• Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …**QUALIFICATIONS:** **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified ... Interpret standard State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve the integrity of the… more
    CareFirst (07/12/25)
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  • SIU Investigator - Part-Time

    Allied Universal (St. Petersburg, FL)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
    Allied Universal (08/22/25)
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  • Claims Investigator

    Allied Universal (Buffalo, NY)
    …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
    Allied Universal (08/09/25)
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  • Health Insurance Fraud Analyst II

    MyFlorida (Tallahassee, FL)
    Fraud Investigator ; Certified Financial Crimes Investigator ; Certified Insurance Fraud Investigator , Certified Compliance and Ethics Professional. ... HEALTH INSURANCE FRAUD ANALYST II - 72004150...HEALTH INSURANCE FRAUD ANALYST II - 72004150 Date: Aug 19,...Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST II - 72004150 Pay… more
    MyFlorida (08/20/25)
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  • Special Investigation Unit: Coordinator

    Kemper (Dallas, TX)
    …Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner ... Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics...NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud more
    Kemper (08/20/25)
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  • Law Enforcement Investigator II

    MyFlorida (Fort Myers, FL)
    …(https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD ... LAW ENFORCEMENT INVESTIGATOR II - 43001842 Date: Aug 18, 2025...DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: FT MYERS COUNTY: LEE The Criminal Investigations… more
    MyFlorida (08/19/25)
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  • Fraud Investigator

    City of Detroit (Detroit, MI)
    Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply  Fraud Investigator Salary $63,359.00 - $95,039.00 ... Visa at this time. Examples of Duties SUMMARY: The Fraud Investigator performs complex investigative tasks relating...surgical, and prescription drug benefits. + Dental + Vision INSURANCE + Life Insurance - Optional group… more
    City of Detroit (08/01/25)
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  • FAMLI Fraud Investigator

    State of Colorado (Denver, CO)
    FAMLI Fraud Investigator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5043255) Apply  FAMLI Fraud Investigator Salary $73,380.00 ... of Labor and Employment Division Division of Family and Medical Leave Insurance Opening Date 08/15/2025 Closing Date 8/25/2025 5:00 PM Mountain FLSA Determined… more
    State of Colorado (08/16/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Indianapolis, IN)
    **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
    Elevance Health (08/23/25)
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  • Clinical Fraud Investigator II…

    Elevance Health (Woburn, MA)
    **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
    Elevance Health (08/16/25)
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