Fraud Investigator Jobs
57 Fraud Investigator jobs found on Monster.
WellPoint is one of the nation's leading health benefits companies and a Fortune 50 company. The Clinical Fraud Investigator II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse through the review of submitted medical record claims. Primary duties may include, but are not limited to: Conducts data mining activities using available to...
UnitedHealth Group
Multiple
Description: 519615 - Healthcare Fraud Senior Investigator - Eden Prairie, MN or Franklin, TN Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association...
Ensures that the organization’s client’s and account holder base are provided with professional, courteous and efficient customer satisfaction. Confirms that all account holder claims of fraud are processed, investigated and resolved in accordance with all Federal, State and Local laws and regulations, VISA/MasterCard operating regulations, client requirements and the organizations policies/proced...
Job Title: Claims Investigator Location: Connecticut, Massachusetts, Vermont, New Hampshire, Maine, Rhode Island. About the Company Hettrick, Cyr & Associates Inc., (HC&A) is a recognized leader within the safety, risk control, and insurance claims investigation industry. HC&A offers excellent career and growth opportunities. We pride ourselves on delivering only the highest level of service possi...
TJMaxx
Rockville, 20852
Talk about value.T.J. Maxx is where you'll find it. T.J. Maxx, together with Marshalls, forms the Marmaxx Group, the largest off-price retailer of apparel and home fashions in the U.S. T.J. Maxx offers brand name family apparel, giftware, home fashions, womens shoes, and lingerie, and emphasizes accessories and fine jewelry, at prices 20% - 60% below department and specialty store regular prices!...
TJMaxx
McLean, 22101
Talk about value.T.J. Maxx is where you'll find it. T.J. Maxx, together with Marshalls, forms the Marmaxx Group, the largest off-price retailer of apparel and home fashions in the U.S. T.J. Maxx offers brand name family apparel, giftware, home fashions, womens shoes, and lingerie, and emphasizes accessories and fine jewelry, at prices 20% - 60% below department and specialty store regular prices!...
The Arkansas Department of Human Services (DHS) is the state's largest agency with 8,200 employees working in 181 county offices serving more than one million people. Employees work in 10 major divisions and five support offices to provide services to Arkansas citizens. DHS is currently seeking to fill the position of Public Assistance Investigator in Harrisburg, AR. The Public Assistance Investig...
VNSNY SPECIAL INVESTIGATOR, FULL-TIME (MIDTOWN MANHATTAN) PURPOSE OF POSITION Performs desk and on-site medical record audits in possible cases of insurance fraud, assists in assembling evidence, and recommends action steps. Develops a broad presence in the company and availability to assist operational areas with questions about cases of possible fraud. Prepares timely and complete investigations...
If you are a keen observer with an eye for detail and always gives 110% in order to achieve success, then a career as a private investigator is custom-made for you! Claims Verification Inc. (CVI) is looking for qualified candidates for INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Tulsa, OK area. Qualified candidates must live in the area and cover the adjoining areas of the state as needed...
If you are a keen observer with an eye for detail and always gives 110% in order to achieve success, then a career as a private investigator is custom-made for you! Claims Verification Inc. (CVI) is looking for qualified candidates for INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Birmingham, AL area. Qualified candidates must live in the area and cover the adjoining areas of the state as n...
POSITION VACANCY ANNOUNCEMENT *RE-POST* Applicants who applied during original posting January 23, 2013–February 6, 2013 will be considered, and need not reapply during current recruitment period POSITION TITLE: Income Maintenance Investigator I SALARY RANGE: $26,083.00 - $40,428.00 DUTIES AND RESPONSIBILITIES: See Attached SPECIALIZED SKILLS AND COMPETENCIES REQUIRED: See Attached APPLICATION DEA...
TJMaxx
Lowell, 01854
Talk about value.T.J. Maxx is where you'll find it. T.J. Maxx, together with Marshalls, forms the Marmaxx Group, the largest off-price retailer of apparel and home fashions in the U.S. T.J. Maxx offers brand name family apparel, giftware, home fashions, womens shoes, and lingerie, and emphasizes accessories and fine jewelry, at prices 20% - 60% below department and specialty store regular prices!...
Our client, a regional banking and financial services firm in the Detroit-Metro region, is looking to bring on an AML/BSA Compliance Investigator. In this role, you will be responsible for maintaining and ensuring organizational compliance with the Federal Bank Secrecy Act (BSA) and Office of Foreign Assets Control (OFAC) regulations, investigation of escalated incidents involving money-laundering...
Care1st Health Plan is a full service managed care organization offering Medi-Cal, Dental, Medicare and Commercial plans. We are committed to providing health care that is medically excellent, ethically driven and delivered in a patient-centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and a cost-effective deli...
If you are a keen observer with an eye for detail and always gives 110% in order to achieve success, then a career as a private investigator is custom-made for you! Claims Verification Inc. (CVI) is looking for qualified candidates for INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Rochester, NY area. Qualified candidates must live in the area and cover the adjoining areas of the state as ne...
Description: Position Description: Positions in this function are responsible for investigating, reviewing, and resolving Facility provider claims on behalf of our commercial and government customers and their health plans. The Clinical Investigator will ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. Primary Responsibilities: Investigates...
Company Confidential
Carlsbad, CA, 92008
Carlsbad private investigation firm specializing in complex litigation seeks motivated and qualified candidate for Interviewing Investigator position. Position includes conducting in-depth and factually substantive telephone interviews with witnesses and writing comprehensive and coherent interview summaries. A successful candidate must have an engaging and personable demeanor; enthusiasm for cons...
Summary: EchoStar is looking for a High Tech Piracy and Fraud Investigator to carry out case management in North America. Responsibilities: Acting as a Lead Investigator of satellite signal theft. Perform case management Interview cooperative and non cooperative individuals Create and submit detailed reports to involved parties Work with other departments in the investigation & enforcement process...
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Huntington, WV area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving se...
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Round Lake, IL area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving se...
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Answers for Fraud Investigator Jobs
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Business Career Tools
Claims Investigator - Fraud
Salaries
$27,040.00 - $89,670.00
Typical Salary for Claims Investigator - Fraud
(88 Respondents)
Source: Monster.com Careerbenchmarking Tool
Education / Training
Bachelor's
56.9%
Some College Coursework Completed
13.8%
Master's
13.8%
Associates
8.6%
High School
6.9%
(58 Respondents)
Source: Monster.com Careerbenchmarking Tool
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.1.5.22-217