Benefits Fraud Investigator Jobs

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1000+ Benefits Fraud Investigator jobs found on Monster.

Jobs 1 to 20 of 1574
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...
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...
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...
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...
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...
Position Description: Do you have experience in investigations at a private firm or in law enforcement? Are you looking for challenge with a great company? We're searching for Bilingual (English/Spanish) Claim Special Investigators with the ability to handle multiple investigations in a fast paced environment. Responsibilities include the investigation of claims that may contain elements of fraud...
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...
JOB SUMMARY: Civilian employees serve a vital role in supporting the Army mission. They provide the skills that are not readily available in the military, but crucial to support military operations. The Army integrates the talents and skills of its military and civilian members to form a Total Army. About the Position: As a Fraud Investigative Technician with U.S. Army Criminal Investigation Com...
Marten Transport Hampton, VA
Investigates suspected cases of fraud in benefit programs. Completes thorough, accurate assessments of fraudulent activity and presents findings in court.Examples of Duties:Receives referrals of cases suspected of fraud from Case Managers, eligibility workers, and other staff. Examines case referrals for accuracy and completeness. Independently determines whether information was withheld, either i...
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...
Tufts Health Plan Watertown, MA, 02472
The Health Care Fraud Investigator I serves a key role in investigating and conducting internal and external research with detailed data analysis to identify fraudulent and abusive member reimbursements; member misrepresentations related to eligibility; and identity misrepresentations across all books of business. Responsible also for developing recommendations to strengthen internal controls for ...
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...
Los Angeles County Department of Health Services Los Angeles, CA, 90009
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 3724.10 Salary Maximum 4880.00 Benefits Infor...
Searchamericanjobs New York, NY
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...
Works with Fraud Investigators to compile and organize evidence in preparation for responding to subpoenas as well as performing specific investigative steps to gather evidence and make appropriate decisions on appeals submitted to the Special Investigations Unit. May perform special projects requiring expertise in fraud detection, investigation, claim processing and other areas related to Special...
We invite you to explore theaward-winning culture, people, rewards and opportunities that make Comerica Bank so special. Make your next career choice a confident one. The Information Security Engineer is viewed as expert in a specific aspect of information security and will undertake complex projects requiring additional specialized technical knowledge. Reporting Information/Location The Compute...
Capital One Plano, TX, 75023
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...
ZenBanx is a financial services technology firm poised to change the world of international money transfers, and we’re looking for a talented and self-motivated Fraud Investigations Manager. Our candidate will be responsible for all aspects of Fraud risk, advising and assisting Sr. Management in making and implementing strategic decisions and objectives, providing business-oriented advice to all m...
Universal American Houston, TX, 77020
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, but is not limited to, in...
APS Healthcare Houston, TX, 77020
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, but is not limited to, in...

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Criminal Investigator

Salaries

$31,176.00 - $125,000.00
Typical Salary for Criminal Investigator
(97 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
46.9%
Some College Coursework Completed
18.5%
Associates
16%
Master's
11.1%
High School
4.9%
Professional
2.5%
(81 Respondents)
Source: Monster.com Careerbenchmarking Tool
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