- Kemper (San Bernardino, CA)
- … Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are ... to our stakeholders that delivers on our promises._ **Position Summary** The SIU Investigator III is responsible for the investigation of complex, large loss, and… more
- Kemper (Doral, FL)
- … Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are ... to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team ... who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity… 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 in office, ... Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association… more
- Highmark Health (Pittsburgh, PA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** The job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- Humana (Concord, NH)
- …part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
- CareFirst (Baltimore, MD)
- …Preferred:** + Certified Fraud Examiner (CFE) + Certified Insurance Fraud Investigator (CIFI) + Certified Coder (CCS or CPC)-AHIMA or ... related area such as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/LPN, or Certified Professional Coder (CPC). + Knowledge… more
- Capital One (Richmond, VA)
- Anti-Money Laundering Sr. Investigator - Sanctions Advisory Operations The AML Sr. Investigator I on the Sanctions Advisory Operations team performs a key risk ... working within the Compliance Management Program framework, the AML Sr. Investigator I is responsible for decisioning complex sanctions alerts, delivering quality… more
- Capital One (Plano, TX)
- …Research + Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or ... Anti-Money Laundering Investigator II - List Screening Operations **Job Description:**...+ 1+ years of experience in Anti-Money Laundering (AML), Fraud , Investigations, or as an Analyst + 6+ months… more
- New York State Civil Service (Albany, NY)
- …No Agency Corrections and Community Supervision, Department of Title Senior Investigator - All Divisions Occupational Category Enforcement or Protective Services ... qualified candidates for consideration to serve as a Senior Investigator in one of its five divisions with cross-over...various forms of harassment or other misconduct; theft and fraud ; and escape plots. The Criminal Investigations Division (CID)… more
- Capital One (Wilmington, DE)
- Anti-Money Laundering (AML) Sr. Investigator II - Enhanced Due Diligence (EDD) The Anti-Money Laundering (AML) Sr. Investigator II supervises various AML ... screening, enhanced due diligence or other AML processes. The associate will work closely with AML Process Managers to...managing the workflow of the AML analysis. The AML Investigator II coaches their team and teaches others about… more
- Allied Universal (Palm Coast, FL)
- … Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or ... (OSI) is seeking qualified candidates for consideration to serve as an Investigator in one of its five divisions with cross-over and collaboration among… more
- Allied Universal (Jacksonville, FL)
- … Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for...the following: + Bachelor's degree in Criminal Justice + Associate 's degree in Criminal Justice with a minimum of… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... agreement to repay. C&C is recruiting for (1) one Fraud Investigator II to function as a...nature involving public or private funds; or 2. An associate degree or 60 semester credits from an accredited… more
- Louisiana Department of State Civil Service (LA)
- Investigator /Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5143725) Apply Investigator /Special Agent 1-4 Salary ... Justice, Office of Attorney General Liz Murrill, is seeking applications for an Investigator /Special Agent 1-4. As part of a Career Progression Group, vacancies may… more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... alleged or suspected fraud involving the full range of products at the...waste, and abuse investigations and audits OR + An associate 's degree, with a minimum of four years of… more
- Centene Corporation (Frankfort, KY)
- …A license in one of the following is required: Other Accredited Health Care Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE). Other Pharmacy ... a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud , Waste and Abuse of Medicaid services within Kentucky. Provides direction and… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts ... of healthcare fraud and abuse. Routinely handles cases that are sensitive...or equivalent experience ( A bachelor's degree, or an associate 's degree with an additional four+ years working on… more
- Kohl's (Menomonee Falls, WI)
- About the Role As Operations Center Investigator , you will be the primary contact for store and Loss Prevention teams regarding fraud activity and significant ... local law enforcement to resolve organized retail crime, answer incoming associate calls to assist with shoplifting apprehensions or significant events, research… more