- State of Colorado (Denver, CO)
- …listed. Department Information The Criminal Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit. In this role, you'll ... position will investigate matters involving drug-related crimes, election crimes, fraud , homicide, human trafficking, identity theft, public corruption related… more
- Los Angeles Metro (Los Angeles, CA)
- …or claims identified to have red flags or suspicion of fraud , conducting highly complex investigations, communicating findings and recommendations to assist ... of Risk matters relating serious accidents or incidents. The Principal Investigator 's responsibilities may include but not limited to the following, claims… more
- FSA Federal (New York, NY)
- …to pursue claims. The investigator will also lend support to our existing fraud matters by acting in concert with the assigned agent from the relevant Office of ... security. We currently have a vacancy for a Civil Investigator . In this role, you will be supporting the...around our basic plans at $0 employee cost for: Medical , Dental, Vision, Term Life Insurance, Accidental Death &… more
- Kaiser Permanente (Aurora, CO)
- Associate Investigator - Cancer Epidemiology Serves as investigator or co- investigator on major projects for the Kaiser Permanente Colorado (KPCO) Institute ... and professional journals. Is sought out to advise KPCO, Colorado Permanente Medical Group, Kaiser Permanente nationally, and national policymakers in area of… more
- Koalafi (Richmond, VA)
- …transforming the financing experience and joining our team? What You'll Do: Fraud is a fast-evolving challenge in the financial industry-identity theft alone ... protecting the integrity of our platform. As a Risk Investigator , you'll be at the heart of that...merchant partners, and business by identifying, investigating, and mitigating fraud risks-while collaborating with teams across the company to… more
- City of Tustin, CA (Tustin, CA)
- …of civilian assignments such as Front Desk Officer, Detective Bureau Case Investigator , Court Liaison Officer, Crime Scene Investigator , Traffic Accident ... examination, an interview with the Police Chief (or his designee), and a medical examination and drug screen upon conditional offer of employment. The duration of… more
- Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... and 15+ years of experience in a FDA regulated pharmaceutical and/or medical device industry environment Strong knowledge of current global Good Clinical Practice… more
- Elevance Health (Gilbert, MN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is ... **Clinical Fraud Investigator II - Registered Nurse...control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions… more
- Idaho Division of Human Resources (Boise, ID)
- Insurance Fraud Investigator Posting Begin Date: 2025/07/16 Posting End Date: 2025/07/30 Category: Code Enforcement Sub Category: Investigative Work Type: Full ... of financial records, insurance policies, bank records, accident reports, medical reports, statements under oath, and other related documents...in each of these areas, such as a criminal fraud investigator , law enforcement investigator ,… more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67636/other-jobs-matching/location-only) Hot ... Office of the Attorney General Department of Law Medicaid Fraud Division - Investigator The mission of...the necessary documents to identify and investigate health care fraud and patient abuse, including medical records,… more
- City National Bank (Phoenix, AZ)
- * FRAUD INVESTIGATOR SPECIALIST* WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions ... activities that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and investigation activities… more
- Bank of America (Pennington, NJ)
- GFCC Investigator (Brokerage) - Specialized AML & Fraud Charlotte, North Carolina;Jersey City, New Jersey; Pennington, New Jersey; Dallas, Texas; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/GFCC- Investigator --Brokerage Specialized-AML Fraud \_25031328) **Job Description:** At Bank… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying...control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Amazon (Goodyear, AZ)
- …data savvy investigations manager to initiate and support high scale customer return fraud & abuse investigations, as well as drive loss avoidance initiatives in ... product, and data by developing a comprehensive understanding of the drivers of complex fraud schemes, and possess the ability to conduct large scale deep dives to… more
- Guardian Life (New York, NY)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... filings, including, but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business partners. Assists in… more
- US Bank (Knoxville, TN)
- …the following (some may vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term life insurance + Short-term and ... long-term disability + Pregnancy disability and parental leave + 401(k) and employer-funded retirement plan + Paid vacation (from two to five weeks depending on salary grade and tenure) + Up to 11 paid holiday opportunities + Adoption assistance + Sick and… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... anti- fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file documentation… more
- Molina Healthcare (St. Petersburg, FL)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- Allied Universal (Augusta, GA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
