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Ensures that the organization’s client’s and account holder base are provided with professional, courteous and efficient customer satisfaction. Confirms that all account holder claims of fraud are processed, investigated and resolved in accordance with all Federal, State and Local laws and regulations, VISA/MasterCard operating regulations, client requirements and the organizations policies/proced...
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Posted Mon 13th May
WellPoint is one of the nation's leading health benefits companies and a Fortune 50 company. The Clinical Fraud Investigator II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse through the review of submitted medical record claims. Primary duties may include, but are not limited to: Conducts data mining activities using available to...
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Posted Fri 17th May
This position is located in our MD, Towson facility ViPS, a General Dynamics Information Technology company, provides services to healthcare payers for the detection, investigation, and disposition of cases of potential healthcare fraud, waste, and abuse. The scope of these services includes data analysis, prioritization and triaging of workload, selecting random samples, performing medical review...
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Posted Tue 21st May
Description: 519615: Healthcare Fraud Senior Investigator - Eden Prairie, MN / Franklin, TN / Miramar, FL Job 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...
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Posted Yesterday
Job Title: Claims Investigator Location: Connecticut, Massachusetts, Vermont, New Hampshire, Maine, Rhode Island. About the Company Hettrick, Cyr & 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 delivering only the highest level of service possi...
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Posted Tue 21st May
Anti-Money Laundering (AML) Investigator - Risk Consulting - Multiple Cities ID 6891 Location US-Multiple Cities Firm Services Risk Consulting - Regulatory Compliance Type Regular Full-Time More information about this opportunity: Company Overview: Crowe Horwath LLP (www.crowehorwath.com) is one of the largest public accounting and consulting firms in the United States. Under its core purpose of B...
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Posted Fri 26th April
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 position in the Rochester, NY area. Qualified candidates must live in the area and cover the adjoining areas of the state as ne...
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Posted Mon 29th April
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Waco, TX area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving security...
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Posted Mon 29th April
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Anchorage, AK area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving sec...
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Posted Mon 29th April
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Amarillo, TX area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving secu...
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Posted Tue 7th May
Job Summary & Mission: Investigator - Anti Money Laundering As an Investigator in the Money Laundering Prevention Group, you will be actively involved in conducting internal reviews of possible violations of the Bank Secrecy Act (BSA) , including all relevant sections of the USA PATRIOT Act and all matters related to potential money laundering and terrorist financing. The position includes the inv...
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Posted Wed 8th May
What We Do: MCMC's success can be attributed to our diverse and talented work force. Our employees are the foundation of our business and are helping MCMC grow each year. Because of our tremendous growth, we are always in search of outstanding individuals. Field Investigator Description Conduct investigations related to insurance fraud, to include surveillance, activity checks, background checks, ...
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Posted Thu 9th May
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Enid, OK area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving security...
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Posted Mon 13th May
FINANCIAL INVESTIGATOR OFFICE OF THE MINNESOTA ATTORNEY GENERAL The Office of the Minnesota Attorney General seeks a Financial Investigator. The Office is responsible for enforcement of Minnesota laws regulating nonprofit and charitable organizations. A key function of this position is to ensure that charitable organizations are accountable to Minnesota citizens and donors. This position involves ...
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Posted Mon 13th May
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 position in the Tulsa, OK area. Qualified candidates must live in the area and cover the adjoining areas of the state as needed...
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Posted Mon 13th May
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 position in the Birmingham, AL area. Qualified candidates must live in the area and cover the adjoining areas of the state as n...
Full job description at Monster
Posted Mon 13th May
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Round Lake, IL area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving se...
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Posted Tue 14th May
POSITION VACANCY ANNOUNCEMENT *RE-POST* Applicants who applied during original posting January 23, 2013–February 6, 2013 will be considered, and need not reapply during current recruitment period POSITION TITLE: Income Maintenance Investigator I SALARY RANGE: $26,083.00 - $40,428.00 DUTIES AND RESPONSIBILITIES: See Attached SPECIALIZED SKILLS AND COMPETENCIES REQUIRED: See Attached APPLICATION DEA...
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Posted Fri 10th May
VNSNY SPECIAL INVESTIGATOR, FULL-TIME (MIDTOWN MANHATTAN) PURPOSE OF POSITION Performs desk and on-site medical record audits in possible cases of insurance fraud, assists in assembling evidence, and recommends action steps. Develops a broad presence in the company and availability to assist operational areas with questions about cases of possible fraud. Prepares timely and complete investigations...
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Posted Tue 14th May
KeyPoint Government Solutions is currently seeking independent contractors to be background investigators in the Huntington, WV area. This opportunity is ideal for individuals who are willing to initially commit a significant amount of time in order to obtain a government security clearance and operate as a credentialed background investigator on behalf of the federal government. Upon receiving se...
Full job description at Monster
Posted Tue 14th May
A registered nurse (RN) can find employment with hospitals, private doctors' offices, nursing homes, schools and government agencies. Their daily tasks include the direct care of sick or injured patients, as well as making supervisory decisions on the care of the patients. Registered nurses sometimes choose to further their studies and specialize in a nursing field, such as psychiatry or anesthesiology. A specialized registered nurse will find even more job opportunities.
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