Benefits Fraud Investigator Jobs

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1000+ Benefits Fraud Investigator jobs found on Monster.

Jobs 1 to 20 of 1472
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified...
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...
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...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified...
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: 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...
UnitedHealth Group Inc. Knoxville, TN, 37902
Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the industry each y...
UnitedHealth Group Inc. Nashville, TN, 37201
Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the industry each y...
UnitedHealth Group Inc. Chattanooga, TN, 37402
Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the industry each y...
UnitedHealth Group Inc. Memphis, TN, 38103
Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the industry each y...
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 ...
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...
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...
State of South Carolina Columbia, SC, 29209
Job Responsibilities Benefits Supplemental Questions Additional In a federally funded FTE, will investigate allegations regarding Medicaid provider fraud and the abuse, neglect and financial exploitation of residents of health care facilities. Will interview witnesses, acquire witness statements and procure relevant documents and evidence regarding complaints. Will arrest suspects; secure sear...
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...

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