- HOMELAND SECURITY INVESTIGATIONS (Phoenix, AZ)
- …locations. These are non-bargaining unit positions. Duties Help As a Criminal Investigator (Special Agent), you will perform the following duties: Serve as a ... Travel: You will be required to travel frequently and on short notice. Medical Requirements: You must be physically, emotionally, and mentally able to perform the… more
- Marshall Investigative Group (Houston, TX)
- …highly trained investigators have conducted thousands of successful insurance fraud claim investigations by obtaining innumerable hours of claim-disputing ... on fraudulent claims. We are seeking a Special Investigations Unit (SIU) investigator to conducts in-depth investigations into a variety of complex and sensitive… more
- CAPPS (Austin, TX)
- …and litigating whistleblower lawsuits filed under the Texas Health Care Program Fraud Prevention Act. Our cases involve lawsuits against a variety of defendants ... including pharmaceutical companies, drug manufacturers and medical providers. The OAG seeks qualified, self-motivated candidates to manage cases from inception to… more
- Elevance Health (Gilbert, MN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is ... **Clinical Fraud Investigator II - Registered Nurse...control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions… more
- Idaho Division of Human Resources (Boise, ID)
- Insurance Fraud Investigator Posting Begin Date: 2025/07/16 Posting End Date: 2025/07/30 Category: Code Enforcement Sub Category: Investigative Work Type: Full ... of financial records, insurance policies, bank records, accident reports, medical reports, statements under oath, and other related documents...in each of these areas, such as a criminal fraud investigator , law enforcement investigator ,… more
- Bank of America (Pennington, NJ)
- GFCC Investigator (Brokerage) - Specialized AML & Fraud Charlotte, North Carolina;Jersey City, New Jersey; Pennington, New Jersey; Dallas, Texas; Chicago, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/GFCC- Investigator --Brokerage Specialized-AML Fraud \_25031328) **Job Description:** At Bank… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Amazon (Goodyear, AZ)
- …data savvy investigations manager to initiate and support high scale customer return fraud & abuse investigations, as well as drive loss avoidance initiatives in ... product, and data by developing a comprehensive understanding of the drivers of complex fraud schemes, and possess the ability to conduct large scale deep dives to… more
- Guardian Life (New York, NY)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... filings, including, but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business partners. Assists in… more
- US Bank (Knoxville, TN)
- …the following (some may vary based on role, location or hours): + 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… more
- US Bank (Knoxville, TN)
- …the following (some may vary based on role, location or hours): + 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… more
- State of Colorado (Denver, CO)
- Special Prosecutions Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5001556) Apply Special Prosecutions ... Investigator (Special Agent III) Salary $98,328.00 - $118,008.00 Annually...position will investigate matters involving drug-related crimes, election crimes, fraud , homicide, human trafficking, identity theft, public corruption related… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... anti- fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file documentation… more
- Molina Healthcare (St. Petersburg, FL)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
- Allied Universal (Augusta, GA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- Allied Universal (Billings, MT)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- Office of Inspector General (Lombard, IL)
- Summary This office works within DOT to detect and prevent waste, fraud and abuse in departmental programs. The OIG reports to the Secretary and Congress and carries ... for planning, directing and conducting complex investigations of suspected fraud , waste, and abuse, and mismanagement in programs of...have in the past worked as a GS-1811 Criminal Investigator in a federal OIG office must clearly demonstrate… more
- State of Nevada (NV)
- AG CRIMINAL INVESTIGATOR 2 APPROXIMATE ANNUAL SALARY - $83,666.16 to $125,760.24 PAY GRADE: 41 The salary range indicated in this announcement is based on the ... area which includes, but is not limited to, Medicaid fraud , workers' compensation fraud , consumer protection, public...OR one year of experience as an AG Criminal Investigator I or Criminal Investigator I in… more
- Robert Half Legal (San Francisco, CA)
- Description We are on the lookout for an experienced Investigator - Securities, for our team located in San Francisco, California. This role will be focusing ... primarily on fraud investigation within the securities industry. You will be...effectively conduct investigations * Work closely with our current investigator to ensure comprehensive coverage * Apply your expertise… more
