Fraud Investigator Jobs

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90 Fraud Investigator jobs found on Monster.

Jobs 1 to 20 of 90
Fraud Recovery Investigator As a Fraud Recovery Specialist, you play a key role in contributing to the profitability of Chase and directly impacting our bottom line by retaining valued customers and minimizing credit losses resulting from Fraud. The Fraud Recovery Specialist is responsible for, reducing losses on credit card fraud cases by thoroughly reviewing account and transaction details for r...
Overview The Fraud Investigator has the responsibility of reviewing and researching transactions with a focus on fraud detection and mitigation. This position will interact with various business units, corporate security and risk partners to support the fraud detection and mitigation strategies of the bank, and is responsible for reviewing and analyzing customer transactions to identify and report...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified,...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified,...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified,...
PRIVATE INVESTIGATOR - needed for growing company. Position requires daily surveillance of suspected fraudulent insurance claims in our service area. We are currently in need of investigators in the Boston, MA area. We are currently looking for people who have 1-2 years of experience for full time surveillance positions. All investigators must check in with office manager throughout the day to pro...
Description Job duties include but are not limited to the following: - Identifies, investigates and evaluates moderate to complex potential fraud, waste or abuse, including pre-pay and/or post-pay medical claim reviews to determine valid cases for appropriate action; documents findings, and prepares case referrals, letters, etc. if applicable. - Ensures investigative data requests are compliant, d...
Full-time, in-house position is responsible for identifying and analyzing Worker’s Compensation claims data to identify, categorize and report all areas of suspected fraud. This position requires a well-developed understanding of the insurance claims industry. General Responsibilities: Conducts claim analysis to identify persons or organizations committing insurance fraud. Conduct investigations a...
Position Description: Job Summary: The SIU (Special Investigative Unit) Investigator will assist the Associate Director of Compliance and Regulatory Affairs in the development, maintenance and execution of the Navitus fraud, abuse and waste program, controls, and associated policies and procedures. The SIU Investigator will conduct prompt, accurate investigations of questionable cases, in a manner...
MetLife, a leading provider of insurance and other financial services to individual and institutional customers, is seeking a Claims Investigator in Oriskany, NY, Tampa, FL, Aurora, IL and Atlanta, GA! Beyond meaningful and challenging work, MetLife provides a variety of flexible work arrangements, as well as a tuition reimbursement program, competitive benefits, and retirement and pension plans....
Position Description As an Insurance Principle Investigator your responsibilities will include: - Gather facts on issues in question through open-ended interviewing and statement taking of witnesses, employers, claimants and other relevant witnesses. - Obtaining and presenting physical and documentary evidence to support investigations. - Preparing objective and concise written reports of investig...
Position Description As an Insurance SIU Desk Investigator, your responsibilities will include: o Investigating suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants, agents, brokers, attorneys, medical providers, etc., to support the Claims Organization for the pursuit of appropriate remedies through the civil or criminal justice...
Insurance Fraud Investigator TRAINEE...
Position Description As an Insurance Principle Investigator your responsibilities will include: - Gather facts on issues in question through open-ended interviewing and statement taking of witnesses, employers, claimants and other relevant witnesses. - Obtaining and presenting physical and documentary evidence to support investigations. - Preparing objective and concise written reports of investig...
Position Description As an Insurance SIU Desk Investigator, your responsibilities will include: o Investigating suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants, agents, brokers, attorneys, medical providers, etc., to support the Claims Organization for the pursuit of appropriate remedies through the civil or criminal justice...
Position Description As a SIU Sr. Field Investigator your responsibilities will include: o Investigating and providing field support for insurance investigations on suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants, agents, brokers, attorneys, medical providers, etc., to support the Claims Organization for the pursuit of appro...
GlobalOptions, an international investigative firm servicing the insurance, government, and legal communities is currently seeking an experienced SIU investigator to join our team. We perform surveillance, activity checks, and background investigations on worker's compensation, auto liability, general liability, and long and short term disability claims. Assignments will be throughout the Philadel...
Position Description As an Insurance SIU Desk Investigator, your responsibilities will include: o Investigating suspicious insurance claims or suspicious insurance related activities covering all lines of business involving claimants, agents, brokers, attorneys, medical providers, etc., to support the Claims Organization for the pursuit of appropriate remedies through the civil or criminal justice...
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 a LICENSED INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Portland, ME area. Qualified candidates must live in the area and cover the adjoining areas of the s...
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Answers for Fraud Investigator Jobs

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Is this a fraud job online?
I saw a job on craigslist and i applied for it and when i received an email 1 wk later it said that i had to interview and they gave me the name of the manager and i had an interview over yahoo messan...
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I applied for this job on craigslist and I got this email a couple days later: Hello, Thanks for responding to the AD and I'm Dan Bruno, The new director of works at Action Aid International (US...

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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