Insurance Fraud Investigator Jobs

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1000+ Insurance Fraud Investigator jobs found on Monster.

Jobs 1 to 20 of 1143
COMBINED INVESTIGATORS is a private investigative company specializing in insurance fraud claims. Enjoying over 26 years in business, “CI” provides service and coverage in the Southeast and Midwest to our satisfied clientele. We arecurrently expanding and seek diligent, results oriented and highly-motivated investigators who can consistently perform successful surveillance and obtain quality vide...
In support of a FUNDED government contract, Integrated Systems Improvement Services, Inc is soliciting resumes of interest from candidates with Workers Compensation Analyst/Investigator/Surveillance type experience.This job will support the United States Postal Service (USPS) Office of the Inspector General (OIG) in the CENTRAL/SOUTHERN part of OHIO. ZIP CODES OF TERRITORY: 430, 431, 433, 437, 43...
Job Description In support of a FUNDED government contract, Integrated Systems Improvement Services, Inc is soliciting resumes of interest from candidates with Workers Compensation Analyst/Investigator/Surveillance type experience.This job will support the United States Postal Service (USPS) Office of the Inspector General (OIG) in the CENTRAL/SOUTHERN part of OHIO. ZIP CODES OF TERRITORY: 430, ...
Job Description In support of a FUNDED government contract, Integrated Systems Improvement Services, Inc is soliciting resumes of interest from candidates with Workers Compensation Analyst/Investigator/Surveillance type experience.This job will support the United States Postal Service (USPS) Office of the Inspector General (OIG) in the CENTRAL/SOUTHERN part of OHIO. ZIP CODES OF TERRITORY: 430, ...
Job Description In support of a FUNDED government contract, Integrated Systems Improvement Services, Inc is soliciting resumes of interest from candidates with Workers Compensation Analyst/Investigator/Surveillance type experience.This job will support the United States Postal Service (USPS) Office of the Inspector General (OIG) in the Westchester County, NY METRO area. ZIP CODES OF TERRITORY: 1...
Company Confidential Mount Vernon, NY, 10550
Job Description In support of a FUNDED government contract, Integrated Systems Improvement Services, Inc is soliciting resumes of interest from candidates with Workers Compensation Analyst/Investigator/Surveillance type experience.This job will support the United States Postal Service (USPS) Office of the Inspector General (OIG) in the Westchester County, NY METRO area. ZIP CODES OF TERRITORY: 1...
RESPONSIBILITIES: Under the general direction of the Supervising Fraud Investigator II, Professional Standards Unit, the incumbent will supervise the Computer Forensic Team of Fraud Investigators involving insurance fraud investigations relating to the use of electronic information systems. The incumbent will coordinate the application of resources and personnel to computer forensic investigations...
Hewlett-Packard Company San Juan, PR
Description SafeGuard Services (SGS), a subsidiary of Hewlett-Packard Enterprise Services, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. Since 1999, SGS has prevented approximately %244 billion in inappropriate payments utilizing proactive claims processing system edits. SGS has additionally ide...
Description Benefits Supplemental Questions The Oregon Department of Justice has an exciting opportunity available for a knowledgeable and practiced investigator in the field of health care fraud investigation and enforcement in Portland, Oregon. H ealth care fraud enforcement is a national priority. The Medicaid Fraud Unit deters, investigates and prosecutes fraud by Medicaid providers and phy...
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...
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...
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 INSURANCE FRAUD INVESTIGATOR TRAINEE positions in the San Jose, CA area. Qualified candidates must live in the area and cover the adjoining areas of the state as ne...
Job Purpose: To design and implement a systematic process to detect, investigate, analyse, report, correct and prevent suspicious/fraudulent or abusive activity inside and outside the organization related to all BGLA’s the insurance operations. Provide an internal consultancy service that may be used by Bupa management in the areas of specialised knowledge. Accountabilities & Activities: The po...
Broker Fraud Investigator - 6 Month Fixed Term Contract Reference Number GI003809 Region South East Location Brentwood Hours 35 Closing date for applications 23 January 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 Commerc...
Performs specified investigative steps related to investigation of known or suspected fraud perpetrated against the company or customers. Utilizing independent judgment and discretion, plans and initiates the appropriate course of action for the purpose of resolution and restitution of high dollar amounts. Determines and acquires information pertinent to and impacting each situation investigated...
Prudential Financial Inc Newark, NJ
Qualifications A minimum of 7 years investigative experience in regulatory compliance or law enforcement with involvement in financial services issues. A working knowledge of financial products and services, the financial services industry, and regulatory compliance experience is preferred. Strong organizational skills required with the ability to multi-task, work independently and as part of a...
Overview: PrivateBancorp, Inc. through its subsidiaries, delivers customized business and personal financial services to middle-market companies, as well as business owners, executives, entrepreneurs and families in all of the markets and communities we serve. We provide a comprehensive benefit package including paid vacation and holidays, 401(k) with employer match, insurance and EAP. Please vis...
Supports the Health Plan’s mission to provide an infrastructure that facilitates on-going assurance that UAHP is conducting its business in an ethical manner and complying with fraud, waste and abuse laws and regulations. The Senior Compliance Specialist assumes a lead role in the identification, assessment, investigation, reporting, mitigation and monitoring of member, provider and vendor fraud, ...

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Security Career Tools

Claims Investigator - Fraud

Salaries

$27,040.00 - $89,670.00
Typical Salary for Claims Investigator - Fraud
(89 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
57.6%
Some College Coursework Completed
13.6%
Master's
13.6%
Associates
8.5%
High School
6.8%
(59 Respondents)
Source: Monster.com Careerbenchmarking Tool

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