- MVP Health Care (Rochester, NY)
- …+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with… more
- New York State Civil Service (New York, NY)
- …and support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more
- New York State Civil Service (New York, NY)
- …Chief Investigators each leading a criminal investigative team in financial and insurance fraud investigations covering upstate and downstate regions;* Provides ... Financial Services, Department of Title Assistant Director of Field Operations, Insurance Frauds Bureau (Assistant Director Financial Services Frauds Bureau, NS)… 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 (Buffalo, 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
- 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 ... activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of the Deputy… 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 ... 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
- 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