- Elevance Health (Grand Prairie, TX)
- **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
- Highmark Health (Austin, TX)
- …**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
- Elevance Health (Grand Prairie, TX)
- … 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 (Dallas, TX)
- … 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
- The Boeing Company (San Antonio, TX)
- …an opportunity to enroll in a variety of benefit programs, generally including health insurance , flexible spending accounts, health savings accounts, ... your future with us. The Boeing Company is seeking an **Experienced Corporate Investigator ** to join The Law and Global Compliance organization in **San Antonio,… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The responsibilities of the Analyst ... financial crime, including money laundering, terrorism financing activities and fraud , as it appears in transactional data. + Solid...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + _This requisition has been posted for ... employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential fraud… more
- Kemper (Dallas, TX)
- …Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner ... NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud ...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- Bausch + Lomb (Austin, TX)
- …travel. **We offer competitive salary & excellent benefits including:** + Medical, Dental, Eye Health , Disability and Life Insurance begins on your hire date + ... + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift...and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and… more
- Wells Fargo (Irving, TX)
- …Operations partners within Consumer, Small Business Banking (CSBB) Operations and Fraud and Claims Management (FCM) with analytic insights, data visualization, risk, ... a common approach to reporting in support of the Fraud and Claims Management team. + Partners in the...SAS experience, including SAS Visual Analytics and/or SAS Visual Investigator + Demonstrated SQL skills to include the ability… more