- Dexian - DISYS (Baltimore, MD)
- …in a health care or investigations related area such as Certified Fraud Examiner (CFE),Accredited Health Fraud Investigator (AHFI), RN/LPN, ... unit goals. Investigator researches and analyzes claims data using company anti- fraud software, Excel, and other tools to proactively identify new potential… more
- nTech Solutions, Inc. (Baltimore, MD)
- …for conducting preliminary investigations into members that are suspected of committing fraud when enrolling for health insurance . This will include researching ... through the detection, investigation, and resolution of low to medium levels fraud , waste, and abuse schemes orchestrated by providers, members, brokers, or internal… more
- Arkansas Government Job (Little Rock, AR)
- CRIMINAL INSURANCE FRAUD INVESTIGATOR Date: Apr 9, 2024 Req ID: 38160 Location: Little Rock, AR, US, 72202 Category: STATE INSURANCE DEPARTMENT ... Status: EXEMPT Salary Range: $45,010.00 - $65,265.00 Summary The Criminal Insurance Fraud Investigator is responsible for monitoring criminal activity… more
- Allied Universal (Crossville, TN)
- …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 (Beckley, WV)
- …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
- MyFlorida (Miami, FL)
- …Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics ... and an understanding about legal proceedings and investigations related to health care fraud and abuse. The Florida Medicaid program is one of the five largest… more
- MyFlorida (Tallahassee, FL)
- …Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; Certified Professional Compliance Officer, or ... is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program...competitive set of employee benefits including: * State Group Insurance Coverage Options, including health, life, dental, vision, and… more
- MTA (Brooklyn, NY)
- Claims Fraud Investigator (Special Investigations) Job ID: 7127 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular ... Posted: Apr 26, 2024 Description Job Information Title: Claim Fraud Investigator - JVN 7127 First Date...insurance carriers and organizations dedicated to combating claims fraud . Education and Experience Claim Fraud … more
- New York State Civil Service (New York, NY)
- …HELP No Agency State Inspector General, Office of Title Workers' Compensation Fraud Investigator Occupational Category Enforcement or Protective Services Salary ... New York State government operations. Candidates with prior experience in conducting insurance fraud , particularly with a workers' compensation/health care … more
- State of Massachusetts (MA)
- …analyzes advanced queries and ad hoc reports for potential incidents of Unemployment Insurance fraud and takes appropriate action towards deter and prevention of ... **Organization:** **Department of Workforce Development* **Title:** *UI Audit and Fraud investigator * **Location:** *Massachusetts-CPC - Boston 100 Cambridge… more
- State of Michigan (MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland,...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health,… more
- Geisinger (Danville, PA)
- …Salary would commensurate with experience. Position Details Preferred Certification(s) -Certified Fraud Examiner -Accredited HealthCare Fraud Investigator ... Job Summary Our ideal candidates have health insurance and regulatory reporting experience, data analysis and...nursing and / or health care investigation experience, Certified Fraud Examiner, National Health Care Anti- Fraud Association… more
- Gilead Sciences, Inc. (Foster City, CA)
- …their economic status. **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually. It is too ... and accelerate the development of the group's pharmaceutical crime and healthcare fraud program. The role will include both people leadership and individual… more
- Humana (Baton Rouge, LA)
- …us put health first** Humana Healthy Horizons in Louisiana is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Oklahoma City, OK)
- …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- US Bank (Columbus, OH)
- …+ Healthcare (medical, dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability and parental leave ... + 401(k) and employer-funded retirement plan + Paid vacation (from two to five weeks depending on salary grade and tenure) + Up to 11 paid holiday opportunities + Adoption assistance + Sick and Safe Leave accruals of one hour for every 30 worked, up to 80… more
- US Bank (Fargo, ND)
- …+ Healthcare (medical, dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability and parental leave ... + 401(k) and employer-funded retirement plan + Paid vacation (from two to five weeks depending on salary grade and tenure) + Up to 11 paid holiday opportunities + Adoption assistance + Sick and Safe Leave accruals of one hour for every 30 worked, up to 80… more
- State of Colorado (Denver, CO)
- Criminal Investigator II (Special Prosecutions) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4441274) Apply Criminal Investigator II ... is currently offering a sign-on bonus for new criminal investigator hires of $2,000. Sign-On bonuses will be paid...election crimes, human trafficking, identity theft, and state tax fraud . You will get to work with the Statewide… more
- Ventura County (Ventura, CA)
- …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... District Attorney Investigator I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4165939) Apply District Attorney Investigator I/II… more
- MyFlorida (Miami, FL)
- FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Date: Apr 25, 2024 Location: MIAMI, FL, US, 33101 The State Personnel System is an E-Verify employer. For more ... No: 825559 Agency: Office of Financial Regulation Working Title: FINANCIAL INVESTIGATOR -CRIMINAL ENFORCE - 43004823 Pay Plan: Career Service Position Number:… more
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