- Sanford Health (Fargo, ND)
- …is required. Minimum 3 years' experience in health insurance investigation /audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) ... is required. - Minimum 3 years' experience in health insurance investigation /audit. - Master's Degree preferred -...for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies.… more
- State of Colorado (Denver, CO)
- …referrals, assist with investigation of allegations of both securities and insurance fraud , and ultimately make charging decisions. We would be excited ... attorney will work on a multi-disciplinary team to prosecute insurance and securities fraud throughout the state....investigators, and paralegals who are dedicated exclusively to the investigation and prosecution of fraud . The attorney… more
- Zurich NA (Overland Park, KS)
- Bachelor Apprenticeship Program - Claims Fraud Investigation - Schaumburg (January 2026) 126569 Have you completed two or more years of college and are looking ... and providing support to colleagues. Your responsibilities may include: + Assess insurance claims for potential fraud indicators and recommend cases for… 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
- Highmark Health (Pittsburgh, PA)
- …documentation requirements, state and federal criminal and civil law related to insurance fraud and advances in the post-payment utilization review process ... & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation of fraud , waste and abuse (FWA) and recoupment of related… more
- Travelers Insurance Company (Richardson, TX)
- … industry. + Understanding of medical terminology. + Industry certifications (Certified Insurance Fraud Investigator, Certified Fraud Examiner, Accredited ... Major Case Unit Investigative Analyst, you will proactively analyze data to determine fraud schemes, trends and conduct major case investigations . Your attention… more
- Allied Universal (Palm Coast, FL)
- …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- Allied Universal (Fargo, ND)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- New York State Civil Service (New York, NY)
- …and administrative personnel tasked with analyzing and assessing financial and insurance fraud referrals and providing intelligence support and analysis ... day-to-day activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of… more
- MyFlorida (Jacksonville, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Louisiana Department of State Civil Service (Breaux Bridge, LA)
- …local, state, and federal law enforcement agencies, and through public education. + Insurance Fraud / Auto Theft Unit (IFAT) (https://lsp.org/ifu/) The IFAT Unit ... acts; assisting federal and local law enforcement in the investigation of fraudulent insurance acts; cooperating with...fraudulent insurance acts; and promoting awareness of insurance fraud throughout the state. Additionally, the… 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 ... Division assists federal, state, and local agencies in the investigation and prosecution of a wide range of criminal...Fraud Control Unit: The Louisiana Medicaid Fraud … more
- NTT DATA North America (Boston, MA)
- …information about assigned reviews Qualifications: 1-3 year's related experience in health insurance fraud investigations , health insurance coding, ... Client is seeking a Investigator for Health Plan Special Investigations Unit ( "SIU ) REMOTE EAST COAST The...summaries of findings, supported by evidence collected in the investigation Assisting in the preparing fraud referrals… more
- Highmark Health (Pittsburgh, PA)
- …Business or related field **EXPERIENCE** **Required** + 7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in ... recoveries/ savings. Will be called upon as a subject matter expert for investigations providing guidance and mentoring to investigative team. Must be able to… more
- MyFlorida (West Palm Beach, FL)
- …COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION ... FRAUD CITY: WEST PALM BEACH COUNTY: PALM BEACH The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the… more
- Charles Schwab (Lone Tree, CO)
- …us "challenge the status quo" and transform the finance industry together. The Visa Fraud Investigations team (VFI) is a department within the Financial Crimes ... Management Enterprise. This department consists of two groups, Visa Fraud Investigations and Visa Risk Oversight &...with clients and gain their trust and respect. + Investigation Mindset: ability to uncover situations that don't fit… 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...Knowledge of legal research methods and procedures. Knowledge of investigation techniques and record keeping systems. Knowledge of law… more
- ADP (San Dimas, CA)
- **ADP is hiring a Manager, Fraud Investigations (Compliance) in our Employee Financial Solutions organization.** The Manager, Fraud Investigations , is ... multiple priorities in a fast-paced environment. + 8 years of experience in fraud investigation , risk management, or compliance within a complex business… 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 ... handles sensitive and complex legal assignments that pertain to criminal investigations and prosecutions of white-collar or financial crimes. This position will… more
- First National Bank of Omaha (KS)
- …5:00pm CST for 2 to 3 weeks. Set Schedule: 8:00am to 5:00pm CST As a Fraud Specialist at FNBO, you will be expected to: * Communicate with customers who have ... experienced fraud or might be at risk * Reassure vulnerable...and hold cardholders accountable if needed Conduct an in-depth investigation and attempt to identify a suspect * Contact… more