- Highmark Health (Albany, NY)
- …**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
- New York State Civil Service (New York, NY)
- …and administrative personnel tasked with analyzing and assessing financial and insurance fraud referrals and providing intelligence support and analysis ... day-to-day activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of… more
- New York State Civil Service (New York, NY)
- …diverse fraud schemes and other emerging criminal activity affecting insurance , financial and healthcare companies;* Monitors investigator performance to ... oversee and manage approximately eight to ten investigators assigned to investigate insurance , financial and healthcare fraud across upstate and downstate… more
- Elevance Health (Latham, NY)
- … 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
- New York State Civil Service (Albany, NY)
- …experience in conducting financial fraud investigations to include no -fault insurance fraud ; an understanding of law enforcement agencies throughout the ... NY HELP No Agency Financial Services, Department of Title Investigator , NS Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit PS&T -… more
- New York State Civil Service (New York, NY)
- …Chief Investigator within the Department's Investigations and Intelligence Division, Insurance Frauds Bureau. The position will report directly to the Deputy ... HELP No Agency Financial Services, Department of Title Assistant Chief Investigator - Support Operations, NS Occupational Category Other Professional Careers Salary… more
- Mastercard (Harrison, NY)
- … insurance (including medical, prescription drug, dental, vision, disability, life insurance ), flexible spending account and health savings account, paid ... governments realize their greatest potential._ **Title and Summary** Senior Investigator , BRAM Program Overview: Mastercard's Franchise Brand Performance Team… more
- EFI Global (Syracuse, NY)
- …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 ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- New York State Civil Service (Albany, NY)
- …could be considered qualifying: experience in such positions as police detective, insurance investigator , licensed and registered private investigator , ... could be considered qualifying: experience in such positions as police detective, insurance investigator , licensed and registered private investigator ,… more
- New York State Civil Service (New York, NY)
- …support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising a team ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more