Fraud Investigator Nursing Jobs

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  • Healthcare Fraud InvestigatorCahaba Safeguard Administrators LLC(Chicago South, Illinois)

    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,...
    Full job description at Monster

    Posted Thu 27th March

  • Healthcare Fraud InvestigatorCahaba Safeguard Administrators LLC(Milwaukee, Wisconsin)

    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,...
    Full job description at Monster

    Posted Thu 27th March

  • Healthcare Fraud InvestigatorCahaba Safeguard Administrators LLC(Detroit, Michigan)

    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,...
    Full job description at Monster

    Posted Thu 27th March

  • Fraud Investigator [Deposit Fraud Center]Bank Of Hawaii(Hawaii, Hawaii)

    Overview The Fraud Investigator has the responsibility of reviewing and researching transactions with a focus on fraud detection and mitigation. This position will interact with various business units, corporate security and risk partners to support the fraud detection and mitigation strategies of the bank, and is responsible for reviewing and analyzing customer transactions to identify and report...
    Full job description at Monster

    Posted Tue 8th April

  • Fraud Recovery Investigator 2nd Shift 5/19/2014 - Tempe, AZJPMorgan Chase(Phoenix, Arizona)

    Fraud Recovery Investigator As a Fraud Recovery Specialist, you play a key role in contributing to the profitability of Chase and directly impacting our bottom line by retaining valued customers and minimizing credit losses resulting from Fraud. The Fraud Recovery Specialist is responsible for, reducing losses on credit card fraud cases by thoroughly reviewing account and transaction details for r...
    Full job description at Monster

    Posted Wed 9th April

  • Private Investigator - Insurance Fraud InvestigatorSummit Investigations(Boston, Massachusetts)

    PRIVATE INVESTIGATOR - needed for growing company. Position requires daily surveillance of suspected fraudulent insurance claims in our service area. We are currently in need of investigators in the Boston, MA area. We are currently looking for people who have 1-2 years of experience for full time surveillance positions. All investigators must check in with office manager throughout the day to pro...
    Full job description at Monster

    Posted Fri 4th April

  • SIU Investigator / Fraud AnalystCommand Investigations Inc.(Orlando, Florida)

    Full-time, in-house position is responsible for identifying and analyzing Worker’s Compensation claims data to identify, categorize and report all areas of suspected fraud. This position requires a well-developed understanding of the insurance claims industry. General Responsibilities: Conducts claim analysis to identify persons or organizations committing insurance fraud. Conduct investigations a...
    Full job description at Monster

    Posted Sat 29th March

  • Healthcare Fraud Investigator - Specialist IIbFlorida Blue(Gainesville/Jacksonville/Ocala, Florida)

    Description Job duties include but are not limited to the following: - Identifies, investigates and evaluates moderate to complex potential fraud, waste or abuse, including pre-pay and/or post-pay medical claim reviews to determine valid cases for appropriate action; documents findings, and prepares case referrals, letters, etc. if applicable. - Ensures investigative data requests are compliant, d...
    Full job description at Monster

    Posted Fri 4th April

  • Field Investigator - Queens NY (tp)Mcmc Llc(New York City, New York)

    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 New York Private Detective Agency License # : 11000101677 Description Conduct investigations related to insurance fraud, to ...
    Full job description at Monster

    Posted Wed 19th February

  • Senior Rackets InvestigatorOffice Of The District Attorney-Bronx County(New York City, New York)

    OFFICE OF THE DISTRICT ATTORNEY Bronx County Robert T. Johnson – District Attorney JOB VACANCY NOTICE CIVIL SERVICE TITLE: Senior Rackets Investigator TITLE CODE NO: 05322 HIRING RATE: 50,920 BUREAU/WORK UNIT: Detective Investigators’ Bureau WORK LOCATION: 198 E 161st Street NUMBER OF POSITIONS: 2 JOB DESCRIPTION: Applicants must have extensive knowledge and investigative experience in one or more...
    Full job description at Monster

    Posted Tue 4th March

  • Supervisor Rackets InvestigatorNYC Bronx District Attorney's Office(New York City, New York)

    OFFICE OF THE DISTRICT ATTORNEY Bronx County Robert T. Johnson – District Attorney JOB VACANCY NOTICE CIVIL SERVICE TITLE: Supervisor Rackets Investigator LEVEL: N/A TITLE CODE NO: 05323 HIRING RATE: TBD BUREAU/WORK UNIT: Detective Investigator’s Bureau WORK LOCATION: 198 E 161st Street Bronx, New York NUMBER OF POSITIONS: 1 JOB DESCRIPTION: Applicants must have extensive knowledge and investigati...
    Full job description at Monster

    Posted Mon 10th March

  • Sr. Investigator - Internal AuditAmerican International Group(New York City, New York)

    Position Description AIG is seeking a Senior Investigator to join the Internal Audit Division’s Global Investigative Group in our New York office. The right individual will be an experienced professional with solid investigative, fraud risk, and audit. This person will focus on conducting investigations relating to employee or agent misconduct, financial irregularities, auditing and internal contr...
    Full job description at Monster

    Posted Mon 17th March

  • Surveillance InvestigatorHub Enterprises Inc(Tucson, Arizona)

    Job Description We are seeking a hard-working and highly motivated Surveillance Insurance Claims Investigator to join our growing team of professionals. The Surveillance Insurance Claims Investigator is primarily focused on conducting surveillance investigations in order to gather potential evidence of fraud on an insurance claim. This position reports directly to the Case Manager and Operations M...
    Full job description at Monster

    Posted Wed 19th March

  • InvestigatorZurich North America(Baltimore, Maryland)

    Position ID:31235 Position Title:Special Investigator I Min Education Desired:Bachelors Degree Travel Percentage:Minimum Relocation:No Job Summary:In North America, Zurich (www.zurichna.com) is a leading commercial property and casualty insurance provider serving the global corporate, large corporate, middle market, specialties and programs sectors. 2012 marked Zurich's 100 year anniversary of ins...
    Full job description at Monster

    Posted Thu 20th March

  • Special Investigations Unit Investigator / 162Navitus Health Solutions(Green Bay/Appleton, Wisconsin)

    Position Description: Job Summary: The SIU (Special Investigative Unit) Investigator will assist the Associate Director of Compliance and Regulatory Affairs in the development, maintenance and execution of the Navitus fraud, abuse and waste program, controls, and associated policies and procedures. The SIU Investigator will conduct prompt, accurate investigations of questionable cases, in a manner...
    Full job description at Monster

    Posted Fri 21st March

  • Special InvestigatorAffinity Health Plan(New York City, New York)

    Affinity Health Plan, an independent, growing, not-for-profit managed care company designed specifically to serve the needs of low-income New Yorkers, needs a Special investigator for its Corporate Compliance department. The purpose the Special Investigator position is to protect Affinity’s financial resources from fraudulent or erroneous billings and claims by identifying, investigating, and reso...
    Full job description at Monster

    Posted Mon 24th March

  • Supervising Rackets Investigator/Managerial LevelKings County District Attorney’s Offic(New York City, New York)

    Supervising Rackets Investigator/Managerial Level Kings County District Attorney’s Office The Kings County District Attorney’s Office, located in downtown Brooklyn, NY, is accepting applications for the position of Supervising Rackets Investigator/Managerial Level. Reporting directly to the Chief Investigator, the Supervising Rackets Investigator will assist in managing and supervising the daily a...
    Full job description at Monster

    Posted Tue 25th March

  • Field Investigator - Chicago, IL (jb)Mcmc Llc(Chicago, Illinois)

    What We Do: Litigation Solutions, LLC (A Division of MCMC) success can be attributed to our diverse and talented work force. Our employees are the foundation of our business and are helping Litigation Solutions grow each year. Because of our tremendous growth, we are always in search of outstanding individuals. Field Investigators - Per Diem, Part Time & Full Time Illinois Private Detective Agency...
    Full job description at Monster

    Posted Sun 30th March

  • Investigator - AnalystHarvard Pilgrim Health Care(Boston, Massachusetts)

    The Investigator performs complex data mining, data analysis and general investigation into allegations of fraud, waste and abuse in order to recover and safeguard Harvard Pilgrim Health Care financial assets. ESSENTIAL FUNCTIONS: Initiates and conducts data mining and data analysis using HPHC fraud, waste and abuse (FWA) detection software and HPHC claims data to develop evidence supporting alleg...
    Full job description at Monster

    Posted Wed 2nd April

  • Investigator Trainee- New YorkClaims Verification Inc.(Northern, New York)

    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 Plattsburgh, NY area. Qualified candidates must live in the area and cover the adjoining areas of the state as ...
    Full job description at Monster

    Posted Wed 2nd April

Fraud Investigator Job Search Tip

The job outlook for qualified nurses is very positive as in many geographical areas, there are many more available positions than nurses to fill them. Employment is expected to grow at a fast pace because the nursing industry is a large industry and many new jobs will be created in addition to filling the needs of already understaffed facilities. Nurses can pick of many different specializations or be general study nurses. Education will include a minimum of completion of a nursing program or bachelor's degree and also a passing grade on the state licensing examination.

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