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Benefits Fraud Investigator Jobs

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Description and Functions Benefits Supplemental Questions Open Until Filled GENERAL DESCRIPTION: The purpose of this position is to investigate all allegations of public assistance/welfare fraud; and to collect on any overpaid program benefits. The objective of this Department for the Fraud & Recovery Unit is to "protect the integrity of the programs DFS administers". ESSENTIAL FUNCTIONS: Th...

Overview Senior Fraud Investigator Medicare and Medicaid (Omaha, NE) in Omaha, NECatapult Consultants, LLC Branch OmahaNEUS Position:Senior Fraud Investigator Medicare and Medicaid (Omaha, NE)Location:Omaha, NE All employees and applicants are treated without regard to age, sex, color, religion, race, national origin, citizenship, veteran status, current or future… Job Description Catapult Co...

Broker Fraud Investigator - 6 Month Fixed Term Contract Reference Number GI004279 Region South East Location Brentwood Hours 35 Closing date for applications 11 September 2015 About the Role The key purpose this role is to identify and reduce fraudulent activity by policyholders of LV= Broker. You will undertake CUE and SIRA policy validation checks on LV= Broker Personal and/or Comme...

Job Description The Mortgage team guides both new and existing clients in purchasing and maintaining the home of their dreams. We build strong relationships with our mortgage clients based on responsible lending and borrowing practices. Over 1,200 Brokers are backed by our team of Underwriters, Mortgage Processors, Loan Closers, and Loan Officers. The Mortgage team works with risk partners to off...

Job Responsibilities Benefits Supplemental Questions Additional This position reports to the Organizational Integrity Division in Columbia. Incumbent will provide leadership and direction for management and staff of the Fraud, Investigation, Recovery, and Enforcement (FIRE) Unit. Develop short term and long range goals for the department, including setting goals and objectives designed to dete...

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...

Qualifications & Responsibilities As a Fraud Investigator, you will be responsible for reducing losses on fraud cases by setting up and investigating cases for recovery opportunities. Opportunities are achieved through restitution, chargeback’s, working directly with clients and reviewing activity with cardholders to identify save opportunities. Utilizing your excellent problem solving and decisi...

We are a specialty retailer offering the very best of what’s next in fashion for men, women and children since 1901.THE REWARDS ARE ENDLESS. With locations in Colorado, California and Arizona, our credit team helps make shopping at Nordstrom a more rewarding experience. This essential behind-the-scenes group supports our Nordstrom Rewards™ program as well as our Nordstrom debit and credit cards. ...

Qualifications & Responsibilities As a Fraud Investigator, you will be responsible for reducing losses on fraud cases by setting up and investigating cases for recovery opportunities. Opportunities are achieved through restitution, chargeback’s, working directly with clients and reviewing activity with cardholders to identify save opportunities. Utilizing your excellent problem solving and decisi...

Description: Do you have experience investigating Healthcare Fraud, Waste & Abuse (FWA)? Want to work with an elite team of some of the brightest and most inventive people in the healthcare & technology industries? Optum is a health services business, part of the UnitedHealth Group family of companies, dedicated to making the health system work better for everyone. We serve people throughout the ...

Description: Do you have experience investigating Healthcare Fraud, Waste & Abuse (FWA)? Want to work with an elite team of some of the brightest and most inventive people in the healthcare & technology industries? Optum is a health services business, part of the UnitedHealth Group family of companies, dedicated to making the health system work better for everyone. We serve people throughout the ...

Healthcare fraud investigator Creative investigator with experience in either: 1. A commercial health insurance carrier Special Investigations Unit (or similar); 2. A government healthcare fraud law enforcement unit or healthcare fraud detection unit at the state, local or federal level; or 3. A similar entity that provides healthcare fraud investigative services to public or private healthcare pa...

Healthcare Fraud Investigator Healthcare fraud investigator – Creative investigator with experience in either: 1. A commercial health insurance carrier Special Investigations Unit (or similar); 2. A government healthcare fraud law enforcement unit or healthcare fraud detection unit at the state, local or federal level; or 3. A similar entity that provides healthcare fraud investigative services t...

Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst I ) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develops investigations that involve monetary losses, sensitive issues, meet criteria for referral to law enforcement, or the imposition of administrative actions. In assuming this p...

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 and wow c...

The GEICO Special Investigations Unit is currently looking to add an additional highly motivated individual to join our team as a Field SIU Investigator in the Las Vegas metro area. The selected candidate will primarily investigate bodily injury and major medical cases by conducting interviews / examinations under oath, scene investigations, vehicle examinations, clinic inspections, medical file r...

Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Senior Fraud Investigator ( Program Integrity Analyst III ) at AdvanceMed, you will perform in-depth evaluation of potential fraud cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to OIG and prepares those cases for referral to OIG. ...

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...

Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II ) for AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develops investigations that involve monetary losses, sensitive issues, meet criteria for referral to law enforcement, or the imposition of administrative actions. In assuming this...

Designated a 2015 Military Friendly® Employer NCI: As the Senior Fraud Investigator ( Program Integrity Analyst III ) at AdvanceMed, you will perform in-depth evaluation of potential fraud cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to OIG and prepares those cases for referral to OIG. In assuming this p...