- Iowa Department of Administrative Services (Des Moines, IA)
- Market Regulation Investigator - Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5138436) Apply Market ... The Iowa Insurance Division is seeking a highly motivated Investigator to join our Market Regulation Bureau....agency. * Relevant professional certification(s) (eg, Certified Insurance Fraud Investigator (CIFI), * Fraud Claim Law Associate… more
- State of Montana (Helena, MT)
- …reasoning, and adherence to procedural and legal standards. *Essential Functions:* The Claims Investigator , will: * Prevent and detect improper benefit payments: ... accommodation with the application process, please contact the HR office. **Title:** * Claims Investigator * **Location:** *Helena* **Requisition ID:** *25142682* more
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 865578 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001246 Pay Plan: Career Service Position Number: 41001246 Salary:… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- Social Services Investigator - Fraud and Resources Hybrid Recruitment # 251118-5042SH-001 Location Bridgeport, CT Danbury, CT Hartford, CT Manchester, CT New ... talented current DSS employees to fill multiple Social Services Investigator -Fraud and Resources (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5042SH&R1=&R3=) opportunities. These opportunities will be… more
- USAA (Omaha, NE)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance… more
- MyFlorida (Fort Myers, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 79000809 Date: Nov 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865420 Agency: Business and Professional Regulations Working Title: LAW ENFORCEMENT INVESTIGATOR II - 79000809 Pay Plan: Career Service Position Number: 79000809… 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 (Atlanta, GA)
- **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
- MyFlorida (Tallahassee, FL)
- OPS MEDICAL MALPRACTICE INVESTIGATOR - 64801367 1 1 Date: Nov 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 865622 Agency: Department of Health Working Title: OPS MEDICAL MALPRACTICE INVESTIGATOR - 64801367 1 1 Pay Plan: Temp Position Number: 64801367 Salary:… more
- Manulife (NC)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... and trains more junior investigators on long term care claim cases and processes + Ability to travel on...location. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as… more
- The Boeing Company (Ridley Park, PA)
- …processes and initiatives. + Participates in the discussion of legal cases and claims with in-house and outside counsel. + Researches, acquires and provides specific ... agreements. Pay is based upon candidate experience and qualifications, as well as market and business considerations. **Summary Pay Range** : + Senior (Level 4):… more
- Travelers Insurance Company (Hartford, CT)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The hourly salary range provided for this position is a ... nationwide market range and represents a broad range of salaries...receiving valuable on-the-job training, and learns about the Fire Investigator professions available at Travelers. Interns receive challenging work… more
- J&J Family of Companies (Irvine, CA)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work ... data analysis, publication support and collection of data for supporting platform claims . + Contribute to the development and execution of product and/or procedural… more
- MyFlorida (Tallahassee, FL)
- …contract provisions, statutes and laws, program manuals, provider handbooks, and Medicaid claims processing procedures. This unit is seeking a candidate with a broad ... certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud… more
- MyFlorida (Tallahassee, FL)
- …as engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of providers, ... certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud… more
- Kelly Services (Irvine, CA)
- …(eg study protocol, informed consents, CRF, monitoring plan, study manual, investigator brochure, annual reports) with minimal supervision; + Ensure applicable trial ... and company personnel; + Oversee the development and execution of Investigator agreements and trial payments; + Responsible for clinical data review… more
- J&J Family of Companies (Irvine, CA)
- …(eg study protocol, informed consents, CRF, monitoring plan, study manual, investigator brochure, annual reports); . Ensures applicable trial registration (eg on ... Associates (CRAs); . Oversees and supports the development and execution of Investigator agreements and trial payments; . Is responsible for clinical data review… more
- Mount Sinai Health System (New York, NY)
- …models and perform data analysis across finance and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from ... roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience… more
- MyFlorida (Fort Lauderdale, FL)
- …Field Office Open Competitive Opportunity Your Specific Responsibilities: The investigator conducts priority and routine investigations, audits and inspections ... violation of Florida Statutes and rules governed by the Agency. The investigator must provide investigative results through the collection of evidence and… more
- Mount Sinai Health System (New York, NY)
- …for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting. + Strong leadership skills ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean ...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more