- MVP Health Care (Rochester, NY)
- …RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC ... a related field, and minimum of five years of insurance claims investigation experience; or five years...SIU personnel. + Keep abreast of Federal and State Anti- Fraud investigation and reporting requirements including HIPAA,… 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;* ... for the position of Assistant Director of Field Operations in the Investigations and Intelligence Division, Insurance Frauds Bureau. This position will… more
- Allied Universal (Batavia, NY)
- …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 (Buffalo, NY)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… 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 ... day-to-day activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of… more
- New York State Civil Service (Albany, NY)
- …prosecution, with at least five years experience in conducting financial fraud investigations to include no -fault insurance fraud ; an understanding of ... in support of DFS' efforts to enforce the Banking, Insurance and Financial Services laws. This may involve travel...public; * Plans the scope and method of an investigation based on office policy, accessibility of information and… more
- Highmark Health (Albany, NY)
- …**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
- EFI Global (Syracuse, 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 ... 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
- Guardian Life (New York, NY)
- …trainings. **You have** + Minimum 3-5 years' recent experience in financial services fraud investigations + Series 7 and CAMS and/or CFE designation strongly ... of financial services products. + Experience performing complex financial crimes fraud investigations and building robust anti-financial crimes programs. +… more
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