- Elevance Health (Woburn, MA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is ... **Clinical Fraud Investigator II - Registered Nurse...control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions… more
- 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 ... Department Department 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… more
- 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...but are not limited to the following: HEALTH + Medical - Eligible for hospital, surgical, and prescription drug… more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67636/other-jobs-matching/location-only) Hot ... Office of the Attorney General Department of Law Medicaid Fraud Division - Investigator The mission of...the necessary documents to identify and investigate health care fraud and patient abuse, including medical records,… more
- US Bank (Cincinnati, OH)
- …work outside the office location for the other days.**_** **NOTE** **:** **this External Fraud Investigator position will be required to be onsite 5-days per ... Line of Business and the Lines of Defense. External Fraud Investigators may concentrate on one specific or many...activity, and filing Suspicious Activity Reports (SARs). + An investigator may review consumer and commercial DDAs, loans, lines… more
- City National Bank (Newark, DE)
- …You will not be employed by City National Bank. *The Opportunity* The Fraud Investigator Specialist will be responsible for performing and documenting through ... fraudulent activities that impact clients, and corporate losses. Additionally, the Fraud Investigator Specialist will quarterback internal events and… more
- City National Bank (Phoenix, AZ)
- * FRAUD INVESTIGATOR SPECIALIST* WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions ... activities that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and investigation activities… more
- Guardian Life (New York, NY)
- …+ Ability to spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and manual exception reports and ... filings, including, but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business partners. Assists in… more
- Humana (Tallahassee, FL)
- …Degree * A minimum of 2 years' experience conducting comprehensive health care fraud investigations ( Medical Coding or Healthcare ( Medical Chart ... caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- State of Colorado (Denver, CO)
- Special Prosecutions Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5001556) Apply Special Prosecutions ... Investigator (Special Agent III) Salary $98,328.00 - $118,008.00 Annually...position will investigate matters involving drug-related crimes, election crimes, fraud , homicide, human trafficking, identity theft, public corruption related… more