- New York State Civil Service (New York, NY)
- …suspected of fraud involving NYSIF. DCI's mission is to reduce the instances of insurance fraud and abuse against NYSIF, and to prevent and mitigate fraud ... level, with a demonstrated focus on white collar crime, economic crime, insurance fraud , or other complex criminal investigations, and;* Documented experience… more
- Allied Universal (Batavia, NY)
- …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
- Allied Universal (Batavia, NY)
- …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
- Lincoln Financial (Albany, NY)
- …be doing** + Maintain knowledge on current and emerging developments/trends related to insurance fraud . + Complete assigned open inventory reviews weekly to ... support the claims operation in identifying potential fraud and opportunities for SIU resource utilization. + Review assigned surveillance and field investigator… more
- New York State Civil Service (Buffalo, NY)
- …experience in conducting financial fraud investigations to include no -fault insurance fraud ; an understanding of law enforcement agencies throughout the ... financial institutions in support of DFS' efforts to enforce the Banking, Insurance and Financial Services laws. This may involve travel and undercover operations… more
- Highmark Health (Albany, NY)
- …**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
- Winland Foods (Medina, NY)
- …Vision, 401(k) with match, STD/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident Insurance , Identity and Fraud Protection Plan, Legal, and Critical ... Vision, 401(k) with match, STD/LTD/AD&D/Life, HSA, FSA, EAP, Hospital indemnity, Accident Insurance , Identity and Fraud Protection Plan, Legal, and Critical… more
- SUNY Upstate Medical University (Syracuse, NY)
- …preferred. Knowledge of medical billing requirements and ability to recognize insurance fraud /abuse strongly preferred. Experience with medication reimbursement, ... Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is coded correctly to… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of medical authorizations, billing requirements and the ability to recognize insurance fraud /abuse is strongly preferred. Experience with patient registration ... discharge and phones calls to include verification of demographic, insurance and/or financial information; generate routine forms and other documentation.… more
- EFI Global (Buffalo, 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 ... **We are seeking a Client Services Director with experience in the insurance industry, specifically in executive general adjusting (EGA) and market engagement. This… more