Benefits Fraud Investigator Jobs

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1000+ Benefits Fraud Investigator jobs found on Monster.

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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...
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...
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...
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...
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...
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...
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...
Role: Investigative Researcher Assignment: Temporary role with Full Benefits Location: San Juan, Puerto Rico Assignment Capsule The purpose of this position is to manage large case loads of non-complex fraud cases and provide expertise in their assigned lines of business. Investigators are primarily aligned to support investigations within a specific line of business with additional geographic...
Humana Inc. San Juan, PR
PPI Investigative Researcher/ Temporary position with Full Benefits (Investigation, Word, Excel exp. a MUST) - San Juan Requisition ID 139194 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 yo...
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...
Role: Provider Payment Investigator Assignment: Temporary position with Full Benefits Location: San Juan Assignment Capsule: The role of the investigator is to utilize appropriate resources from a variety of sources to investigate assigned cases within the Special Investigations Unit. Tasks: To accomplish their role, the investigator will rely on their experience and knowledge of necessary r...
Humana Inc. San Juan, PR
PPI Investigator/Temporary position with Full Benefits (Investigation, Word, Excel exp a MUST) - San Juan Requisition ID 139193 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 yo...
Employees Contact Us Home About Us Executive Team Board of Directors AdvanceMed NCI Cares Industry Partnerships & Participation Small Business Support Locations Capabilities Cloud Computing and IT Infrastructure Optimization Cybersecurity and Information Assurance Engineering and Logistics Support Enterprise Information Management and Advanced Analytics Health IT and Medical Suppor...
TCF Bank Palos, IL
Fraud Investigator I - Contact Center - Plymouth-00HDN Description Position Summary Perform complex investigations and protect the Bank from known or suspected internal or external criminal activities, with primary focus on social engineering attempts and identifying red flags specific to Contact Center Channel issues. Major Areas of Accountability Work independently by performing analysis an...
Job details Job 1 of 1 Apply to job   Send to friend Save to cart View similar jobs Bulletin Number 3013BR Type of Recruitment Departmental Promotional Opportunity Department Public Social Services Position Title WELFARE FRAUD INVESTIGATOR Exam Number 49152P Filing Type Open Continuous Filing Start Date 08/20/2012 Salary Type Monthly Salary Minimum 3797.82 Salary Maximum 4977.10 Benefits Infor...
Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. The position is resp...
About Us At Capital One, we march to a different beat! While we may be a top-10 bank by deposits, we operate and innovate with the vigor of a start-up. With thousands of employees, we never lose anyone in the shuffle, but celebrate individuals with respect and exceptional benefits. And we don’t just fill positions, but recruit the best and the brightest people that know how to set industry trends...
Marten Transport Dallas, TX
USAA is currently seeking talented *SIU Investigator* for our *Dallas, TX* location. *PURPOSE OF JOB* Provide specialized investigative and advisory services, particularly when claim or underwriting fraud is suspected. Increase fraud awareness throughout USAA and its membership. Develop innovative and long-term fraud detection and prevention programs. Support public entities and other industr...
Capital One Plano, TX
Description About Us At Capital One, we march to a different beat! While we may be a top-10 bank by deposits, we operate and innovate with the vigor of a start-up. With thousands of employees, we never lose anyone in the shuffle, but celebrate individuals with respect and exceptional benefits. And we don’t just fill positions, but recruit the best and the brightest people that know how to set in...
Description Benefits Supplemental Questions The Department of Public Social Services, Administrative Services Division is accepting resumes from qualified candidates for the position of WELFARE FRAUD INVESTIGATOR for the Special Investigations Unit. This posting will build an eligibility pool that will be used to fill vacancies for the next six months. The department is anticipating multiple va...

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