magellan Health Services (Boise, ID)
- …in the field with vendors, subcontractors and providers. Responsible for conducting claims and compliance audits for the purpose of detecting and/or recovering ... matter experts in Special Investigations Unit (SIU), cost containment, legal, claims , network, compliance and external county and federal and state regulatory… more
- City of Pittsburgh (Pittsburgh, PA)
- …to the assigned attorney/ claims manager. + Reviews contracts, medical records and financial reports or other files as needed. + Conducts site visits and scene ... Investigator , Law Print (https://www.governmentjobs.com/careers/pittsburgh/jobs/newprint/4432809) Apply Investigator , Law Salary See Position Description… more
- Sedgwick (Springfield, IL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing ... meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your… more
- Highmark Health (Columbus, OH)
- …affiliated companies and work with Finance to ensure proper recording the financial statements. + Conduct audits for proactive and investigative purposes to comply ... varying size and complexity **Preferred** + 3 years of financial analysis in an acute care hospital or health...+ Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider… more