Special Investigator Jobs in Florida

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19 Florida Special Investigator jobs found on Monster.

Jobs 1 to 19 of 19
Summary of Position: Handles investigation of claims with inconsistencies or fraud indicators present. Reviews all claims reported by third parties and provides investigative guidance to field staff. Oversees field activity performed by TPA staff and/or third party investigators. Prepares action plans for disposition of these claims in compliance with SFIC coverages and guidelines for anti-fraud ...
Assurant Solutions Miami, FL
Description Supervises activities in the Special Investigations Unit and oversees the protection of assets of the corporation by avoiding the payment of fraudulent claims in accordance with the state applicable law and policy provisions. ESSENTIAL DUTIES AND ACCOUNTABILITIES: • Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision. • Cond...
Genworth Financial Inc Miami, FL
LOCATION Genworth will consider applicants from the following cities for this one position: Miami, FL, Jacksonville, FL., Orlando, FL., Atlanta, GA, You must reside within a reasonable distance from a major airport and will work from your home. There is 30%-50% travel required. RESPONSIBILITIES • Conduct field investigations of potential Long Term Care (LTC), Life and Annuity insurance fraud. ...
Assurant Miami, FL
Description The Special Investigator will manage the investigative process of suspected fraudulent claims. The ideal candidate will be enthusiastic, energetic, able to work independently with minimum supervision, and have a high level of integrity. Key Responsibilities: Conduct timely investigations of suspected fraudulent claims using databases, recorded statements and interviews. Review open...
Marten Transport Miami, FL
Supervisor, Special Investigator-38216##DescriptionSupervises activities in the Special Investigations Unit and oversees the protection of assets of the corporation by avoiding the payment of fraudulent claims in accordance with the state applicable law and policy provisions.**ESSENTIAL DUTIES AND ACCOUNTABILITIES**:* Conducts timely investigations of suspected fraudulent claims to ensure a prompt...
Supervises activities in the Special Investigations Unit and oversees the protection of assets of the corporation by avoiding the payment of fraudulent claims in accordance with the state applicable law and policy provisions. ESSENTIAL DUTIES AND ACCOUNTABILITIES: • Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision. • Conducts complex t...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
Summary: Manages a team of associates in the ongoing handling of fire and theft claims. Provides clear direction to bring claims to closure in an effective and timely manner. Responsibilities: •Manages daily workflow within the unit; monitors and conducts quality control audits. •This will be a regionalized role which will require some travel to other locations •Manage, coach, train and devel...
WellCare Health Plans Inc. Tampa, FL, 33602
Department: Compliance, SIU Reports To: Sr. Director, SIU Compliance Location: Tampa, 33634 Hours: M-F Day Shift Conduct healthcare fraud and abuse investigations as a member of the Special Investigations unit within the Corporate Compliance department. Essential Functions: Investigates allegations and issues pertaining to potential health care fraud by providers or members. Documents inves...
Aetna Inc. Plantation, FL
Candidates must have at least 4 years of clinical nursing experience. This is an in-office position with no potential to work from home. POSITION SUMMARY The Nurse Reviewer utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate healthcare outcomes for members enrolled in disease management p...
Marten Transport Miami, FL
Company DescriptionCPA By Choice is a professional consulting firm focusing on Interim CFO and Controller Services as well as financial management and regulatory compliance consulting. Our staffing and recruitment groups, Staffing By Choice and Tech By Choice specialize in senior to executive level searches in the Accounting and Finance arena. Built on decades of expertise, we provide customized r...
The Senior Auditor is responsible for reviewing and auditing operational areas of the Bank and ensuring compliance with all Bank, Federal, and State regulations. This position conducts detail audit steps, identifies issues, and develops related audit reports. Will analyze potential fraud related data and identify problem areas and solutions. Will also review the work performed by staff auditors, e...
CPA By Choice Miami, FL
The Senior Auditor is responsible for reviewing and auditing operational areas of the Bank and ensuring compliance with all Bank, Federal, and State regulations. This position conducts detail audit steps, identifies issues, and develops related audit reports. Will analyze potential fraud related data and identify problem areas and solutions. Will also review the work performed by staff auditors, e...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
Liberty Mutual Holding Company Inc. Lake Mary, FL, 32795
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a Bodily Injury Claims Team with a responsible company that has consistently outpaced the industry in year over year growth? Safeco, a Liberty Mutual company, has an excellent claims opportunity available. As a Bodily Injury Claims Specialist, you will help people resolve problems ...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...
Summary: Claims Adjusters when it comes to your career don’t settle; join an exceptional company! Esurance is seeking PIP Claims Adjuster to handle personal injury protection claims with attorney involvement. At Esurance we are all about attracting, rewarding, respecting, and supporting top talent. That’s why we not only offer competitive salaries, but a warm, welcoming work environment with nume...
Sedgwick Claims Management Services, Inc. Orlando, FL, 32801
Special Investigation Unit Analyst CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Citizens Property Insurance Corporation Tampa, FL, 33602
POSITION SUMMARY: The purpose of the position is to inspect, investigate, and adjust personal property claims in Florida. Position mandates successful completion of requirements of Fundamental Claims School, which includes obtaining an overall passing score. ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS ...

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Insurance Career Tools

Special Investigator

Salaries

$33,936.00 - $84,530.00
Typical Salary for Special Investigator in Florida
(52 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
41.9%
Some College Coursework Completed
18.6%
Master's
18.6%
Associates
9.3%
High School
4.7%
Certification
4.7%
Professional
2.3%
(43 Respondents)
Source: Monster.com Careerbenchmarking Tool

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