- PDS Defense (North Charleston, SC)
- …determining a resolution * 5+ years of experience conducting alleged misconduct investigations of union represented employees * Certified Fraud Examiners (CFE) ... **Job Description:** A successful candidate will complete internal company investigations into employee wrongdoing of varying complexity levels. They will… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with ... position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse...law enforcement agencies; or seven years of professional investigation experience involving economic or insurance related… more
- Executive Office for US Attorneys and the Office of the US… (Boston, MA)
- …Typical work assignments will include: Conducting audits in support of investigations and litigation involving the government's affirmative civil enforcement of ... loan data, and activities of entities and individuals involved in health care fraud , defense procurement contract fraud , and other government program fraud… more
- Travelers Insurance Company (Hartford, CT)
- …with a Fire Investigator on issues of origin and cause fire investigations , subrogation, arson motive, and opportunity investigations . Completes internship ... program including 150 hours of fire scene investigations . Approximate work availability from June through August (10-12...the requirements of applicable laws and applicable theories of fraud . + Other duties as assigned. + Perform other… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Audit Managers and/or the Executive Counsel/Assistant Legislative Auditor for Investigations . Investigative Auditors will generally be assigned to investigate ... complaints of fraud , waste, and abuse of public funds and resources....plan, state holidays, and medical, life and dental, etc., insurance , as well as flexible schedules and individual professional… more
- Molina Healthcare (Covington, KY)
- …from opinions + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations + Knowledge of Managed Care and the Medicaid and ... provide oversight and guidance throughout the life of an investigation as well as QA reviews and approvals. In...Minimum of two (2) years' experience working on healthcare fraud related investigations /reviews + Proven investigatory skill;… more
- Centene Corporation (Columbus, OH)
- …medical claim investigation , medical claim audit, medical claim analysis, or fraud investigation experience. Pay Range: $55,100.00 - $99,000.00 per year ... investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …case management tool for tracking + Report regularly regarding pending investigations and provide timely investigation reports with supporting documentation ... individual must be highly skilled with proven success in the area of investigations . They will implement ER strategy, which is aligned with the company's overall… more
- MyFlorida (Tallahassee, FL)
- …FINANCIAL INVESTIGATOR - CRIMINAL ENFORCEMENT (NON-SWORN POSITION) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: WORKERS' COMPENSATION FRAUD , OFFICE OF ... FISCAL INTEGRITY CITY: TALLAHASSEE COUNTY: LEON The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the… more
- TEKsystems (Richfield, MN)
- …this role! Position Summary/Job Description: * Retrieve and analyze data in relation to fraud investigations * Reviewing transaction data for potential fraud ... really enjoys coming to work! This is a great opportunity for those interested in fraud , investigations , or law enforcement. In this role you will use digital… more