- Humana (Tallahassee, FL)
- …time zones **Required Qualifications** * Bachelor's degree * 2 years of healthcare fraud investigations and auditing experience * Knowledge of healthcare payment ... you should strongly consider this amazing opportunity to join Humana's SIU. The Fraud and Waste Professional conducts investigations of allegations of fraudulent… more
- Citigroup (Jacksonville, FL)
- …on the fraud strategy team within the Commercial Cards group. + Bankcard fraud management or fraud investigations experience + Ability to work ... and development of advanced statistical models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts in… more
- Humana (Tallahassee, FL)
- …**Required Qualifications** + Bachelor's degree + Minimum 3 + years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment ... community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of...requires an in-depth evaluation of variable factors. The Senior Fraud and Waste Professional coordinates investigation with… more
- Bank of America (Jacksonville, FL)
- …enhance fraud prevention methodologies. + Analyze data and conduct investigations to identify patterns, trends, and anomalies indicative of potential fraud ... Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston,… more
- MyFlorida (Pensacola, FL)
- …law enforcement experience, or five (5) years of work experience conducting healthcare fraud investigations . Note: All newly hired employees must obtain CJSTC ... a good moral character as determined by a background investigation under procedures established by the commission. (8) Execute...work which may include performing all aspects of Medicaid fraud investigations . This work includes but is… more
- MyFlorida (Fort Lauderdale, FL)
- …efficiency. + Directs and/or conducts sensitive and confidential and/or advanced investigations of potential government assistance fraud . Administrative Duties + ... are followed. + Coordinates with other agencies and law enforcement on investigations as appropriate. + Collects data regarding fraud prevention/savings on… more
- Allied Universal (Palm Coast, FL)
- …(5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as ... Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- Allied Universal (Jacksonville, FL)
- …Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation . As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Kemper (Doral, FL)
- …**Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by ... and servicing the Downers Grove and surrounding areas. Basic functions include: Investigation of claims, analysis and development of facts and evidence, and… more
- USAA (Orlando, FL)
- …maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation , detection, and prevention. + May serve as a ... (GED). + 2+ years claims adjusting experience, or P&C SIU/ Fraud Investigation experience OR 4+ years prior...skillset. + SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims… more