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1000+ Fraud Investigator jobs found on Monster.

Jobs 1 to 20 of 6583
******FRAUD INVESTIGATOR TRAINEE****** 38-year-old private investigations firm seeks candidates with 4-year college degree with strong English writing skills and exceptional verbal skills to learn fraud investigations. Our fraud investigators interview witnesses for work-related injuries and then prepare a detailed investigative report. 30% of your time is spent interviewing witnesses. 20% drivin...
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 an INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Pittsburgh, PA area. Qualified candidates must live in the area and cover the adjoining areas of the state as...
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 an INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Harrisburg, PA area. Qualified candidates must live in the area and cover the adjoining areas of the state as...
SIU Private Investigator-Insurance Fraud COMBINED INVESTIGATORS is a private investigative company specializing in insurance fraud claims. Enjoying over 27 years in business, CI provides service and coverage in the Southeast and Midwest to our satisfied clientele. We are currently expanding and seek diligent, results oriented and highly-motivated investigators who can consistently perform succes...
Sleep Number is seeking a highly effective Senior Internal Auditor/FraudInvestigatorto provide objective assessments of the company’s controls, governance and risk management; offer remedies and recommendations when operational improvement is necessary. Execute loss prevention responsibilities to detect and prevent fraud across the organization. Responsibilities: · Objective assurance – identifi...
Molina Healthcare Inc Miami, FL
Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for review...
Starbucks Corp Seattle, WA
director fraud analytics amp; investigations, Global Investigations( Job Number: 150000352) Primary Location :US-WA-Seattle Starbucks Enterprise (non-retail)-Safety and Security Job Summary and Mission This position contributes to Starbucks success by formulating and implementing an enterprise-wide fraud management structure, aligned with business goals. Responsible for developing and manag...
Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewi...
Career Description Benefits Supplemental Questions Welfare Fraud Investigator (Public Assistance Investigator) - Limited Term THIS RECRUITMENT IS OPEN TO THE PUBLIC Beginning December 5, 2014 the Office of the District Attorney Human Resources Department will accept online applications and supplemental information for a minimum of five (5) business days. Applications will subsequently be accept...
Position Description: The SIU Medicare Parts C and D Investigator functions as part of the SIU, which is the designated unit responsible for the detection, prevention, investigation, education, correction, and resolution of Medicare Parts C and D FWA. This position is responsible for triaging, investigating and resolving all instances of potential Medicare Parts C and D FWA, which may include, bu...
Investigator-Fraud-(15000616) Description Job description The Fraud Analyst performs a continuing cycle of detailed account investigation using weighted profiling data from multiple sources including but not limited to the Equinox Protector System, third party reports, and internal Windstream systems. The Analyst interprets, organizes and compiles said data to make an educated decision on next ...
Job Title: Claims Investigator - Experienced need only reply. Location: Connecticut, Massachusetts, Vermont, New Hampshire, Maine, Rhode Island, New York. About the Company Hettrick, Cire & 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 deliv...
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 mann...
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 mann...
Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develop investigations that involve monetary losses, sensitive issues, and meet criteria for referral to law enforcement or the imposition of administrative actions. In this role, yo...
Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II ) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develop investigations that involve monetary losses, sensitive issues, and meet criteria for referral to law enforcement or the imposition of administrative actions. In this role, y...
Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II ) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develop investigations that involve monetary losses, sensitive issues, and meet criteria for referral to law enforcement or the imposition of administrative actions. In this role, y...
National Stores, Inc. Gardena, CA
The IRF Analyst is responsible for protecting the company's assets from internal theft, fraud and operational losses by using investigative resources (Remote monitoring, exception reporting, social media, etc.) to conduct investigations and operational audits in assigned locations. The IRF Analyst will partner with other departments (Sales audit, Human Resources) and will disseminate potential dis...
BASIC FUNCTION The Special Investigator/Premium Fraud is responsible for the detection and investigation of premium fraud. ESSENTIAL RESPONSIBILITIES AND PRINCIPAL ACCOUNTABILITIES Denotes "essential functions" in accordance with the guidelines of the Americans with Disabilities Act. The essential functions of this position include, but are not necessarily limited to, those specifically identif...
Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunities for our...

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