- Allied Universal (Charlottesville, VA)
- …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 (Norfolk, VA)
- **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 (Richmond, VA)
- …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 (Richmond, VA)
- …for investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a part-time to a full-time basis. + A steppingstone into the ... + 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/PERC card - where applicable. + Possession of… more
- Elevance Health (Richmond, VA)
- ** 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 (Norfolk, VA)
- ** 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 (Roanoke, VA)
- ** 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
- Parsons Corporation (Springfield, VA)
- …for. **Job Description:** Parsons is looking for an amazingly talented **Insider Threat Investigator ** to join our team! In this role you will get to **Identify ... . **What You'll Be Doing:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations....as medical, dental, vision, paid time off, 401(k), life insurance , flexible work schedules, and holidays to fit your… more
- …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
- Bausch + Lomb (Richmond, VA)
- …updates on progress and changes in scope, schedule, and resources. + Organize investigator and expert meetings relevant to the indication and assist with the ... handled by the CRAs and responded to by the site/ investigator in a timely manner. May assist in the...including:** + Medical, Dental, Eye Health, Disability and Life Insurance begins on your hire date + 401K Plan… more