• Claims Fraud Investigator

    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...Desired Skills + Knowledge in insurance claims and/or claims fraud investigations and/or law enforcement detective experience.… more
    MTA (04/27/24)
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  • Sr Fraud Investigator , Vendor…

    Amazon (Arlington, VA)
    …highly motivated and organized Investigator and Risk Manager of Corporate Fraud Prevention, to support investigations into Vendor & Transaction Accuracy's ... financial system. The chosen leader will take ownership of fraud investigations and has a proven track...issues of erroneous payments to vendors * Execute complex investigations , deep dives and special projects in… more
    Amazon (03/21/24)
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  • Special Investigations Unit Field…

    The Hartford (NJ)
    …our team as we help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be ... communicate investigative findings orally and in writing. + The Investigator will also be responsible for understanding fraud...will require 50%+ travel within the assigned territory. The Special Investigator for this opportunity will be… more
    The Hartford (04/05/24)
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  • Special Investigations Unit Senior…

    CVS Health (Springfield, IL)
    …health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... *Bachelor's degree or an additional 5 years of working health care fraud , waste and abuse investigations . Pay Range The typical pay range for this role is:… more
    CVS Health (03/23/24)
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  • Civil Investigator (Healthcare Fraud

    SGI Global, LLC (Raleigh, NC)
    SGI Global is seeking a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States ... Civil Investigator will assist in conducting thorough and systematic investigations relating to potential civil actions within the jurisdiction of the USAO-EDNC… more
    SGI Global, LLC (04/13/24)
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  • Criminal Insurance Fraud

    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 Anticipated ... Status: EXEMPT Salary Range: $45,010.00 - $65,265.00 Summary The Criminal Insurance Fraud Investigator is responsible for monitoring criminal activity related to… more
    Arkansas Government Job (04/25/24)
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  • Clinical Fraud Investigator II

    Elevance Health (Las Vegas, NV)
    …a check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time ... 1-2 days in office per week The **Clinical Fraid Investigator II** is responsible for identifying issues and/or entities...new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation… more
    Elevance Health (04/24/24)
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  • Sr. Director, Pharmaceutical Crime/Healthcare…

    Gilead Sciences, Inc. (Foster City, CA)
    …Provide visionary leadership in the role of pharmaceutical crime and healthcare fraud investigations to develop and implement best-in-class strategies to detect, ... **About the Role** The global pharmaceutical crime and healthcare fraud market is currently estimated at $400 billion annually....thereafter manage and lead the Program and the resulting investigations . + Partners with the team to develop a… more
    Gilead Sciences, Inc. (03/09/24)
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  • Regulation Agent 9-P11 ( Fraud

    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,...and Wayne Counties This Regulation Agent position will conduct investigations of fraud , waste or abuse by… more
    State of Michigan (04/16/24)
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  • Senior Fraud Investigator (Hybrid)

    M&T Bank (Bridgeport, CT)
    …+ Serve as primary fraud contact on all assigned cases. + Complete special projects in a timely manner, as requested. + Analyze and evaluate additional fraud ... and/or work experience, including a minimum of 3 years' experience in fraud , Bank Secrecy Act, Anti-Money Laundering, investigations of financial crimes… more
    M&T Bank (04/26/24)
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  • Investigator / Special Agent (1-3)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    INVESTIGATOR / SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4372786) Apply  INVESTIGATOR / SPECIAL AGENT (1-3) ... Justice, Office of Attorney General, Liz Murrill, is seeking applications for an Investigator / Special Agent. As part of a Career Progression Group, vacancies may… more
    Louisiana Department of State Civil Service (02/06/24)
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  • Special Investigator Managed Care…

    AmeriHealth Caritas (Washington, DC)
    …**Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the ... ** Special Investigator Managed Care - DMV...** Special Investigator Managed Care - DMV Counties only** Location:...requirements related to Special Investigation Units and fraud , waste and abuse investigations . + Conducts… more
    AmeriHealth Caritas (02/28/24)
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  • District Attorney Investigator I/II

    Ventura County (Ventura, CA)
    …following: District Attorney Investigator I + Conducts criminal, civil, and special investigations of average difficulty for the District Attorney's Office, ... been recognized as experts in a wide range of investigations from homicide to complex white-collar fraud ...and conduct more difficult and complex criminal, civil and special investigations for the District Attorney's Office,… more
    Ventura County (04/17/24)
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  • Financial Investigator -Criminal Enforce

    MyFlorida (Miami, FL)
    …in state and federal courts. Applicants must have adequate experience conducting fraud and/or financial investigations and/or examinations and presenting complex ... for this position. This position reports to the Miami Investigations Manager. SPECIAL NOTES: This position is...or more years of recent professional experience conducting complex fraud and/or financial investigations in a sworn… more
    MyFlorida (04/18/24)
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  • Financial Investigator -Consumer Protection

    MyFlorida (Miami, FL)
    …may substitute for one year of the required experience. Experience in fraud , RICO, or white-collar investigations ; financial investigations , examinations, ... Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the… more
    MyFlorida (03/28/24)
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  • SIU Investigator - Part-Time

    Allied Universal (Lincoln, NE)
    …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator - Part-Time. Special ... + One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator more
    Allied Universal (04/19/24)
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  • Investigator II, PD-Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …the level of Investigator I, Public Defender involves conducting investigations (eg, criminal, administrative, forensic, fraud , homicide, private), including ... the State of California Penal Code. *Investigative experience at the level of Investigator I, Public Defender involves conducting investigations (eg, criminal … more
    The County of Los Angeles (03/02/24)
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  • Senior Investigator , Special

    CVS Health (Columbus, OH)
    … and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. + Conducts investigations of known or suspected acts ... + Minimum three years in healthcare field working in fraud , waste and abuse investigations and audits utilizing analytical and research skills. + Proficient… more
    CVS Health (03/29/24)
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  • Law Enforcement Investigator II

    MyFlorida (Tallahassee, FL)
    Investigator II performs work that may include performing all aspects of Medicaid fraud investigations . This work includes but is not limited to entering upon ... LAW ENFORCEMENT INVESTIGATOR II - 41000785 Date: Apr 23, 2024...or five (5) years of work experience conducting healthcare fraud investigations . Note: All newly hired employees… more
    MyFlorida (04/24/24)
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  • Financial Investigator -Economic Crimes

    MyFlorida (Tallahassee, FL)
    …investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations ... FINANCIAL INVESTIGATOR -ECONOMIC CRIMES - 43004631 Date: Apr 25, 2024...in support of disaster relief efforts.) + Conducts financial investigations in insurance fraud , finance, and securities… more
    MyFlorida (04/26/24)
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