- Elevance Health (Middletown, NY)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Henry Ford Health System (Detroit, MI)
- …Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess and identify ... and State regulatory and contractual requirements. The Principal Compliance Investigator is responsible for conducting compliance audits, reporting results,… more
- EFI Global (Eden Prairie, 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
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...Opportunity & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant… more
- MyFlorida (Pensacola, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 79000075 Date: Sep 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 860917 Agency: Business and Professional Regulations Working Title: LAW ENFORCEMENT INVESTIGATOR II - 79000075 Pay Plan: Career Service Position Number: 79000075… 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
- Aramco Services Company (Houston, TX)
- …assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of moderate to high ... contract compliance, reviews of selected internal controls, reviews of IT systems , and audits of organizations. Audits may be organizational, functional, financial… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Labor Investigator Intake** **Job Class: Labor Investigator - Spanish Bilingual Skills Required** **Agency: Labor & Industry Dept** + **Job ID** ... the Labor Standards Unit. The position conducts intake for claims for final wage and hour complaints and responds...+ illegal deductions This position will also assist Labor Investigator Seniors in their work of completing investigations by:… more
- MyFlorida (Miami Beach, FL)
- MEDICAL MALPRACTICE INVESTIGATOR - 64000552 Date: Sep 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 860135 Agency: Department of Health Working Title: MEDICAL MALPRACTICE INVESTIGATOR - 64000552 Pay Plan: Career Service Position Number:...data bases; knowledge and use of the compliance management system and licensing system used by the… more
- New York State Civil Service (White Plains, NY)
- NY HELP No Agency Human Rights, Division of Title Chief Investigator (Human Rights Specialist 3) Occupational Category No Preference Salary Grade 25 Bargaining Unit ... the Human Rights Specialist 3 will serve as the Chief Investigator , directing and planning anti-discrimination investigations. Duties include, but are not… more