- Sedgwick (Des Moines, IA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Fraud & Compliance Investigator **PRIMARY PURPOSE** **:** To analyze and ... assessment, planning, evidence collection, stakeholder interviews, and reporting. + Oversees fraud compliance efforts related to employee dishonesty, vendor … more
- Elevance Health (West Des Moines, IA)
- **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
- Molina Healthcare (Des Moines, IA)
- …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 (Des Moines, IA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... or adjusting complex insurance claims + Proficient understanding and application of anti- fraud laws, insurance regulations, and compliance standards within their… more
- Highmark Health (Des Moines, IA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more