- Sedgwick (Fort Worth, TX)
- …accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud ... others; to strategically partner with law enforcement, departments of insurance , legal counsel and internal stakeholders for fraud... insurance , legal counsel and internal stakeholders for fraud matters, to be responsible for the day to… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or… more
- Highmark Health (Austin, TX)
- …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 (Houston, TX)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... need to apply: + Approximately 1 year of experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Hold a valid Private Investigator … more
- Elevance Health (Grand Prairie, TX)
- ** Investigator II** _Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development… more
- Elevance Health (Grand Prairie, TX)
- ** 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
- Elevance Health (Grand Prairie, TX)
- ** 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
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The responsibilities of the Analyst ... financial crime, including money laundering, terrorism financing activities and fraud , as it appears in transactional data. + Solid...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Conduct quality assurance reviews of ... fraud recovery cases handled by analysts to ensure accuracy,...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** Guidehouse is interested in independent ... employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Recovery Investigations Analyst's to conduct, identify, and investigate potential … more
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