- Navy Federal Credit Union (Pensacola, FL)
- Overview To identify, review, investigate fraud activity, claims /cases and risk exposures from various delivery channels. Review transactional activities, ... Federal's policies and procedures + Review data gathered to substantiate/disqualify a loss claim or charge off, and escalate as needed + Research public record… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... include, but not be limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge of heath care coding… more
- MyFlorida (Tallahassee, FL)
- …Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics ... antitrust violations as specified above. Interviews fact witnesses and/or directs an investigator in conducting such interviews. Obtains evidence in the form of… more
- MyFlorida (St. Petersburg, FL)
- …Field Office Open Competitive Opportunity Your Specific Responsibilities: The investigator conducts priority and routine investigations, audits and inspections ... violation of Florida Statutes and rules governed by the Agency. The investigator must provide investigative results through the collection of evidence and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …clinical pharmacology documents for regulatory filings including annual reports, investigator 's brochure, IND/NDA applications and pediatrics development plans. + ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Kemper (Doral, FL)
- …College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong ... and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA)… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …Global CNS evidence generation with Phase IIIB and IV studies, including Investigator Sponsored Studies and non-interventional studies + Develops and provides CNS TA ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- CVS Health (Tallahassee, FL)
- …each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- Mayo Clinic (Jacksonville, FL)
- …purpose to allow qualified individuals to work within an established investigator 's program in preparation for an academic and/or independent research career. ... working with healthcare services or healthcare delivery data, including administrative claims and EHR data, and healthcare quality outcomes research strongly… more