- Allied Universal (Palm Coast, FL)
- …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 (Fargo, ND)
- …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
- Travelers Insurance Company (Richardson, TX)
- … industry. + Understanding of medical terminology. + Industry certifications (Certified Insurance Fraud Investigator , Certified Fraud Examiner, ... Case Unit Investigative Analyst, you will proactively analyze data to determine fraud schemes, trends and conduct major case investigations. Your attention to detail… more
- State of Arkansas (Little Rock, AR)
- …INSURANCE DEPARTMENT Anticipated Starting Salary: $55,929.95 Position Summary The Criminal Insurance Fraud Investigator is responsible for monitoring ... criminal activity related to insurance fraud matters. This position is governed...minimum of three (3) years employed as a criminal investigator /detective with an accredited law enforcement agency. Knowledge of… more
- MyFlorida (West Palm Beach, FL)
- …(https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD ... LAW ENFORCEMENT INVESTIGATOR II - 43000680 Date: Sep 4, 2025...DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: WEST PALM BEACH COUNTY: PALM BEACH The… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud ... Executive Order D 2025 009. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit… more
- Robert Half Accountemps (Davenport, IA)
- Description Our client is growing and we are recommending a detail-oriented and driven Fraud Investigator to join their team. As part of the Fraud and Risk ... flexibility for occasional in-office collaboration or travel to branch locations. As a Fraud Investigator , you will: + Monitor, review, and analyze fraud… more
- TEKsystems (Honolulu, HI)
- TEKsystems is looking for a Fraud Investigator for a large financial customer! 6 month contract to hire in Honolulu, HI! Description As a Fraud ... and digital platforms from financial crimes. You'll investigate suspicious activity, analyze fraud trends, and collaborate across departments to enhance fraud … more
- Sanford Health (Fargo, ND)
- …health insurance investigation/audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud ... insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner… more
- Elevance Health (Richmond, VA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Guardian Life (Bethlehem, PA)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business...million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to… more
- State of Massachusetts (Boston, MA)
- …money and property. The OIG is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public funds and public property. By ... Together the bureaus work to prevent and detect waste, fraud and abuse of public resources in the Commonwealth....appropriate agency if it falls outside our jurisdiction. *Senior Investigator : Position Overview* The Senior Investigator reports… more
- NTT DATA North America (Boston, MA)
- …information about assigned reviews Qualifications: 1-3 year's related experience in health insurance fraud investigations, health insurance coding, provider ... Examiner (CFE), Certified Professional Coder (CPC), or Accredited Health Care Fraud Investigator (AHFI) preferred Familiarity with Partial Hospitalization and… more
- MyFlorida (Orlando, FL)
- …of Financial Services. This advertisement is for theBureau of Public Assistance Fraud . This advertisement is for aFinancial Crime Investigator Iposition which ... FINANCIAL CRIME INVESTIGATOR I (PENDING RECLASSIFICATION) - 43061948 Date: Sep...EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: ORLANDO COUNTY: ORANGE SPECIAL NOTES: The Criminal… more
- Lane County (OR)
- Investigator Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/5068942) Apply Investigator Salary $85,176.00 - $116,584.00 Annually ... the Position As an integral member of our public safety team, the Investigator will support Deputy District Attorneys across Criminal, Family Law (Child Support… more
- Highmark Health (Montgomery, AL)
- …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
- EFI Global (Los Angeles, CA)
- …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 ... residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire… more
- New York State Civil Service (New York, NY)
- …and administrative personnel tasked with analyzing and assessing financial and insurance fraud referrals and providing intelligence support and analysis ... day-to-day activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of… more
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