- Allied Universal (St. Petersburg, FL)
- …perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Elevance Health (Tampa, FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Hybrid 1:** This role requires associates...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Elevance Health (Miami, FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… 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 ... 859629 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41000797 Pay Plan: Career Service Position Number: 41000797 Salary:… more
- Highmark Health (Tallahassee, FL)
- … (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have ... understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed oriented… more
- MyFlorida (Tallahassee, FL)
- ASSISTANT ATTORNEY GENERAL-DLA - 41001035 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics… more
- MyFlorida (St. Petersburg, FL)
- INVESTIGATION SPECIALIST II - 64085694 Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Unit - Saint Petersburg Field Office Your Specific Responsibilities: The investigator conducts priority and routine investigations, audits and inspections relating… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …role will take a leadership position in the conduct of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including ... and correcting non-compliance and mitigating risks, The performance of the Quality Systems and Risks will be reported periodically to Senior Management through the… 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
- 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