Insurance Fraud Investigator Jobs in Wisconsin

12 jobs

Role: Pharmacy Investigator - Special Investigations Unit Assignment: Special Investigations Unit Location: Green Bay, WI or Louisville KY, Virtual We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing p...

SURVEILLANCE INVESTIGATOR Milwaukee Area IF INTERESTED IN JOB, PLEASE SEND RESUME ONLY, DO NOT CALL! Job Requirements: Recent College Graduates with Criminal Justice Degree or Military background required MUST BE ABLE TO TRAIN TWO WEEKS IN CHICAGO Strong work and personal ethics Honest, self-motivated and team-oriented Strong written communication skills Great attention to detail and meet...

Description: We're changing the way health care works for the better. That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective way. Join us and start doing your life's best work.(sm) Primary Responsibilities: As part of the Fraud Predictive Analytics team, lead the newly developing Link Analysis function to detect fraud, wa...

Responsibilities - The primary responsibilities of this position include the following activities related to insurance claims investigations: Conducting surveillance (fixed/mobile) Obtaining videotaped documentation of subjects Conducting background/activity checks and courthouse research Written and recorded statements Writing investigative reports Skills/Experience: Must be eligible to be lice...

Responsibilities - The primary responsibilities of this position include the following activities related to insurance claims investigations: Conducting surveillance (fixed/mobile) Obtaining videotaped documentation of subjects Conducting background/activity checks and courthouse research Written and recorded statements Writing investigative reports Skills/Experience: Must be eligible to be lice...

Description At Duff & Phelps, we stand for the qualities that power sound decisions. And we believe that behind every good decision, you'll find solid thinking, proven experience and valuable insight. But all the numbers and facts in the world mean nothing without a top team of professionals to make sense of them all. That's where YOU come in - provided you're incisive, entrepreneurial and up fo...

We are seeking a detail oriented individual with strong communication and analytical skills to join our team at Guaranty Bank as a Deposit Research Analyst! As a Deposit Research Analyst, you will represent Guaranty Bank as a champion of hardworking people by providing exceptional customer service through validating deposits and mitigating losses for the customers and the bank. Successful Analyst...

Job Summary The Compliance Analyst is primarily dedicated to the development of the Compliance program to support all new lines of business and all future expansion efforts. The Analyst will serve as the Compliance subject matter expert in the proposed new lines of business and will provide leadership to support the Compliance Director and Compliance Program to ensure business integrity and Compl...

Job Summary Under technical direction, investigates and maintains workers' compensation claims. Works within specific limits of authority on assignments of significant technical complexity and coordination. Utilizing claims policies and guidelines, reviews coverages, determines liability and compensability, secures information and negotiates and settles claims. Wisconsin W/C jurisdiction knowledg...

SUMMARY: The Quality Control Analyst will proactively support the Single Family unit in its Quality Control function by conducting re-verifications, auditing and reviewing loan files. This position reports directly to the Quality Control Manager. The position is responsible for performing a variety of regulatory compliance & QC functions for all aspects of Waterstone Mortgage Corporation’s mortga...

BrowseJobs Companies JResume Login/Create Account Employers / Post Job Advanced Overview Jobs Why Work Here Mission & Values Culture Home > Companies > Insurance > UnitedHealth Group > Job: Manager Business Process - Wau... Job: Manager Business Process - Wauwatosa, WI area Apply Online View Larger Map Recruiting in, Milwaukee, WI 53210 ◄ Expand Share this page Posted: 04/22/2015...

Position Summary: Under the direction of the Director of Corporate Compliance, the Senior Compliance Analyst/Educator is responsible for support and guidance in the development and enhancement of an organized system to monitor, evaluate, and improve the quality and best practice methodology related to the Corporate Compliance Program. This position will ensure that the commitment to the Complianc...