• Special Investigations Unit (SIU)…

    Allied Universal (Raleigh, NC)
    …assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator/Case Manager ! _ Work from home anywhere ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....to effectively obtain required information for completion of state fraud referrals; case findings; & audits. + Communicates compliance… more
    Allied Universal (05/07/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    …embezzlement of patient trust funds). This position may also be assigned to civil investigations in support of the Colorado False Claims Act. Additionally, the ... Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4925752) Apply  Medicaid Fraud Investigator… more
    State of Colorado (05/07/25)
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  • Special Investigations Unit - California…

    The Hartford (Los Angeles, CA)
    …mission of the Special Investigations Unit (SIU) is to contribute to claims accuracy by building fraud awareness and investigating questionable claims . ... and ears" of the SIU on the ground, performing investigations to provide information to claims handlers,...of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting as well… more
    The Hartford (03/21/25)
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  • Life Sciences - Compliance, Risk Management…

    Ankura (Washington, DC)
    …to Life Sciences clients and external counsel through compliance, disputes, investigations and advisory services. The position has tremendous growth potential with ... be working with practice leadership to provide exemplary compliance, disputes, investigations and litigation support (eg, expert witness) services across the Life… more
    Ankura (03/29/25)
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  • APD Auto Physical Damage Catastrophe Claims

    Ford Motor Company (Fort Worth, TX)
    …using Mitchell Connect estimating system to establish cost of repairs. + Subrogation investigations , salvage disposal, and fraud investigations + Loss ... world. **In this position ** + The APD Auto Physical Damage Catastrophe Claims Adjuster/Field Service Manager is a field-based position representing Ford Motor… more
    Ford Motor Company (05/02/25)
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  • Law Enforcement Investigator II

    MyFlorida (Tampa, FL)
    …Investigator II performs work that may include performing all aspects of Medicaid fraud investigations . This work includes but is not limited to entering ... Statutes. These matters include but are not limited to fraud against the Medicaid Program, false claims ...or five (5) years of work experience conducting healthcare fraud investigations . Note: All newly hired employees… more
    MyFlorida (05/08/25)
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  • Security Investigator III

    Eastern Bank (Lynn, MA)
    …is responsible for the initiation, investigation and resolution of diverse and complex investigations both internal and external, to determine fraud exposure to ... of incoming fraud referrals to the CSI (Corporate Security & Investigations ) Team. Tracking, analyzing, reporting and keeping accurate and detailed records in… more
    Eastern Bank (04/15/25)
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  • (USA) Operations Manager , Asset Protection…

    Walmart (Douglas, GA)
    …with specific types of tools used for theft prevention. Conducts investigations . Recognizes and investigates security breaches, thefts, shortages (loss), and ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
    Walmart (04/19/25)
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  • (USA) Operations Manager , Asset Protection…

    Walmart (Chino, CA)
    …with specific types of tools used for theft prevention. Conducts investigations . Recognizes and investigates security breaches, thefts, shortages (loss), and ... management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for… more
    Walmart (02/13/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Annapolis, MD)
    …compassionate. And we do it all with heart, each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews...claims processing, and regulatory requirements related to healthcare fraud . Proficient in researching information and identifying information resources… more
    CVS Health (04/23/25)
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