- Elevance Health (Indianapolis, IN)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... recover, eliminate and prevent unnecessary medical-expense spending. **Title:** Sr Investigator **Locations:** Indianapolis, IN, Columbus, OH, Nashville, TN **Hybrid:**… more
- EFI Global (St. Paul, MN)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 865578 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001246 Pay Plan: Career Service Position Number: 41001246 Salary:… more
- UPMC (Pittsburgh, PA)
- …such as copiers, multi-line phone systems , fax machines and paging systems Preferred Qualification: + Experience in investigations, claims , medical coding, ... has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday...abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The… more
- USAA (Cheyenne, WY)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity...extract data for analysis from relevant data sources and systems . + Knowledge of city, state and local regulations,… more
- State of Michigan (Flint, MI)
- Civil Rights Investigator - Flint Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5142586) Apply Civil Rights Investigator - Flint Salary ... and education, and community engagement. In this important role, an investigator is responsible for investigation and/or resolution of complaints of unlawful… more
- Sanford Health (Fargo, ND)
- …Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and ... investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred -… more
- MyFlorida (Doral, FL)
- INVESTIGATOR SPECIALIST II - 79001458 Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865093 Agency: Business and Professional Regulations Working Title: INVESTIGATOR SPECIALIST II - 79001458 Pay Plan: Career Service Position Number:… more
- Idaho Division of Human Resources (Boise, ID)
- Criminal Investigator or Investigative Auditor, OAG, Criminal Law Division Posting Begin Date: 2025/10/22 Category: Criminology Sub Category: Investigative Work ... 49.06 Pay Rate Type: Hourly Description State of Idaho Opportunity Criminal Investigator or Investigative Auditor, Criminal Law Division, Office of the Attorney… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The Employee Relations Investigator reviews and investigates all assigned employee policy violations, complaints, concerns, ... disputes, claims of harassment, discrimination, and complaints of unfair treatment...with priority given to the most egregious allegations. The Investigator will have significant interaction with Human Resources, Operations… more