• Surveillance / Claims Investigator

    Allied Universal (Butte, MT)
    Investigator 's license** **required** **prior to applying** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of ... Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
    Allied Universal (07/18/25)
    - Related Jobs
  • SIU / Claims Investigator

    Allied Universal (Las Vegas, NV)
    …Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... full schedule** Allied Universal(R) is hiring a SIU / Claims Investigator . SIU / Claims ...Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
    Allied Universal (07/18/25)
    - Related Jobs
  • Claims Investigator

    Allied Solutions (Plano, TX)
    …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...assigned + Obtain adjuster licenses as needed Qualifications: + Associate college degree required except in the following circumstances:… more
    Allied Solutions (07/13/25)
    - Related Jobs
  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …& Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation of losses to ... of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, provider/subscriber… more
    CareFirst (07/12/25)
    - Related Jobs
  • Surveillance Investigator - Part-Time

    Allied Universal (Ocala, FL)
    claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
    Allied Universal (07/18/25)
    - Related Jobs
  • Investigator , Special Investigative Unit

    Molina Healthcare (Kearney, NE)
    …related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
    Molina Healthcare (07/19/25)
    - Related Jobs
  • Senior Investigator

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting the ... of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from... and Collections (C&C) is recruiting (1) one Fraud Investigator II to function as a Senior Investigator more
    City of New York (07/10/25)
    - Related Jobs
  • Senior Fraud Investigator

    City of New York (New York, NY)
    …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send ... Job Description Claims and Collections pursues monetary recoveries owed to...their cases and obtain additional information (if necessary) FRAUD INVESTIGATOR - 31113 Qualifications 1. A four-year high school… more
    City of New York (05/14/25)
    - Related Jobs
  • Senior Fraud & Waste Investigator (OK)

    Humana (Oklahoma City, OK)
    …first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
    Humana (07/18/25)
    - Related Jobs
  • Clinical Fraud Investigator II

    Elevance Health (Indianapolis, IN)
    **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may… more
    Elevance Health (07/17/25)
    - Related Jobs