- Allied Universal (Edison, NJ)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud ...of Insurance policies and the components of fraud to determine If claims warrant reporting to the… more
- Highmark Health (Trenton, NJ)
- …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- EFI Global (Trenton, NJ)
- …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 ... for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for… more
- EFI Global (Trenton, NJ)
- …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 ... for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for… more
- Guardian Life (Holmdel, NJ)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business...million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to… more
- EFI Global (Trenton, NJ)
- …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 ... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Winland Foods (Fair Lawn, NJ)
- …Vision, 401(K) with match, STL/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident insurance , Identity and Fraud Protection plan, Legal and Critical ... paid holidays, 401k, health, dental, vision, life, short- and long-term disability insurance , life insurance ._ **EEO Statement:** Winland Foods seeks to recruit,… more
- Winland Foods (Fair Lawn, NJ)
- …Vision, 401(K) with match, STL/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident insurance , Identity and Fraud Protection plan, Legal and Critical ... Illness. **Salary, based on experience and other qualifications:** $61,000 to 104,000 annual with additional bonus potential. **Environmental, Health & Safety (EHS) Responsibilities:** + Lead **EHS compliance efforts** and implement programs that drive… more
- Prime Therapeutics (Trenton, NJ)
- …Description** Responsible for the intake and initial handling of allegations of fraud , waste or abuse. Conducts preliminary investigation to assess the merit of ... to recommend for audit or investigation. Serves as a corporate resource on fraud , waste and abuse issues and maintains confidentiality and compliance with HIPAA… more