- Idaho Division of Human Resources (Boise, ID)
- Insurance Fraud Investigator Posting...fraud that may include, auto theft, arson, fraudulent health care, and staged auto accidents. + Assists other ... Membership in professional societies such as Certified Fraud Examiner or Certified Insurance Fraud Investigator is beneficial, but the investigator … more
- Sanford Health (Fargo, ND)
- … health insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified ... in health insurance investigation/audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) certification or Certified … more
- Blue KC (Kansas City, MO)
- …Description Summary:** As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud , waste, ... AHIMA + FWA Certification: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) + Medical License: Registered Nurse (RN), Licensed… more
- Elevance Health (Chicago, IL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Humana (Oklahoma City, OK)
- …us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve...fraud , and member abuse cases to the Oklahoma Health Care Authority (OHCA) and other duly authorized enforcement… more
- Health Care Service Corporation (Chicago, IL)
- …and concise verbal and written communication skills. **PREFERRED REQUIREMENTS:** + Accredited Health Care Fraud Investigator + Certified Professional Coder ... investigative experience. + Familiarity with laws applicable to health care fraud . + Ability to develop...pension plan, paid time off, paid parental leave, disability insurance , supplemental life insurance , employee assistance program,… more
- MyFlorida (Pensacola, FL)
- …+ Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental, vision, and other supplemental ... LAW ENFORCEMENT INVESTIGATOR II - 41001250 Date: Oct 10, 2025...the Office of the Attorney General within the Medicaid Fraud Control Unit in Pensacola, Florida. Pay:$60,000.20 - $62,425.00… more
- MyFlorida (Tallahassee, FL)
- …for employees features a highly competitive employee benefits including: + State Group Health Insurance Coverage; + $25,000 Life Insurance Policy (100% ... direct supervision of the Fiscal Integrity Lieutenant: + Conducts financial investigations in insurance fraud , finance and securities fraud cases. +… more
- MyFlorida (Fort Lauderdale, FL)
- …for employees features a highly competitive employee benefits including: + State Group Health Insurance coverage. + $25,000 Life Insurance Policy (100% ... of Financial Services. This advertisement is for the Bureau of Public Assistance Fraud . This advertisement is for aFinancial Crime Investigator Iposition which… more
- AIG (Atlanta, GA)
- …to ensure that the fraud risk to AIG is minimized. As an Insurance Claims Investigator , you will be responsible for investigating high complexity suspicious ... to manage risk. Join us as a Senior Claims Investigator to play your part in that transformation. It's...insurance claims or suspicious insurance related activities… more
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