- Koalafi (Richmond, VA)
- …get what they need, while protecting the integrity of our platform. As a Risk Investigator , you'll be at the heart of that mission. You'll play a critical role ... proposing solutions or process changes to address them. Manage inbound fraud claims with professionalism and empathy, balancing customer care and risk mitigation.… more
- San Francisco Art Institute (Deer Park, NY)
- …strategy. Develop and experience new ways to partner with our customer and associate groups to ensure a safe shopping and work experience for everyone. Who ... Flexibility to work evenings, weekends and public holidays As The Asset Protection Investigator , You Will: Build awareness and inspire by performing as a role model… more
- Marshall Investigative Group (Salt Lake City, UT)
- …military, or police officer backgrounds to assist in insurance fraud claim 's research involving monetary, bodily injury, theft, and property damage. We ... are hiring a Surveillance Investigator (SI) to conduct mobile surveillance for legal documentation...highly trained investigators have conducted thousands of successful insurance claim investigations by obtaining innumerable hours of claim… more
- City of Rosemount, MN (Rosemount, MN)
- …to 9% on top of listed wage Educational incentive pay/education reimbursement Investigator /specialty assignment positions receive an additional 4.75% on top of base ... Firearms and Use of Force Instructor, Investigations, Drug Task Force Investigator , School Resource Officer, Community Engagement Officer, SWAT Operator, Mobile… more
- Allied Universal (Butte, MT)
- …Investigator 's license** **required** **prior to applying** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of ... Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Universal (Las Vegas, NV)
- …Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... full schedule** Allied Universal(R) is hiring a SIU / Claims Investigator . SIU / Claims ...Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...assigned + Obtain adjuster licenses as needed Qualifications: + Associate college degree required except in the following circumstances:… more
- CareFirst (Baltimore, MD)
- …& Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation of losses to ... of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, provider/subscriber… more
- Allied Universal (Portland, ME)
- … claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Molina Healthcare (St. Petersburg, FL)
- …related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting the ... of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from... and Collections (C&C) is recruiting (1) one Fraud Investigator II to function as a Senior Investigator… more
- State of Colorado (Denver, CO)
- Compliance Investigator I: DORA/Divison of Civil Rights Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5016818) Apply Compliance ... Investigator I: DORA/Divison of Civil Rights Salary $4,906.00 -...law setting, and human resources (internal/employment investigations), insurance industry ( claims handling/investigations) that must include the following: + Gathering,… more
- City of New York (New York, NY)
- …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send ... Job Description Claims and Collections pursues monetary recoveries owed to...their cases and obtain additional information (if necessary) FRAUD INVESTIGATOR - 31113 Qualifications 1. A four-year high school… more
- Humana (Oklahoma City, OK)
- …first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- Elevance Health (Indianapolis, IN)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Elevance Health (Gilbert, MN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Louisville/Jefferson County MSD (Louisville, KY)
- Safety & Security Investigator Print (https://www.governmentjobs.com/careers/louisvillemsd/jobs/newprint/5009262) Apply Safety & Security Investigator Salary ... employees and contractors. Assists in investigating fraudulent Workers' Compensation claims by conducting surveillance. Utilizes GPS data by obtaining data… more
- City of New York (New York, NY)
- …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
- CVS Health (Carson City, NV)
- …it all with heart, each and every day. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the...the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as… more
