- USAA (San Antonio, TX)
- …in payment fraud analysis, risk management specifically related to payments fraud , or financial crime investigation . + Subject matter expertise and ... payment team. (required). + 4+ years risk management and fraud prevention in the P&C and Life insurance industry. + Certified Anti- Fraud Specialist (CAFS) or… more
- DoorDash (Tempe, AZ)
- …equivalent experience. Google suite advance proficiency (sheets, docs, gmail, calendar) + Investigations experience ( fraud , insurance , law enforcement) + ... About the Team The Fraud team focuses on minimizing the cost of fraud while providing valuable insights to protect our platform from potential fraudsters. A… more
- Allied Universal (Orange, CA)
- …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- USAA (San Antonio, TX)
- … Investigations Unit, you will be responsible for the Claims fraud investigation strategy, program management, regional management of investigative staff ... control objectives, as well as compliance with state insurance fraud -related laws and regulations. We offer...and within required timeframes. + Advanced knowledge of SIU investigations , encompassing both Express and Core investigation … more
- Kemper (San Diego, CA)
- …will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop ... field as well as desk investigations of insurance claims referred to and accepted for investigation...Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified … more
- MyFlorida (Miami, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics ... fraud or other criminal violations for law enforcement investigation . This Medical Health Care Program Analyst position will...to innovate. The selected candidate will assist in conducting investigations related to fraud , abuse, and waste… more
- MyFlorida (Miami, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics ... fraud or other criminal violations for law enforcement investigation . This Medical Health Care Program Analyst position will...to innovate. The selected candidate will assist in conducting investigations related to fraud , abuse, and waste… more
- Kemper (Birmingham, AL)
- … + Completion of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or ... Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are… more
- State of Massachusetts (Boston, MA)
- …agencies. _Primary Duties_: Conduct complex investigations of all types of insurance fraud , including fraud involving healthcare, automobile claims, ... workers' compensation, and benefit payments. Investigations typically involve and require proficiency in conducting audits...partners, along with other government agencies, such as the Insurance Fraud Bureau and the Department of… more
- MyFlorida (Tallahassee, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics ... fraud or other criminal activities for law enforcement investigation . The Prevention Strategy Unit is a dynamic and...investigative process. The selected candidate will assist in conducting investigations related to fraud , abuse, and waste… more
- Travelers Insurance Company (Philadelphia, PA)
- …obtain assistance in conducting investigations . + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- MyFlorida (Tallahassee, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics ... well as a desire to innovate. The selected candidate will assist in conducting investigations related to fraud , abuse, and waste through research and analysis of… more
- MyFlorida (Miami, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD … more
- Allied Universal (Fargo, ND)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- State of Massachusetts (Boston, MA)
- …range of criminal cases, spanning financial crime, public corruption, and insurance fraud . Financial crime includes fiduciary embezzlement by professionals, ... array of schemes involving public officials, public institutions, and public funds. Insurance fraud includes workers' compensation fraud , unemployment tax… more
- MyFlorida (Jacksonville, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Charles Schwab (Lone Tree, CO)
- …"challenge the status quo" and transform the finance industry together. The Senior Specialist, Fraud Investigations plays a key individual contributor role on a ... Fraud Investigations (FI) team within the second-line...benefits + Tuition reimbursement + Health, dental, and vision insurance CO Salary Range: USD $28.70 - $38.46 /… more
- BlueCross BlueShield of North Carolina (NC)
- …$62,100.00 - $111,800.00 **Skills** Depositions, Evidence Collection, Forensic Accounting, Fraud Investigations , Investigation Techniques, Investigative ... is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company....gaps on the business/organization. + In the course of investigation , may be required to provide deposition and/or testimony… more
- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Recovery Investigations Analyst's to conduct, identify, and investigate ... document and escalate such matters. The responsibilities of the Fraud Recovery Investigations Analyst will include, but...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Guidehouse (Richardson, TX)
- …Coordinate the investigation of any fraud issue with the appropriate fraud investigation unit as necessary. + Place appropriate holds on accounts deemed ... investigation system. + Provide feedback and training to Fraud Recovery Analysts based on quality assurance findings to...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
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