• Special Investigations Unit Investigator

    Allied Universal (Chicago, IL)
    …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
    Allied Universal (05/24/25)
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  • Associate, Claims Investigation

    Lincoln Financial (Springfield, IL)
    …be doing** + Maintain knowledge on current and emerging developments/trends related to insurance fraud . + Complete assigned open inventory reviews weekly to ... an Associate, Claims Investigator to our Group Protection Special Investigations Team in Charlotte, NC; Omaha, NE; or remote....support the claims operation in identifying potential fraud and opportunities for SIU resource utilization. + Review… more
    Lincoln Financial (06/05/25)
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  • Investigator

    Highmark Health (Springfield, IL)
    …**Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud , waste… more
    Highmark Health (05/08/25)
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  • Director Client Services

    EFI Global (Moline, IL)
    …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 (05/23/25)
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  • Director, Fraud Operations

    BMO Financial Group (IL)
    …and regulatory reporting + Maintain proper documentation and audit trails for all fraud investigations . + Prepare reports for senior management, regulators, and ... full fraud management lifecycle, from real-time monitoring to complex investigations , recovery, and regulatory compliance. + Trusted Advisors - Represent the … more
    BMO Financial Group (06/06/25)
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  • Senior Forensic Mechanical Engineer, PE

    EFI Global (Chicago, IL)
    …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 (05/18/25)
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  • Structural Engineer, EIT

    EFI Global (Chicago, IL)
    …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 (05/01/25)
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  • Forensic Structural Engineer, PE

    EFI Global (Naperville, IL)
    …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 (04/10/25)
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  • Sr Specialist, Fraud Data Science

    BMO Financial Group (Chicago, IL)
    …Responds quickly to analytics requests from Fraud Strategy and Operations, Fraud Intake & Investigations and other stakeholders which might involve creating ... Join a team at the forefront of fraud prevention, where your expertise in data analytics...as other perks and rewards. BMO also offers health insurance , tuition reimbursement, accident and life insurance ,… more
    BMO Financial Group (05/24/25)
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  • Investigations Coordinator

    Highmark Health (Springfield, IL)
    …vendors to recover confirmed facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews ... job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the...will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges;… more
    Highmark Health (06/03/25)
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