Special Investigator Jobs

1000+ jobs

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

*0732 Special Ivestigator SUMMARY: Ivestigates claims that ivolve suspicios of fraud or other suspected wrogdoig both iterally ad exterally. ESSENTIAL DUTIES AND RESPONSIBILITES: Iclude the followig. Other duties may be assiged. Idetifies fraudulet or crimial activity ad those resposible for such activities icludig arso, automobile accidet schemes, persoal ijury schemes, staged burglary, theft,...

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

AmWINS Specialty Auto is seeking a career-oriented candidate to join a claims team within our rapidly growing company. The Claims Special Investigator role supports claims staff to investigate potential fraud as well as provide peripheral support in managing ISO claims inquiries, locating relevant parties, and providing training to claims staff in industry trends pertaining to SIU. In the fast-pac...

Pharmacy Investigator - Special Investigations Unit Requisition ID 142778 Business Overview At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely ha...

JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.6 trillion and operations worldwide. The firm is a leader in investment banking, financial services for consumers and small business, commercial banking, financial transaction processing, and asset management. A component of the Dow Jones Industrial Average, JPMorgan Chase & Co. serves millions of consum...

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining ...

Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to develop, conduct, resolve, document, and report on investigations of tips, allegations, or data ...

JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset management and private equity. A component of the Dow Jones Industrial Average, JPMorgan Chase & Co. serves mil...

AMENDED (Those who previously applied need not re-apply) Position Summary: The Confidential Investigator will have wide latitude for independent action and decision, in the performance of highly confidential and sensitive investigations into allegations of corruption, misconduct, and/or other illegal, unethical, or improper activity by Department of Education employees. The Confidential Investig...

About Us AmeriHealth Caritas is growing! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Together we can b...

Role: Pharmacy Investigator - Special Investigations Unit Assignment: Special Investigations Unit Location: Green Bay, WI or Louisville KY, Virtual We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing p...

Apply Now Investigator Special Investigations Unit Job Location: Boston, MA Job Description Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to d...

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Special Investigations Unit Investigator - Global Security & Military Affairs-150036781 Job Description JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset manag...

Description: Do you have a background in investigations of healthcare FWA? Have strong leadership skills? Do you have a desire to work within a collaborative team culture, leveraging diverse strengths for the benefit of the team? Bring us your experience, your head for compliance and investigations, your strength with relationships and your eye for opportunity. In return we offer an unmatched pla...

Special Consultant Investigator (Special Consultant) SPECIAL CONSULTANT 7291BR Human Resources, Diversity & Inclusion Human Resources Salary commensurate with experience and qualifications. Special Consultant Intermittent This is an on-call, intermittent position. Work schedule to be determined. California State University, Fullerton is searching for a driven, proactive, fair-minded indiv...

California State University, Fullerton is searching for a driven, proactive, fair-minded individual who is seeking a challenge. The Special Consultant Investigator works on special assignments for the Associate Vice President for Human Resources Diversity and Inclusion (HRDI). The duties include, but are not limited to, administrative studying, reviewing, analyzing and investigating allegations of...