- Allied Universal (Stockbridge, GA)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
- Allied Universal (Butte, MT)
- …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
- Sedgwick (Fort Worth, TX)
- …accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud ... 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
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Ingham & Jackson Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4906105) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Ingham...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health,… more
- MyFlorida (Tampa, FL)
- CYBER FRAUD INVESTIGATOR - 41000172 Date: May 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Office of the Attorney General Working Title: CYBER FRAUD INVESTIGATOR - 41000172 Pay Plan: Career...and one Personal Holiday each year. + State Group Insurance coverage options, including health, life, dental, vision, and… 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 ... law enforcement, and other agencies as appropriate. As a Mid-Level Life SIU Investigator for **Medicare Supplement Fraud , Waste, and Abuse** you will support… more
- RGP (New York, NY)
- RGP Financial Services team is seeking a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in addressing ... reports, and will involve leading interrogative-style interviews to uncover fraud , misconduct, and regulatory violations. The ideal candidate will bring… more
- Zurich NA (Santa Fe, NM)
- Claims Fraud Investigator 123957 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... and with moderate limits and authority conducts the investigation of suspected fraud and varying degrees of complex cases within an assigned geographic region.… more
- Zions Bancorporation (Midvale, UT)
- …endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Investigator to join our team. This position will be full time remote, ... including the case management system. . Keeps current on fraud and BSA/AML investigative operations and the application of...experience and location Benefits: . Medical, Dental and Vision Insurance - START DAY ONE! . Life and Disability… more
- The Hartford (Los Angeles, CA)
- …effectively in writing and in discussions with Claim and SIU personnel. + The Investigator will also be responsible for understanding fraud trends within their ... SIU Investigator CA - CF08AN We're determined to make...understanding of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting as… more
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41000697 1 Date: May 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41000697 1 Pay Plan: Career Service...the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. This position is… more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: May 22, 2025...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
- MyFlorida (Miami, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal ... LAW ENFORCEMENT INVESTIGATOR II - 43001156 Date: May 20, 2025...wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation … more
- MyFlorida (West Palm Beach, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: WEST PALM BEACH COUNTY: PALM ... LAW ENFORCEMENT INVESTIGATOR II - 43001610 Date: May 17, 2025...wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation … more
- Highmark Health (Tallahassee, FL)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year… more
- Command Investigations (Detroit, MI)
- …records, and performing spot check s, scene investigations , neighborhood canvasses and insurance canvasses . The investigator will be responsible for completing ... experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations is the premier servicer for insurers and defense… more
- Regions Bank (Panama City, FL)
- … Fraud Examiner (CFE), Certified Protection Professional (CPP), Certified Professional Investigator (CPI), and/or Certified Fraud Specialist (CFS) + Knowledge ... system. **Job Description:** At Regions, the Senior Corporate Security Field Investigator works closely with branch associates, bank management, senior leaders,… more
- Command Investigations (Tampa, FL)
- JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert ... REQUIREMENTS + Valid state-issued driver's license. + Current auto insurance - required liability limits reflecting 100/300/100 for Bodily...damages. + Possess or able to obtain a Private Investigator license in the state where work is performed.… more
- Kemper (Henderson, NV)
- …stakeholders that delivers on our promises._ **Position Summary** : The SIU Desk Investigator I is responsible for the investigation of simple claims that may ... contain elements of fraud or claims otherwise deemed suspicious in nature. These...losses and non-represented PIP/Med Pay claims. A Special Desk Investigator I may also handle task-based items including but… more