- City of Detroit (Detroit, MI)
- Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply Fraud Investigator Salary $63,359.00 - $95,039.00 ... Visa at this time. Examples of Duties SUMMARY: The Fraud Investigator performs complex investigative tasks relating...Benefits include, but are not limited to the following: HEALTH + Medical - Eligible for hospital, surgical, and… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying...Nurse strongly preferred + Law Enforcement dealing with Healthcare Fraud Please be advised that Elevance Health … more
- Humana (Oklahoma City, OK)
- …us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve...fraud , and member abuse cases to the Oklahoma Health Care Authority (OHCA) and other duly authorized enforcement… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive ... * Bachelor's Degree * A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical Chart… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who ... conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require… more
- State of Colorado (Denver, CO)
- …benefits package (https://stateofcoloradobenefits.com/) including competitive medical and dental health plans, employer-paid life insurance , paid holidays, ... that we offer, including: + Medical (https://www.colorado.gov/pacific/dhr/medical) anddental (https://www.colorado.gov/pacific/dhr/dental) health plans + Employer-paid life insurance +… more
- CareFirst (Baltimore, MD)
- …**QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified ... Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the… more
- USAA (San Antonio, TX)
- …enforcement, and other related agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established regulatory guidelines and ... audit experience. + Advanced knowledge of healthcare benefit structures within the health insurance industry, Medicare or Medicare Supplement preferred. +… more
- Travelers Insurance Company (Downers Grove, IL)
- …of applicable law and local office expectations. + Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National ... potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to...experience required. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible… more
- Aflac (GA)
- …Law Specialist (FCLS), Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in Spanish Travel + Less ... Investigator I The Company: Aflac Columbus The Location:...Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and… more