- Usaa (Roanoke, VA)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. Collects evidence...fraud in investigating claims. Collects evidence of potential fraud through field or remote interviews and… more
- Humana (Richmond, VA)
- …of situations or data requires an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law enforcement ... health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit....of all do you have a passion for combating Fraud , Waste, and Abuse in the Health Care Industry?… more
- Humana (Richmond, VA)
- …part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud ...next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- USAA (Richmond, VA)
- …claims by investigating questionable, suspect claims activity in compliance with state insurance fraud -related laws and regulations and policies and procedures. ... Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects... in investigating claims. + Collects evidence of potential fraud through field or remote interviews and… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Experience:** 3 + years of related experience **Job Description:** **Marketplace Investigator ** **The Affordable Care Act (ACA) requires every state to establish ... a health insurance exchange (also called Health Insurance Marketplace)...CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.** **HOW YOU WILL MAKE… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …to customers in the field on a regular basis using the remote customer engagement platform. + Disseminate disease state and healthcare landscape information ... to customers in the field on a regular basis utilizing remote customer engagement platform. + Responsible for delivering the training and evaluation of promotional… more
