- New York State Civil Service (New York, NY)
- …and support personnel, tasked with analyzing and assessing financial and insurance fraud referrals;* Manages an Assistant Chief Investigator supervising ... and trends to help set investigative direction and focus;* Manages financial and insurance fraud referral intake procedures for thoroughness and timeliness, and… more
- New York State Civil Service (New York, NY)
- …Chief Investigators each leading a criminal investigative team in financial and insurance fraud investigations covering upstate and downstate regions;* Provides ... Financial Services, Department of Title Assistant Director of Field Operations, Insurance Frauds Bureau (Assistant Director Financial Services Frauds Bureau, NS)… more
- RELX INC (Alpharetta, GA)
- …Identity Product Management team is responsible for delivering the ID Compass suite of fraud and identity solutions to the US insurance market . Our solutions ... Solutions is the essential partner in the assessment of risk. Within our Insurance vertical , we provide customers with solutions and decision tools that combine… more
- USAA (San Antonio, TX)
- …enforcement, and other related agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established regulatory guidelines and ... provide investigative support and recommendations on claim settlements and assists with fraud detection and deterrence, as well as, investigate fraud … more
- CareFirst (Baltimore, MD)
- …Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert… more
- Highmark Health (Pittsburgh, PA)
- …documentation requirements, state and federal criminal and civil law related to insurance fraud and advances in the post-payment utilization review process ... strategic plan focuses on the detection and investigation of fraud , waste and abuse (FWA) and recoupment of related...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Aflac (GA)
- …Claims Law Specialist (FCLS), Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in Spanish Travel + Less ... Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and...Assists business units in recognizing and identifying indicators of fraud as a part of the normal business process;… more
- Allied Universal (Madera, CA)
- …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud ...of Insurance policies and the components of fraud to determine If claims warrant reporting to the… more
- Kemper (Dallas, TX)
- … + Completion of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or ... Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are +… more
- Allied Universal (Buffalo, NY)
- …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
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