• Clinical Fraud Investigator II

    Elevance Health (Tampa, FL)
    …in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role...prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches… more
    Elevance Health (08/01/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Orlando, FL)
    …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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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
    Elevance Health (08/01/25)
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