- State of Montana (Helena, MT)
- …and criminal violations. The Bureau conducts criminal and administrative investigations of theft, insurance fraud , and other violations related to insurance , ... an email with instructions on how to submit preference documents. **Title:** * Insurance Fraud Examiner* **Location:** *Helena* **Requisition ID:** *25141011* more
- USAA (San Antonio, TX)
- …collaboration with the larger payment team. (required). + 4+ years risk management and fraud prevention in the P&C and Life insurance industry. + Certified Anti- ... us special and impactful. **The Opportunity** As a dedicated **Merchant Payment Fraud Analyst Lead Analyst** , you will be responsible for identifying, analyzing,… more
- USAA (San Antonio, TX)
- …enforcement, and other related agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established regulatory guidelines and ... provide investigative support and recommendations on claim settlements and assists with fraud detection and deterrence, as well as, investigate fraud … more
- DoorDash (Tempe, AZ)
- …Google suite advance proficiency (sheets, docs, gmail, calendar) + Investigations experience ( fraud , insurance , law enforcement) + Basic+ proficiency in data ... About the Team In the Fraud Operations department, the Insights Team plays a...crucial role in generating actionable insights to counteract persistent fraud , enhance internal procedures, and uncover innovative approaches to… more
- Sedgwick (Fort Worth, TX)
- …college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud Examiner (CFE) ... others; to strategically partner with law enforcement, departments of insurance , legal counsel and internal stakeholders for fraud... insurance , legal counsel and internal stakeholders for fraud matters, to be responsible for the day to… 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 The Criminal Investigations Division… more
- Travelers Insurance Company (St. Paul, MN)
- …to obtain assistance in conducting investigations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... + Excels at working independently, while making decisions to successfully pursue insurance fraud through establishing significant facts while preserving material… more
- Allied Universal (Edison, NJ)
- …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
- MyFlorida (Miami, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal ... investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + Public… more
- MyFlorida (West Palm Beach, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: WEST PALM BEACH COUNTY: PALM ... investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + Public… more
- Allied Universal (Batavia, NY)
- …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
- Bon Secours Mercy Health (Cincinnati, OH)
- …cycle risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud ; Managed Care or Governmental Value-Based payment programs and/or ... of compliance internal monitors and audit protocols and the prevention of fraud , waste and abuse. + Develops compliance monitors and audit protocols specific… more
- Command Investigations (Tampa, 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
- 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
- EFI Global (Medford, OR)
- …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire loss, and multiple… more
- Highmark Health (Tallahassee, FL)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- Winland Foods (Medina, NY)
- …Vision, 401(k) with match, STD/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident Insurance , Identity and Fraud Protection Plan, Legal, and Critical ... Vision, 401(k) with match, STD/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident Insurance , Identity and Fraud Protection Plan, Legal, and Critical… more
- State of Colorado (Denver, CO)
- …district attorneys in local counties upon request, in addition to investigating insurance and securities fraud . + Natural Resources and Environment Section: ... and competitive business environment while protecting consumers from being targets of fraud . The Consumer Protection team investigates corporate fraud , false… more
- SUNY Upstate Medical University (Syracuse, NY)
- …preferred. Knowledge of medical billing requirements and ability to recognize insurance fraud /abuse strongly preferred. Experience with medication reimbursement, ... Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is coded correctly to… more