- Allied Universal (San Antonio, TX)
- …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
- Kemper (Dallas, TX)
- …Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner ... Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics...NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud … more
- Elevance Health (Grand Prairie, TX)
- **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
- 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 (Dallas, 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 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 (Austin, TX)
- …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
- Guidehouse (San Antonio, 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
- Experian (Allen, TX)
- …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
- Guidehouse (Richardson, TX)
- **Job Family** **:** Investigator **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + _This requisition has been posted for ... employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential fraud… more