- Allied Universal (St. Petersburg, FL)
- …+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law ... perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with… more
- MyFlorida (Orlando, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41000797 Date: Aug 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41000797 Pay Plan: Career Service Position...following: The duties of this position require a state certified law enforcement officer, who is required to bear… more
- Elevance Health (Tampa, FL)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Highmark Health (Tallahassee, FL)
- …+ Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, ... **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional... claims processing systems and coding and billing proficiency +… more
- University of Florida (Gainesville, FL)
- …options for both adults and pediatric patients. Our research labs and investigator -led initiatives and clinical trials are developing promising new treatments for ... of the patient is to the subscriber, obtaining insurance policy numbers and claim address and subscriber information such as date of birth, address, etc. Fills… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… 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