- Allied Universal (Batavia, NY)
- …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
- Allied Universal (Batavia, NY)
- …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
- RGP (New York, NY)
- RGP Financial Services team is seeking a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in addressing ... reports, and will involve leading interrogative-style interviews to uncover fraud , misconduct, and regulatory violations. The ideal candidate will bring… more
- Guardian Life (New York, NY)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business...million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to… more
- New York State Civil Service (New York, NY)
- …suspected of fraud involving NYSIF. DCI's mission is to reduce the instances of insurance fraud and abuse against NYSIF, and to prevent and mitigate fraud ... NY HELP No Agency Insurance Fund, State Title Investigator 1,...a demonstrated focus on white collar crime, economic crime, insurance fraud , or other complex criminal investigations,… more
- Highmark Health (Albany, NY)
- …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 (New York, NY)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold...surveillance + Be able to hold a valid Private Investigator license - where applicable. + Possession of a… more
- New York State Civil Service (Buffalo, NY)
- …experience in conducting financial fraud investigations to include no -fault insurance fraud ; an understanding of law enforcement agencies throughout the ... NY HELP No Agency Financial Services, Department of Title Investigator , NS Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit PS&T -… more
- Elevance Health (Latham, NY)
- ** 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
- 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 ... standard procedures.** **Promotes and markets utilization of EFI services in the insurance industry and within assigned territory** **Serves as a liaison between the… more
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