- CVS Health (Morgantown, WV)
- …each and every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of ... or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's an ... and efficiency. How you will create an impact The Senior Claims Investigator is responsible...The investigator will provide assistance to the claims adjuster in progressing the claim and… more
- CVS Health (Topeka, KS)
- …anywhere in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- MyFlorida (Orlando, FL)
- SENIOR CHILD PROTECTIVE INVESTIGATOR - 60022401 Date: Oct 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 863830 Agency: Children and Families Working Title: SENIOR CHILD PROTECTIVE INVESTIGATOR - 60022401 Pay Plan: Career… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will… more
- Manulife (NC)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... and trains more junior investigators on long term care claim cases and processes + Ability to travel on...short notice and responds to urgent long term care claim investigations + Maintains knowledge of sophisticated investigative techniques,… more
- Manulife (FL)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... and trains more junior investigators on long term care claim cases and processes + Ability to travel on...short notice and responds to urgent long term care claim investigations + Maintains knowledge of sophisticated investigative techniques,… more
- EFI Global (Los Angeles, CA)
- …Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- EFI Global (Detroit, MI)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Insight Global (Norfolk, VA)
- …Our client is seeking two contract-to-hire professionals to join their team as Claims Investigators / Process Specialists. These roles are pivotal in ensuring the ... accuracy and efficiency of claims processing. Key Responsibilities: -Develop Solutions: Create and implement processes to address overpaid claims challenged by… more