- Allied Universal (Orange, CA)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
- Robert Half Legal (San Francisco, CA)
- Description We are on the lookout for an experienced Investigator - Securities, for our team located in San Francisco, California. This role will be focusing ... primarily on fraud investigation within the securities industry. You will be...effectively conduct investigations * Work closely with our current investigator to ensure comprehensive coverage * Apply your expertise… more
- Highmark Health (Sacramento, CA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year… more
- Command Investigations (Los Angeles, CA)
- …for investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a full time basis. + A steppingstone into the realms of ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Hold a valid Private.../Mobile and Stationary surveillance + Hold a valid Private Investigator license - where applicable. + Possession of a… more
- Elevance Health (Walnut Creek, CA)
- ** Investigator II** **Location Hybrid 1** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Investigator II** is responsible for the identification, investigation and development… more
- Burlington (Inglewood, CA)
- …in the nation, join the Burlington Stores team as an **Asset Protection Field Investigator ** ! Are you an expert multitasker who would thrive in a high-energy retail ... met? If so, this may be the right opportunity for you! The Field Investigator supports the shortage and objectives of the company by directing Asset Protection… more
- Elevance Health (Costa Mesa, CA)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Providence (CA)
- …and experience. + 5 years - Coding experience with a healthcare provider, facility or health insurance company. + 2 years - Fraud and Abuse audit experience in a ... **Description** ** Investigator External Audit Special Investigations Unit (SIU)** **_Remote._**...employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid… more
- Lincoln Financial (Sacramento, CA)
- …be doing** + Maintain knowledge on current and emerging developments/trends related to insurance fraud . + Complete assigned open inventory reviews weekly to ... We are excited to bring on an Associate, Claims Investigator to our Group Protection Special Investigations Team in...support the claims operation in identifying potential fraud and opportunities for SIU resource utilization. + Review… more
- CBRE (Los Angeles, CA)
- …and / or multinational organizations. - Professional certifications (eg, Certified Fraud Examiner (CFE), Professional Certified Investigator (PCI), Workplace ... high-risk allegations of serious misconduct including but not limited to fraud , corruption, retaliation, conflicts of interest, discrimination, harassment, and other… more