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 Pittsburgh, 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 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...
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...
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...
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...
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...
Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develop investigations that involve monetary losses, sensitive issues, and meet criteria for referral to law enforcement or the imposition of administrative actions. In this role, yo...
Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II ) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develop investigations that involve monetary losses, sensitive issues, and meet criteria for referral to law enforcement or the imposition of administrative actions. In this role, y...
Designated a 2015 Military Friendly® Employer NCI: As the Medicare/Medicaid Fraud Investigator ( Program Integrity Analyst II ) at AdvanceMed, you will perform in-depth evaluation of potential fraud investigations and develop investigations that involve monetary losses, sensitive issues, and meet criteria for referral to law enforcement or the imposition of administrative actions. In this role, y...
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...
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...
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 industry grou...
Simply Healthcare Plans Houston, TX
Job Description: Under the direction of the SIU MANAGER, the incumbent in this position is responsible for investigation & research initiatives related to,detection and prevention of Fraud, Waste and Abuse in all Simply Healthcare line of business. Responsibilities: Working Knowledge of CMS Part C & D Manual Chapters 2, 3, 9 & 21; OIG guidance; AHCA Medicaid; healthcare-related laws & regulatio...

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