- Allied Universal (Los Angeles, 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
- Elevance Health (Costa Mesa, CA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- The County of Los Angeles (Los Angeles, CA)
- …conducting investigations (eg, criminal investigations, administrative-financial crimes, medical or insurance fraud , digital forensic investigations, and private ... INVESTIGATOR II, PD-EMERGENCY APPOINTMENT/HOMELESS INITIATIVE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4391024) Apply INVESTIGATOR … 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 (Walnut Creek, CA)
- …Sign On bonus. What you'll get: + A dedicated position as a surveillance investigator on a full- time basis. + A steppingstone into the realms of investigations, ... + 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
- EFI Global (Los Angeles, CA)
- …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 ... learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold...FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud , this includes large loss, large… more
- Elevance Health (Los Angeles, 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
- Danaher Corporation (Brea, CA)
- …which makes everything possible. Job Summary: The Compliance Investigator is responsible for conducting thorough and high-quality investigations ... attention to detail, interviewing techniques, and report writing. The Compliance Investigator will work independently and collaboratively to ensure that all… more
- Experian (Costa Mesa, CA)
- …the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare, create marketing solutions, and gain deeper insights into the ... of markets, from financial services to healthcare, automotive, agribusiness, insurance , and many more industry segments. We invest in...Overview We are looking for a Senior Cyber Forensic Investigator to join our Cyber Fusion Centre. Our Cyber… more
- Banc of California (Santa Ana, CA)
- …resource groups, and more. TOGETHER WE WIN(R) **THE OPPORTUNITY** The EDD Investigator II will be responsible for conducting thorough investigations and analyses of ... diligence reviews. + Certified Anti-Money Laundering Specialist (CAMS), Certified Fraud Examiner (CFE) certification, Certified Financial Crime Specialist (CFCS), or… more