- Sanford Health (Fargo, ND)
- …is required. Minimum 3 years' experience in health insurance investigation /audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) ... is required. - Minimum 3 years' experience in health insurance investigation /audit. - Master's Degree preferred -...for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies.… more
- DoorDash (Tempe, AZ)
- …Experience: + Google suite advance proficiency (sheets, docs, gmail, calendar) + Investigations experience ( fraud , insurance , law enforcement) Notice to ... About the Team The Fraud team reduces the cost of fraud and provides insights to protect our platform from would-be fraudsters. You'll help build a team from the… more
- Philadelphia Insurance Companies (Ewing, NJ)
- … investigations of suspect insurance claims and policy applications. Conduct insurance fraud investigations in accordance with applicable law and ... SIU to join our team! Summary : Evaluate referred insurance claims for potential insurance fraud...claims and applications referred to the SIU for possible fraud . Conduct database investigations , including use of… more
- MyFlorida (Miami, FL)
- …crimes investigations , financial examinations, health care fraud and/or insurance fraud investigations , analysis or other related investigative ... , financial examinations, health care fraud and/or insurance fraud investigations , analysis or...and possible criminal violators. 20% Review records collected during investigation and prepare reports pertaining to all aspects of… more
- USAA (Las Vegas, NV)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects...with industry, law enforcement and other contacts involved in fraud investigation , detection, and prevention. + May… more
- Allied Universal (Burlington, VT)
- …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
- MyFlorida (Tallahassee, FL)
- …Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; Certified Compliance and Ethics Professional, ... The candidate selected for this MHCPA position is responsible for conducting investigations and developing fraud , waste, and abuse referrals of providers… more
- Kemper (Doral, FL)
- …will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop ... field as well as desk investigations of insurance claims referred to and accepted for investigation...Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified … more
- Allied Universal (Fargo, ND)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- MyFlorida (Tallahassee, FL)
- …investigators in the compilation and analysis of confidential information regarding insurance fraud investigations and recommends specific investigative ... detailed research of criminal investigations and documents relating to insurance fraud and arson. + Requests and receives information of a confidential… more