• Manager , Fraud and Waste

    Humana (Sacramento, CA)
    …a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of ... fraudulent and abusive practices. The Manager , Fraud and Waste works within specific...schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with… more
    Humana (08/09/25)
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  • Client Services Manager - Large Complex…

    EFI Global (Sacramento, CA)
    …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... leader in engineering failure analysis, origin-and-cause investigations , environmental consulting, laboratory testing and specialty consulting. Our forensic… more
    EFI Global (08/08/25)
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  • Sr. Workers' Compensation Claim Representative

    Travelers Insurance Company (Diamond Bar, CA)
    …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... all offset opportunities, including apportionment, contribution and subrogation. + Evaluate claims for potential fraud . Proactively manage inventory with… more
    Travelers Insurance Company (08/02/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (San Diego, CA)
    …CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial ... data related to disaster-related claims , including property damage, business interruption, and other loss...other loss categories. The specialist will conduct thorough forensic investigations to identify discrepancies, detect potential fraud ,… more
    CDM Smith (08/01/25)
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