• SIU Investigator - Part-Time

    Allied Universal (Fredericksburg, VA)
    …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 (05/08/25)
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  • Investigator

    Highmark Health (Richmond, VA)
    …**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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  • Clinical Fraud Investigator II

    Elevance Health (Norfolk, VA)
    …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
    Elevance Health (05/31/25)
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  • Environmental Analyst- Must Reside in MD…

    EFI Global (Alexandria, VA)
    …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 (05/15/25)
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  • Function Lead, Fulfillment Center

    Walgreens (Mechanicsville, VA)
    …performance in accordance with policies andprocedures (eg, HIPAA guidelines/regulations, insurance , and fraud abuse guidelines, requiredproductivity levels, ... comments, andaction taken. Responds to escalated inquiries or to notify them of investigation results and plannedadjustments. + Continues to look for ways to improve… more
    Walgreens (04/10/25)
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  • DOS OIG INV - Subject Matter Expert 4

    Koniag Government Services (Arlington, VA)
    …systems, and knowledge of network systems that are part of financial fraud investigations . + Develops methods and techniques providing digital forensics ... monitoring. + Experience in directly supporting criminal, civil and administrative investigations involving procurement fraud , financial crimes, and employee… more
    Koniag Government Services (05/06/25)
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  • Student and Exchange Visitor Program (SEVP)…

    Immigration and Customs Enforcement (Tysons Corner, VA)
    …of Homeland Security, US Immigration and Customs Enforcement, Homeland Security Investigations , in Tysons Corner, Virginia. These are non-bargaining unit positions. ... aliases and dates of birth and criminal behavior; Reporting all instances of fraud or suspected fraud , including misrepresentation of identity, submission of… more
    Immigration and Customs Enforcement (05/19/25)
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  • Surveillance Investigator -Experienced

    Command Investigations (Richmond, VA)
    …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 + Be able to hold… more
    Command Investigations (05/07/25)
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  • Healthcare Edits Intelligence Engineer

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …a focus on optimizing payment accuracy, detecting improper payments, identifying potential fraud , and enhancing overall revenue cycle management. This is a full-time ... to analyze healthcare claims for accuracy, coding compliance, and adherence to insurance policies. * Apply data mining techniques to analyze large datasets of… more
    CGI Technologies and Solutions, Inc. (05/31/25)
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  • Clinical Provider Auditor II

    Elevance Health (Norfolk, VA)
    …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more
    Elevance Health (05/29/25)
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