- Novo Nordisk Inc. (Plainsboro, NJ)
- …on interactions with health care providers, patients, and payors in compliance with fraud and abuse laws such as the US Anti-Kickback Statute and industry codes, ... employee benefit programs including medical, dental and vision coverage; life insurance ; disability insurance ; 401(k) savings plan; flexible spending accounts;… more
- New York State Civil Service (New York, NY)
- …and support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more
- American Family Insurance - Corporate (Seattle, WA)
- You will Investigate low to moderately complex insurance fraud activity involving property claims, develop meaningful industry social network and assist special ... + Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop and maintain contact with public… more
- New York State Civil Service (New York, NY)
- …Chief Investigators each leading a criminal investigative team in financial and insurance fraud investigations covering upstate and downstate regions;* Provides ... Financial Services, Department of Title Assistant Director of Field Operations, Insurance Frauds Bureau (Assistant Director Financial Services Frauds Bureau, NS)… more
- RELX INC (Alpharetta, GA)
- …Identity Product Management team is responsible for delivering the ID Compass suite of fraud and identity solutions to the US insurance market . Our solutions ... Solutions is the essential partner in the assessment of risk. Within our Insurance vertical , we provide customers with solutions and decision tools that combine… more
- CareFirst (Baltimore, MD)
- …Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert… more
- MyFlorida (Tallahassee, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; Certified Compliance and Ethics Professional, ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program...competitive set of employee benefits including: * State Group Insurance Coverage Options, including health, life, dental, vision, and… more
- Corewell Health (Grand Rapids, MI)
- …Investigation Unit (SIU) with a focus on identifying, investigating, and resolving health insurance fraud , waste, and abuse (FWA). This role provides operational ... years of relevant experience Well versed with Michigan regulations related to insurance fraud and abuse Preferred + Understanding and experience with SIU key… more
- Allied Universal (Louisville, KY)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud ...of Insurance policies and the components of fraud to determine If claims warrant reporting to the… more
- Kemper (Lake Mary, FL)
- … + Completion of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or ... Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are +… more
- Travelers Insurance Company (Downers Grove, IL)
- …of applicable law and local office expectations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... Chicago, IL area **What Will You Do?** + Conducts insurance investigations including applicable data base searches with a...+ Serves as the subject matter expert (liaison) on fraud to business and industry partners. + Applies rules… more
- State of Massachusetts (Boston, MA)
- …range of criminal cases, spanning financial crime, public corruption, and insurance fraud . Financial crime includes fiduciary embezzlement by professionals, ... array of schemes involving public officials, public institutions, and public funds. Insurance fraud includes workers' compensation fraud , unemployment tax… more
- Allied Universal (Billings, MT)
- …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
- Louisiana Department of State Civil Service (LA)
- …White-Collar Crimes, Violent Crime and Drug Unit, Sexual Predator Apprehension Team, and the Insurance Fraud Unit. The Criminal Division also serves: + Medicaid ... Fraud Control Unit: The Louisiana Medicaid Fraud ...resolves disputes, administers and enforces fair housing laws, manages insurance liquidations, and enforces state laws related to tobacco… more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE ATTENTION CANDIDATES THIS POSITION… more
- MyFlorida (Lakeland, FL)
- …EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: ... INSURANCE FRAUD CITY: LAKELAND COUNTY: POLK The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the… more
- State of Michigan (Lansing, MI)
- …to prosecute matters involving other types of financial crimes, including but not limited to insurance fraud , securities fraud , tax fraud , practicing as ... or support other state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health, dental, and vision … more
- State of Arkansas (Little Rock, AR)
- … DEPARTMENT Anticipated Starting Salary: $55,929.95 Position Summary The Criminal Insurance Fraud Investigator is responsible for monitoring criminal activity ... related to insurance fraud matters. This position is governed by state and federal laws and agency/institution policy. This position requires on-site employment… more
- Command Investigations (Orlando, FL)
- JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert ... /CERTIFICATIONS REQUIREMENTS + Valid state-issued driver's license. + Current auto insurance - required liability limits reflecting 100/300/100 for Bodily injury per… more
- New York State Civil Service (Albany, NY)
- …experience in conducting financial fraud investigations to include no -fault insurance fraud ; an understanding of law enforcement agencies throughout the ... financial institutions in support of DFS' efforts to enforce the Banking, Insurance and Financial Services laws. This may involve travel and undercover operations… more
