- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay Plan: Career Service Position Number:… more
- State of Colorado (Denver, CO)
- …will review referrals, assist with investigation of allegations of both securities and insurance fraud , and ultimately make charging decisions. We would be ... This attorney will work on a multi-disciplinary team to prosecute insurance and securities fraud throughout the state. In this position, you will have the… more
- MVP Health Care (Rochester, NY)
- …+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with… more
- Zurich NA (Overland Park, KS)
- …and providing support to colleagues. Your responsibilities may include: + Assess insurance claims for potential fraud indicators and recommend cases for ... Bachelor Apprenticeship Program - Claims Fraud Investigation - Schaumburg (January 2026) 126569 Have...complete your education while launching a career in commercial insurance -with no tuition costs. Now accepting applications for the… more
- New York State Civil Service (New York, NY)
- …and support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more
- RELX INC (Alpharetta, GA)
- …Identity Product Management team is responsible for delivering the ID Compass suite of fraud and identity solutions to the US insurance market . Our solutions ... Solutions is the essential partner in the assessment of risk. Within our Insurance vertical , we provide customers with solutions and decision tools that combine… more
- CareFirst (Baltimore, MD)
- …Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert… more
- Highmark Health (Pittsburgh, PA)
- …documentation requirements, state and federal criminal and civil law related to insurance fraud and advances in the post-payment utilization review process ... strategic plan focuses on the detection and investigation of fraud , waste and abuse (FWA) and recoupment of related...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- MyFlorida (Miami, FL)
- …division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud Investigations + ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal Investigations Division… more
- Donegal Insurance Group (Marietta, PA)
- …Qualifications and Skills + Bachelor's Degree + Minimum of 3 to 5 years of Insurance Fraud or Insurance related experience + Law enforcement investigation ... Company Overview Donegal Insurance Group is an insurance holding...reports + Assist in designated assignments related to Company anti- fraud initiatives + Establish and maintain professional working relationships… more