Fraud Investigator I Space Coast Credit UnionFraud Investigator IMelbourne, FL$28.13–$29.79 / hourThis role partners with law enforcement and internal teams, including Legal, Compliance, and Operations, to identify fraudulent activity, mitigate risk, and strengthen fraud detection and prevention processes. Stays current with fraud trends in the market by monitoring data from the Fraud Analysts and attending meetings/or conferences in order to prevent fraud losses to the organization and our membership.
Bilingual Junior Healthcare Fraud Investigator-Miami Work At Home CignaBilingual Junior Healthcare Fraud Investigator-Miami Work At HomeMiami, FLAs a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
SIU Field Investigator - Brevard County, FL GEICO GENERAL INSURANCE COMPANYSIU Field Investigator - Brevard County, FLMelbourne, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
SIU Investigator - Tampa Bay Allied UniversalSIU Investigator - Tampa BayTampa, FLAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator's license (apprenticeship) before applying.
NewSIU Investigator - Tampa Bay Area Allied UniversalSIU Investigator - Tampa Bay AreaTampa, FloridaFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator’s license (apprenticeship) before applying .
Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home The Cigna GroupBilingual Junior Healthcare Fraud Investigator-Miami Work at HomeSunrise, FLAs a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Investigator, Special Investigative Unit Coding Molina Healthcare IncInvestigator, Special Investigative Unit CodingFLWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Senior Corporate Security Field Investigator Regions Financial CorpSenior Corporate Security Field InvestigatorOrlando, FLJob Description: At Regions, the Senior Corporate Security Field Investigator works closely with branch associates, bank management, senior leaders, Human Resources, law enforcement and others for the purpose of detecting and investigating cases of fraud, theft, robbery, workplace violence and other criminal activity. The information that you submit will be collected and reviewed by associates, consultants, and vendors of Regions in order to evaluate your qualifications and experience for job opportunities and will not be used for marketing purposes, sold, or shared outside of Regions unless required by law.
Senior Field Security Investigator GEICO GENERAL INSURANCE COMPANYSenior Field Security InvestigatorOrlando, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
SIU Investigator (Remote U.S.) Crum & Forster Holdings Corp.SIU Investigator (Remote U.S.)FLRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
SIU Field Investigator - Brevard County, FL Geico InsuranceSIU Field Investigator - Brevard County, FLMelbourne, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
Assest Protection Investigator Saks Global Enterprises LLCAssest Protection Investigatorbal harbour, FL$22.61–$28.26 / hourBy leveraging the most comprehensive luxury customer data platform in North America, cutting-edge technology, and strong partnerships with the world's most esteemed brands, Saks Global is shaping the future of luxury retail. Saks Global is the largest multi-brand luxury retailer in the world, comprising Saks Fifth Avenue, Neiman Marcus, Bergdorf Goodman, and Saks OFF 5TH.
Asset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorBal Harbour, FL$22.61–$28.26 / hourBy leveraging the most comprehensive luxury customer data platform in North America, cutting-edge technology, and strong partnerships with the world's most esteemed brands, Saks Global is shaping the future of luxury retail. Saks Global is the largest multi-brand luxury retailer in the world, comprising Saks Fifth Avenue, Neiman Marcus, Bergdorf Goodman, and Saks OFF 5TH.
NewSIU Investigator Part time Bilingual Spanish a PLUS Kelley AllianceSIU Investigator Part time Bilingual Spanish a PLUSTampa, FLRemote$25–$50 / hourPart timeThis role requires a strong understanding of insurance coverage principles, compensability analysis, fraud indicators, and investigative documentation. Assignments may involve property losses, auto claims, liability investigations, and other insurance-related matters.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-FL, FLRemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
SIU Investigator Centene Corporation GroupSIU InvestigatorFL$56,200–$101,000 / yearAssist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Education/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required.
Part Time SIU Investigator The Robison GroupPart Time SIU InvestigatorPensacola, FLThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorTampa, FLFull timeOur Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Loss Prevention Investigator Marriott International IncLoss Prevention InvestigatorKissimmee, FLMonitor Closed Circuit Televisions (CCTV), perimeter alarm system, duress alarms, and fire life safety system to ensure that any unusual behavior or emergency situation is dispatched to appropriate personnel for investigation and recorded. Develop and maintain positive working relationships with others; support team to reach common goals; listen and respond appropriately to the concerns of other employees.
Senior Field Security Investigator Geico InsuranceSenior Field Security InvestigatorOrlando, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.