• 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

    Allied Universal (Charlottesville, VA)
    …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 (08/28/25)
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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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  • Law Enforcement Investigator II

    MyFlorida (West Palm Beach, FL)
    …(https://compcalculator.myflorida.com/) OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD ... LAW ENFORCEMENT INVESTIGATOR II - 43000680 Date: Aug 4, 2025...DETECTIVE) DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: INSURANCE FRAUD CITY: WEST PALM BEACH COUNTY: PALM BEACH The… more
    MyFlorida (09/03/25)
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  • Medicaid Fraud Investigator (Special…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud ... Executive Order D 2025 009. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit… more
    State of Colorado (08/27/25)
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  • Compliance Investigator I (Medicaid…

    State of Colorado (Denver, CO)
    Compliance Investigator I (Medicaid Fraud ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5058947) Apply  Compliance Investigator I ... five (5) years of professional experience in investigation either as an investigator , investigative journalist, auditor or fraud specialist, or other field… more
    State of Colorado (08/28/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Norfolk, VA)
    **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 (08/30/25)
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  • Fraud & Investigations, Clinical…

    MVP Health Care (Schenectady, NY)
    …+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + ... agencies, or seven years of professional investigation experience involving economic or insurance related matters. + A clinical investigator must have in… more
    MVP Health Care (09/02/25)
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  • Senior Fraud /AML Investigator

    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 ... but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business...million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to… more
    Guardian Life (06/06/25)
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  • Elavon Fraud Investigator

    US Bank (Knoxville, TN)
    …+ Healthcare (medical, dental, vision) + Basic term and optional term life insurance + Short-term and long-term disability + Pregnancy disability and parental leave ... checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the… more
    US Bank (08/31/25)
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