- Elevance Health (Tampa, FL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive ... * Bachelor's Degree * A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical Chart… more
- Highmark Health (Tallahassee, FL)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations ... in Financial Analysis in an acute care hospital or health insurance setting + 1 year in...(CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have… more
- MyFlorida (Miami, FL)
- …(https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD ... DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal Investigations Division encompasses all… more
- Command Investigations (Tampa, FL)
- JOB PURPOSE Conduct covert field surveillance, emphasizing worker's compensation fraud and insurance fraud . DUTIES AND RESPONSIBILITIES + Conduct covert ... damages. + Possess or able to obtain a Private Investigator license in the state where work is performed....incentives + Biweekly pay Benefits: + 401(k) + Dental insurance + Health insurance +… more
- Elevance Health (Tampa, FL)
- … in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance ... ** Investigator Senior** **Supports the Payment Integrity line of...Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,… more
- Command Investigations (Tampa, FL)
- … insurance , PTO, 401(k) + Performance incentives + Biweekly pay Benefits: + 401(k) + Dental insurance + Health insurance + Vision insurance + Life ... excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law… more
- MyFlorida (Tampa, FL)
- …to 104 hours of paid sick leave annually. + The State of Florida offers health insurance coverage (ie individual and family coverage) to eligible employees. + ... LAW ENFORCEMENT INVESTIGATOR II - 79000849 Date: Aug 8, 2025...having more than three years white collar or financial fraud related investigative experience. + Preference will be given… more
- Command Investigations (FL)
- …possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience, ... and find out why at www.GoCommand.com . The Claims/Surveillance Investigator should demonstrate proficiency in the following areas: +...experienced, Investigators pay in the industry + 401(k) + Health Insurance : Medical, Dental, Vision + Paid… more
- MyFlorida (Miami, FL)
- …+ Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental, vision, and other supplemental ... States. The Consumer Protection Division's mission is to protect consumers from fraud and other financial exploitation, to prevent and stop unfair and deceptive… more