- ManpowerGroup (Los Angeles, CA)
- …of ensuring customer and account safety. **What's Needed?** + Experience in fraud investigations or risk operations. + Strong analytical and decision-making ... safety. + Gain valuable experience in risk management and fraud investigations . + Build professional relationships across...+ Dependent Care Flexible Spending Account + Supplemental Life Insurance + Short Term and Long Term Disability … more
- CVS Health (Sacramento, CA)
- …years or more previous experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent ... state and federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential cases which may… more
- Centene Corporation (Sacramento, CA)
- …medical claim investigation , medical claim audit, medical claim analysis, or fraud investigation experience. Pay Range: $55,100.00 - $99,000.00 per year ... investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and… more
- Danaher Corporation (Brea, CA)
- …Key Responsibilities: + Conduct Investigations : Lead and manage investigations into compliance-related issues, including fraud , corruption, financial, ... The Compliance Investigator is responsible for conducting thorough and high-quality investigations to address concerns raised through the company's ethics hotline… more
- Command Investigations (Walnut Creek, CA)
- …a customer-centric approach, has allowed us to stand out as a leader in the investigation industry. At Command Investigations , we take pride in our proven track ... Command Investigations LLC is a dynamic and forward-thinking investigative...+ Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Hold a valid Private… more
- Travelers Insurance Company (Diamond Bar, CA)
- …determines whether or not a loss comes within the scope of the insurance contract. + Principles of Investigation : Intermediate investigative skills including the ... a settlement should be considered. **What Will You Do?** + Conduct investigations , including, but not limited to assessing policy coverage, contacting insureds,… more
- Banc of California (Santa Ana, CA)
- …TOGETHER WE WIN(R) **THE OPPORTUNITY** Responsible for managing a caseload of investigations , performing analysis and follow-up and working cases from beginning to ... the Company operates. **HOW YOU'LL MAKE A DIFFERENCE** + Responsible for investigations generated from sources which include: cases generated via Case Management… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …Civil Division's Affirmative Civil Enforcement Unit. Responsibilities include enforcement investigations and litigation involving healthcare fraud , procurement ... fraud , grant fraud , financial fraud , pharmaceutical diversion, wildlife recovery actions, and civil rights enforcement, among other things. The selected… more
- Experian (Costa Mesa, CA)
- …the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare, create marketing solutions, and gain deeper insights into the ... across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance , and many more industry segments. We invest in people and new… more
- Travelers Insurance Company (Diamond Bar, CA)
- …throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, litigation management, negotiation and resolution) including ... and stakeholders; take necessary statements, as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the… more