• Senior Investigator (Hybrid)

    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
    CareFirst (07/12/25)
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  • SIU Investigator

    Allied Universal (Charlottesville, VA)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
    Allied Universal (08/28/25)
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  • Claims Investigator

    Allied Universal (Buffalo, NY)
    …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
    Allied Universal (08/09/25)
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  • Health Insurance Fraud Analyst II

    MyFlorida (Tallahassee, FL)
    …Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator , Certified Compliance and Ethics Professional. ... HEALTH INSURANCE FRAUD ANALYST II - 72004150...HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19,...Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay… more
    MyFlorida (08/20/25)
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  • Law Enforcement Investigator II

    MyFlorida (Miami, FL)
    …(https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD ... LAW ENFORCEMENT INVESTIGATOR II - 43001780 Date: Aug 23, 2025...DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: MIAMI COUNTY: MIAMI-DADE The Criminal Investigations Division… more
    MyFlorida (08/15/25)
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  • Medicaid Fraud Investigator (Special…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud ... Executive Order D 2025 009. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit… more
    State of Colorado (08/27/25)
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  • Compliance Investigator I (Medicaid…

    State of Colorado (Denver, CO)
    Compliance Investigator I (Medicaid Fraud ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5058947) Apply  Compliance Investigator I ... five (5) years of professional experience in investigation either as an investigator , investigative journalist, auditor or fraud specialist, or other field… more
    State of Colorado (08/28/25)
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  • Regulation Agent 9-P11 ( Fraud…

    State of Michigan (Oakland, MI)
    Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG (Oakland County) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5057876) Apply  ... Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG (Oakland County)...state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health,… more
    State of Michigan (08/28/25)
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  • Clinical Fraud Investigator II

    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 ... employment, unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
    Elevance Health (08/30/25)
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  • Fraud & Investigations, Clinical…

    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. + ... agencies, or seven years of professional investigation experience involving economic or insurance related matters. + A clinical investigator must have in… more
    MVP Health Care (08/31/25)
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