- USAA (New York, NY)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... procedures. + Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects evidence of potential fraud … more
- Allied Universal (South Farmingdale, 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
- MVP Health Care (Schenectady, NY)
- …+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + ... agencies, or seven years of professional investigation experience involving economic or insurance relatedmatters. + A clinical investigator must have in addition to… more
- Bronx County District Attorney's Office (Bronx, NY)
- …airbags, catalytic converters, and rims. ACP investigates and prosecutes complex frauds involving insurance fraud , internet auto schemes, tow truck and garage ... fraud . ACP partners with the Crime Strategies Bureau to convert actionable intelligence into pro-active investigations and prosecutions. The Trial Division is seeking an Assistant District Attorney to conduct long-term investigations, prosecutions, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Qualifications: Knowledge of medical billing requirements and ability to recognize insurance fraud /abuse strongly preferred. Work Days: Primarily days: evenings, ... including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other… more
- EFI Global (Albany, 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 ... for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for… more
- EFI Global (Binghamton, 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 ... standard procedures.** **Promotes and markets utilization of EFI services in the insurance industry and within assigned territory** **Serves as a liaison between the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Knowledge of medical authorizations, billing requirements and the ability to recognize insurance fraud /abuse is strongly preferred. Work Days: Monday - Friday, ... are needed and obtain necessary supportive information. Obtain appropriate insurance authorizations when needed. Obtain additional records, reports, radiological… more
- EFI Global (Albany, 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 ... experience in sales leadership, preferably in professional services, consulting, engineering, insurance services, or adjacent industries + Proven success leading and… more
- EFI Global (Albany, 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 ... for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for… more