- Sanford Health (Fargo, ND)
- …is required. Minimum 3 years' experience in health insurance investigation /audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) ... is required. - Minimum 3 years' experience in health insurance investigation /audit. - Master's Degree preferred -...for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies.… more
- State of Colorado (Denver, CO)
- …referrals, assist with investigation of allegations of both securities and insurance fraud , and ultimately make charging decisions. We would be excited ... attorney will work on a multi-disciplinary team to prosecute insurance and securities fraud throughout the state....investigators, and paralegals who are dedicated exclusively to the investigation and prosecution of fraud . The attorney… more
- Zurich NA (Overland Park, KS)
- Bachelor Apprenticeship Program - Claims Fraud Investigation - Schaumburg (January 2026) 126569 Have you completed two or more years of college and are looking ... and providing support to colleagues. Your responsibilities may include: + Assess insurance claims for potential fraud indicators and recommend cases for… more
- 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 (Phoenix, AZ)
- …the continental US with occasional business travel. **What you'll do:** + Responsible for insurance fraud detection and investigation services to reduce ... control objectives, as well as compliance with state insurance fraud -related laws and regulations. This role...and decisions to carry out proactive claim's projects and investigations . + Reviews and evaluates investigation recommendations… more
- Allied Universal (Raleigh, NC)
- …an opening on our MCU Investigator team. This position is responsible for completing insurance fraud investigations and quality control of the final ... provider billing fraud , Corporate Investigations , Case File Reviews, Anti- Fraud Consulting, and Criminal Conspiracies involving the insurance industry. +… more
- New York State Civil Service (Albany, NY)
- …disability fraud involving NYSIF. DCI's mission is to reduce the instances of insurance fraud and abuse against NYSIF and to prevent and mitigate ongoing ... and maintain professional contact with local, state and federal insurance fraud officials, as well as private...in meetings and training opportunities related to worker's compensation fraud investigations to keep updated on trends… 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 (Chesapeake, VA)
- …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
- Allied Universal (Fargo, ND)
- …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