• Investigator

    Highmark Health (Sacramento, CA)
    …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
    Highmark Health (08/15/25)
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  • Director of Investigations

    Umpqua Bank (Irvine, CA)
    …able to provide subject matter expertise and leadership in the field of AML and fraud investigations as well as understanding the risks associated and types of ... Provide oversight and support services for groups that impact FID related to fraud investigations and AML transaction monitoring, process and policies. + Working… more
    Umpqua Bank (08/20/25)
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  • Investigations Specialist (Seattle Area…

    ManpowerGroup (Los Angeles, CA)
    …of ensuring customer and account safety. **What's Needed?** + Experience in fraud investigations or risk operations. + Strong analytical and decision-making ... safety. + Gain valuable experience in risk management and fraud investigations . + Build professional relationships across...Drug Plans + Dental Plan + Vision Plan + Health Savings Account + Health Flexible Spending… more
    ManpowerGroup (08/11/25)
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  • Investigator II, PD-Emergency Appointment/Homeless…

    The County of Los Angeles (Los Angeles, CA)
    …investigations (eg, criminal investigations , administrative-financial crimes, medical or insurance fraud , digital forensic investigations , and private ... at the level of Investigator I, Public Defender involves conducting investigations (eg, criminal, administrative, forensic, fraud , homicide, private), including… more
    The County of Los Angeles (08/22/25)
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  • SIU Investigator

    Centene Corporation (Sacramento, CA)
    …waste, abuse, and fraud + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or ... or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of...Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans,… more
    Centene Corporation (07/31/25)
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  • Senior Fire Investigator - Iaai-CFI

    EFI Global (Los Angeles, CA)
    …the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a ... residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud , this includes large loss, large fire loss,… more
    EFI Global (07/01/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Sacramento, CA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Program including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes place under… more
    Highmark Health (07/29/25)
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  • Surveillance Investigator -Experienced

    Command Investigations (Walnut Creek, CA)
    … insurance , PTO, 401(k) + Performance incentives + Biweekly pay Benefits: + 401(k) + Dental insurance + Health insurance + Vision insurance + Life ... Command Investigations LLC is a dynamic and forward-thinking investigative...+ Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Hold a valid Private… more
    Command Investigations (07/31/25)
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  • Sr. Workers' Compensation Claim Representative

    Travelers Insurance Company (Diamond Bar, CA)
    …years Workers Compensation claim handling experience **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... a settlement should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage, contacting insureds,… more
    Travelers Insurance Company (08/02/25)
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  • Workers Compensation Claim Representative Trainee

    Travelers Insurance Company (Walnut Creek, CA)
    …customer service experience OR Bachelor's Degree. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as… more
    Travelers Insurance Company (08/21/25)
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