• SIU Fraud Investigator - LTC…

    LTCG (MN)
    …and success of its customers. With illumifin, there's a brighter future A SIU/ Fraud Investigator is responsible for working with multiple business units on ... investigator * Prepares responses for suspected or alleged fraud * Works closely with cross-functional leaders to ensure...understanding of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting *… more
    LTCG (05/25/24)
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  • Lead Investigator (Auditor) - Medicaid…

    State of Minnesota (St. Paul, MN)
    **Working Title: Lead Investigator (Auditor) - Medicaid Fraud ** **Job Class: Legal Assistant 8 (LA8)** **Agency: Attorney General's Office** + **Job ID** : 76705 ... the Minnesota Attorney General is currently seeking a Lead Investigator - Auditor in the Medicaid Fraud ...Fraud Division of the Office. Investigators within Medicaid Fraud conduct criminal investigations into health care… more
    State of Minnesota (05/17/24)
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  • Fraud Investigator

    Independent Health (Buffalo, NY)
    …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Fraud Investigator develops, implements and administers the IH anti- ... make determination to pay or deny claims. **Qualifications** + Bachelor's degree in criminal justice or related field required. Certified Fraud Examiner (CFE)… more
    Independent Health (05/15/24)
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  • Regulation Agent 9-P11 ( Fraud

    State of Michigan (MI)
    Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/3739587) Apply ...  Regulation Agent 9-P11 ( Fraud Investigator ) - OIG - Macomb, Oakland, Wayne Co Salary $1,900.80 - $2,917.60 Biweekly Location Various, MI Job Type Permanent… more
    State of Michigan (04/16/24)
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  • Financial Investigator - Criminal

    MyFlorida (Tampa, FL)
    FINANCIAL INVESTIGATOR - CRIMINAL ENFORCE - 43004182 Date: May 10, 2024 Location: TAMPA, FL, US, 33602 The State Personnel System is an E-Verify employer. For more ... Requisition No: 816669 Agency: Office of Financial Regulation Working Title: FINANCIAL INVESTIGATOR - CRIMINAL ENFORCE - 43004182 Pay Plan: Career Service Position… more
    MyFlorida (05/10/24)
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  • Investigator - Fraud Case…

    BMO Financial Group (Omaha, NE)
    AML and Fraud are both exciting areas within the bank to be involved with. This is a high pace environment in a constantly shifting landscape. Our ideal candidate is ... standard operating procedures. Provides subject matter expertise and oversight of criminal risk by following a disciplined and intelligence-based approach to… more
    BMO Financial Group (05/30/24)
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  • Criminal Investigator (Special…

    Veterans Affairs, Inspector General (Buffalo, NY)
    …promote integrity, patient safety, efficiency, and accountability within VA. The Criminal Investigator (Special Agent), located in Buffalo, New York ... and other matters involving VA's programs and operations. The duties of the Criminal Investigator (Special Agent), include: Functioning as a law enforcement… more
    Veterans Affairs, Inspector General (06/01/24)
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  • District Attorney Investigator I/II

    Ventura County (Ventura, CA)
    …real estate fraud , consumer and environmental protection cases, workers' compensation fraud , and automobile insurance fraud . The Administrative Division ... wide range of investigations from homicide to complex white-collar fraud schemes. The Bureau of Investigation has three divisions:...but are not limited to the following: District Attorney Investigator I + Conducts criminal , civil, and… more
    Ventura County (04/17/24)
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  • Law Enforcement Investigator II

    MyFlorida (Fort Lauderdale, FL)
    LAW ENFORCEMENT INVESTIGATOR II - 41001242 Date: May 31, 2024 Location: FORT LAUDERDALE, FL, US, 33301 The State Personnel System is an E-Verify employer. For more ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001242 Pay Plan: Career Service Position...State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court… more
    MyFlorida (06/01/24)
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  • Financial Investigator -Consumer Protection

    MyFlorida (Fort Lauderdale, FL)
    Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the ... FINANCIAL INVESTIGATOR -CONSUMER PROTECTION - 41000384 Date: Jun 1, 2024...State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court… more
    MyFlorida (05/10/24)
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  • Investigator II, PD-Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …(eg, criminal investigations, administrative-financial crimes, medical or insurance fraud , digital forensic investigations, and private investigations), ... Investigator I, Public Defender involves conducting investigations (eg, criminal , administrative, forensic, fraud , homicide, private), including examining… more
    The County of Los Angeles (06/01/24)
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  • Sr. Investigator - Financial Crimes Unit…

    Adams County Government (Broomfield, CO)
    …an investigator assigned the Financial Crimes Unit is to investigate consumer fraud and financial criminal activities related to theft, fraud , ... Sr. Investigator - Financial Crimes Unit (District Attorney's Office)...the 17th Judicial District of Colorado. + Knowledge of criminal investigation in the areas of contractor fraud more
    Adams County Government (05/05/24)
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  • Special Investigator

    CDPHP (Albany, NY)
    …experience. The SIU Special Investigator will be responsible for investigating complex insurance cases to detect internal and external fraud and abuse. The ... fraud , waste, and abuse. QUALIFICATIONS: + Degree in Criminal Justice or related field preferred. + Bachelor's degree...experience required. + Designation as an Accredited Health Care Fraud Investigator preferred. + Incumbent must meet… more
    CDPHP (05/21/24)
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  • Claims / SIU Investigator

    Allied Universal (Tallulah, LA)
    …professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant… more
    Allied Universal (05/30/24)
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  • Investigator III

    Premera Blue Cross (Spokane, WA)
    …Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. + (2) years of active experience in ... to recover erroneous payments made due to misrepresentative billing, fraud , or another criminal acts. **This is...+ Comprehensive knowledge of regulations and laws pertaining to insurance fraud and judicial processes relating to… more
    Premera Blue Cross (05/22/24)
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  • Claims / Surveillance Investigator

    Allied Universal (Beckley, WV)
    …professional industry certifications + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law ... investigations or adjusting complex claims + Working knowledge and understanding of anti- fraud laws, insurance regulations, and compliance rules and standards in… more
    Allied Universal (05/30/24)
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  • Investigator , DA

    The County of Los Angeles (Los Angeles, CA)
    …of assignments including those involving the investigation of various types of fraud (eg, auto insurance , workers' compensation, health care, real estate, ... INVESTIGATOR , DA Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2434815)  INVESTIGATOR ,...conduct some of the most unique, sensitive, and complex criminal investigations in law enforcement. The Bureau of Investigation… more
    The County of Los Angeles (05/29/24)
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  • Investigator - Consumer Data Privacy

    MyFlorida (Tampa, FL)
    INVESTIGATOR - CONSUMER DATA PRIVACY - 41001918 Date:...State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court ... . Requisition No: 829152 Agency: Office of the Attorney General Working Title: INVESTIGATOR - CONSUMER DATA PRIVACY - 41001918 Pay Plan: Career Service Position… more
    MyFlorida (05/22/24)
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  • Financial Crimes AML Investigator

    Guidehouse (San Antonio, TX)
    **Job Family** **:** Investigator **Travel Required** **:** Up to 10% **Clearance Required** **:** None **_Multiple opportunities available for AML Compliance/ ... Investigator Analysts and Senior AML Compliance Investigator ...OFAC Sanctions, Anti-Money Laundering, KYC, CDD, EDD and/or Financial Fraud Investigations. + Understanding of the legal, corporate governance,… more
    Guidehouse (05/17/24)
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  • SIU Senior Investigator (Must reside…

    CVS Health (Baton Rouge, LA)
    …health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known or ... suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive...and acts confidently when providing testimony during civil and criminal proceedings- Gives presentations to internal and external customers… more
    CVS Health (05/11/24)
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