- 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...data analytics to proactively identify qualified leads for potential fraud , waste, and abuse (FWA) investigations . The… more
- State of Colorado (Denver, CO)
- …referrals, assist with investigation of allegations of both securities and insurance fraud , and ultimately make charging decisions. We would be excited ... attorney will work on a multi-disciplinary team to prosecute insurance and securities fraud throughout the state....investigators, and paralegals who are dedicated exclusively to the investigation and prosecution of fraud . The attorney… more
- MVP Health Care (Rochester, NY)
- …RN. + New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC ... a related field, and minimum of five years of insurance claims investigation experience; or five years...SIU personnel. + Keep abreast of Federal and State Anti- Fraud investigation and reporting requirements including HIPAA,… more
- Zurich NA (Overland Park, KS)
- Bachelor Apprenticeship Program - Claims Fraud Investigation - Schaumburg (January 2026) 126569 Have you completed two or more years of college and are looking ... and providing support to colleagues. Your responsibilities may include: + Assess insurance claims for potential fraud indicators and recommend cases for… 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
- 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 ... & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation of fraud , waste and abuse (FWA) and recoupment of related… more
- Allied Universal (Mcdonough, GA)
- …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- CareFirst (Baltimore, MD)
- …statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the investigation and to report possible ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert… more
- MyFlorida (Miami, FL)
- …the division investigates a wide range of fraudulent and criminal acts including: + Insurance Fraud Investigations + Workers' Compensation Fraud ... Estimator Tool (https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY:… more
- Donegal Insurance Group (Marietta, PA)
- …Minimum of 3 to 5 years of Insurance Fraud or Insurance related experience + Law enforcement investigation experience preferred + Experience conducting ... Company Overview Donegal Insurance Group is an insurance holding...training of Claim Department personnel in the areas of fraud detection and investigation Qualifications and Skills… more
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