- SGI Global, LLC (Baton Rouge, LA)
- SGI Global is seeking an Affirmative Civil Enforcement (ACE) Investigator to support the United States Attorney's Office, Middle District of Louisiana to assist ... the generation of new investigations, to continue with ongoing investigations, and to support civil actions to enforce federal laws or to recover federal funds lost… more
- System One (Baltimore, MD)
- ALTA IT is hiring an Associate Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit (SIU) ... Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and… more
- NANA Regional Corporation (Washington, DC)
- …of experienced professionals to join our team in Washington, DC, as a Field Investigator , working in support of a Law Enforcement Agency. The selected ... (ANC), our mission and purpose extend beyond our exciting federal projects as we support our shareholder communities in Alaska. At Suvi, the work you do every day… more
- Commonwealth of Pennsylvania (PA)
- …injury claims and their estates by collecting and analyzing claim , asset and expenditure information, and by researching, interpreting and analyzing Public ... injury claims AND their estates by collecting and analyzing claim , asset and expenditure information, and by researching, interpreting and analyzing Public… more
- CDPHP (Albany, NY)
- …and invites you to be a part of that experience. The SIU Special Investigator will be responsible for investigating complex insurance cases to detect internal and ... external fraud and abuse. The Special Investigator will research and document cases utilizing resources available...investigation. They will assist in performing audits of providers' claim submissions to assure that services rendered and billed… more
- New York State Civil Service (Albany, NY)
- … 1 (Korean Language), License Investigator 1 (Spanish Language), Compensation Claims Investigator 1, or Rent Administration Investigator 1.Only the ... Language), License Investigator 1 (Spanish Language), Compensation Claims Investigator 1, or Rent Administration ...serving a role within the Incident Command System to support the department's response to regional and statewide emergency… more
- Travelers Insurance Company (Brookfield, WI)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... - $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a dynamic fast paced… more
- State of Colorado (Lakewood, CO)
- CRIMINAL INVESTIGATOR II (Financial Investigations) Division of Gaming Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4513230) Apply CRIMINAL ... INVESTIGATOR II (Financial Investigations) Division of Gaming Salary $80,844.00...customer service, innovation, and collaboration. We celebrate diversity and support an equitable and inclusive culture. We embrace our… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Human Rights Investigator ** **Job Class: Human Rights Investigator ** **Agency: Human Rights Dept** + **Job ID** : 77005 + **Location** : St. ... to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. The Minnesota Department of… more
- State of Nevada (NV)
- COMPLIANCE/AUDIT INVESTIGATOR 3 APPROXIMATE ANNUAL SALARY - $58,025.52 to $86,150.88 PAY GRADE: 35 For more information on benefit and retirement programs, please ... provide work direction and training to others. The incumbent is a Compliance/Audit Investigator III in the Insurer/TPA Compliance Unit and serves as the lead worker… more
- State of Georgia (Fulton County, GA)
- Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot ... of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the...proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive… more
- Manulife (Boston, MA)
- … will conduct desktop investigations of high complexity related to LTC customers on claim . They will assist and support junior investigators on complex cases. ... data using AI to identify where suspicious activity/behavior exists during the claim process ( claim initiation, submitting reimbursements). The candidate will be… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Equal Employment Opportunity and Title IX Investigator (EEO/Title IX Investigator ) serves as part of a team investigating and resolving ... and meet the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the basis for significant… more
- SUNY Geneseo (Geneseo, NY)
- Harassment and Discrimination Investigator & Compliance Officer Bookmark this Posting | Print Preview | Apply for this Job Please see Special Instructions for more ... Vacancy Announcement Position Information Campus Title Harassment and Discrimination Investigator & Compliance Officer Department Office of Diversity and Equity… more
- SGI Global, LLC (Raleigh, NC)
- …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 characteristically involve… more
- Premera Blue Cross (Spokane, WA)
- …. As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud, waste, ... personnel to perform analysis and obtain analytical information of significance to support case investigations. You will also coordinate efforts to recover erroneous… more
- Sedgwick (Madison, WI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing ... an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening… more
- State of Georgia (Fulton County, GA)
- Compliance Investigator 1 (TLB) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/53095/other-jobs-matching/location-only) Hot ... Share this Job Sign Up for Job Alerts Compliance Investigator 1 Job Code: RCT071 Pay Grade: H The...Theft cases. + Gathers pertinent documents and evidence to support findings. + Assists in preparing cases for overpayment… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Lead Investigator (Auditor) - Medicaid Fraud** **Job Class: Legal Assistant 8 (LA8)** **Agency: Attorney General's Office** + **Job ID** : 76705 + ... to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. The Office of the Minnesota… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Special Investigator (General) Hybrid Recruitment # 240516-7804AR-001 Location Hartford, CT Date Opened 5/16/2024 3:18:00 PM Salary $70,983* - $89,640/year ... accepting applications for an exciting opportunity as a Special Investigator (General) (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=7804AR&R1=&R3=) . WHAT WE CAN OFFER YOU:… more