- Premera Blue Cross (Spokane, WA)
- …Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active experience in ... . As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud… more
- Allied Universal (Beckley, WV)
- …+ One or more of the following professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for Insurance claims… more
- BMO Financial Group (Omaha, NE)
- AML and Fraud are both exciting areas within the bank to be involved with. This is a high pace environment in a constantly shifting landscape. Our ideal candidate is ... seeking an opportunity to showcase their communication skills with the ability to articulate your thoughts both written and verbal, analytical skills and has financial industry experience. Conducts investigations to identify, assess, decision and report on… more
- SMBC (Sacramento, CA)
- …Real Estate Loans, Cash Management Services, International Services **JOB SUMMARY:** The Fraud Investigator Team Lead is responsible for the delegation and ... oversight of day-to-day fraud investigations. This may include the supervision and quality...are performed timely and in accordance with AML and Fraud policy and procedures. **PRINCIPAL DUTIES & RESPONSIBILITIES:** +… more
- Office of the Inspector General, USPS (Merrifield, VA)
- …This announcement provides a temporary reassignment/promotion opportunity to a Criminal Investigator , Specialist Band, as a Subject Matter Expert (SME) for ... Healthcare Claimant Fraud . Responsibilities The successful candidate must be highly motivated,...the expectations. Assist in the oversight of Healthcare Claimant fraud investigation activities for Area Field Office (AFO) management.… more
- State of Georgia (Fulton County, GA)
- …Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting process ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics Professional. LICENSURE, CERTIFICATION, OR… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …designations: + CPCU (Chartered Property Casualty Underwriter) + AHFI (Accredited Health Care Fraud Investigator ) + ACFE (Association of Certified Fraud ... you an Insurance Professional looking for new opportunities? Do you specialize in fraud and investigations? If so, read below & apply today! The Connecticut… more
- Highmark Health (Augusta, ME)
- …Professional Coder- Hospital(CPC-H) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of ... graphs, and charts to timely identify trends and patterns of potential healthcare fraud , waste and abuse. Communicate findings to company management of various areas… more
- CareFirst (Baltimore, MD)
- …Qualifications:** Credentials as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN/LPN, or Certified Professional Coder (CPC). ... and manage new case leads for potential assignment leads. Track incoming fraud allegations from all sources for statistical purposes and enter cases accurately… more