- EFI Global (Tallahassee, FL)
- …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 ... A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a… more
- EFI Global (Miami, FL)
- …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 ... A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a… more
- Elevance Health (Tampa, FL)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any… more
- BMO Financial Group (Jacksonville, FL)
- We are seeking an experienced manager to handle our fraud & non- fraud Reg E disputes. In this role the successful candidate will manage a high-performing team of ... in the office, but this may increase based on BMO's direction.** Conducts investigations to identify, assess, decision and report on activity that indicates an… more
- American Express (Sunrise, FL)
- …will help us define the future of American Express. American Express's US Investigations Unit (USIU) is part of the broader Global Risk & Compliance organization, ... (GFCC). USIU provides oversight and support for global financial crimes investigations . In partnership with teams across the financial crimes' organization, USIU… more
- CVS Health (Tallahassee, FL)
- …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
- MyFlorida (Miami, FL)
- …sworn lawenforcement experience, or five (5) years of workexperience conducting healthcare fraud investigations . Note: All newly hired employees must obtain ... a good moral character as determined by a background investigation under procedures established by the commission. (8) Execute...work which may include performing all aspects of Medicaid fraud investigations . This work includes but is… more
- MyFlorida (Tallahassee, FL)
- …college or university with a major in finance, business administration, economics, accounting, insurance or risk management or a Certified Fraud Examiner (CFE); ... * Paid vacation and sick leave; * Excellent health & life insurance options for individuals and/or family coverage; * Additional supplemental insurances available… more
- Prime Therapeutics (Tallahassee, FL)
- …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... for work visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage workload while… more
- Jabil (St. Petersburg, FL)
- …efforts. What will you do? + Lead and conduct complex internal investigations involving allegations of fraud , conflicts of interest, bribery, procurement-related ... , and risk management. + Demonstrated experience with anti-bribery, procurement fraud , financial reporting compliance, and complex internal investigations . +… more