- 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
- USAA (San Antonio, TX)
- …and assists with fraud detection and deterrence, as well as, investigate fraud investigations that may have significant financial impact to Life Company ... other related agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established...claims, and underwriting. + Proficient knowledge and understanding of fraud investigations as well as application of… 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 ... & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation of fraud , waste and abuse (FWA) and recoupment of related… more
- Allied Universal (Malden, MA)
- …course + Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims + Proficient ... Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation ...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… 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;* ... for the position of Assistant Director of Field Operations in the Investigations and Intelligence Division, Insurance Frauds Bureau. This position will… more
- CareFirst (Baltimore, MD)
- …statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the investigation and to report possible ... **QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert… 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
- Aflac (GA)
- …related field + One year of related work experience (law enforcement, SIU, insurance investigation , internal audit, etc.) Or an equivalent combination of ... Health Care Anti- Fraud Associate (HCAFA), or Certified Insurance Fraud Investigator (CIFI) + Fluent in...other indications of problems + Receives referrals of suspected fraud ; conducts preliminary investigations to determine if… more
- Allied Universal (Billings, MT)
- …with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with ... of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more
- New York State Civil Service (New York, NY)
- …and administrative personnel tasked with analyzing and assessing financial and insurance fraud referrals and providing intelligence support and analysis ... day-to-day activities, including planning and assigning work;* Directs the financial and insurance fraud referral intake process under the general supervision of… more
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