Remote Special Claims Investigator - Fraud Detection
Great American Insurance Company
Great American Insurance Group is seeking a Special Claims Investigator for their Special Investigation Unit. This fully remote role involves detecting and preventing fraudulent claims through investigation and analysis, preparing detailed reports, and ensuring accurate claims settlements. The ideal candidate will have 3 to 6 years of experience in Criminal Investigation or Fraud Detection, along with a relevant Bachelor’s Degree. Great American values diversity and inclusion, providing competitive benefits for employees. #J-18808-Ljbffr
$67k - $79k
...at their best. Great American's Special Investigation Unit (SIU) stands to prevent, detect and investigate instances of potential insurance claims fraud, collaborating with business units... ...state locations. The position is fully remote. Travel is primarily by plane....Remote workFraudFull timePart timeSeasonal workNight shift$19.64 - $42.55 per hour
...Job Title Investigative Support for Special Investigation Unit (SIU) Activities... ...supporting for the prevention, detection, investigation, reporting,... ...related to health care fraud, waste, and abuse (FWA). Responsible... ..., member services, claims, etc.), to gather...Remote workFraudHourly payContract workWork experience placementWork at officeLocal area$77k - $97k
...Job Title Senior Investigator - Special Investigations Unit Location US-AZ-Phoenix – Remote with up to 50% on‑field... ...suspected insurance fraud involving auto, property... ...impacts real people, real claims, and real trust. We’... ...this role, you will: Detect and investigate...Remote workFraudTemporary workLocal areaWork from homeFlexible hours- GRP SCAN Group is looking for a Director of the Special Investigations Unit to oversee fraud detection and investigations across their portfolio. This role will involve developing policies, leading investigative teams, and ensuring compliance with regulations. The ideal...Remote jobFraudFlexible hours
$65.9k - $107.9k
Zurich is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation... ...have the opportunity to work fully remote from one of the following states: Arizona... ..., scene investigations, and specialized investigative tasks; review deliverables...Remote workFraudTemporary workFor contractorsApprenticeshipWork at officeLocal area$147k - $190k
Job Summary The Director, Special Investigations Unit (SIU) reports directly to the VP of... ...the SIU strategy and operations to detect, investigate, and recover fraud, waste, and abuse across SCAN’s... ...program. Tuition reimbursement. Mostly remote work with flexible schedule....Remote workFraudFlexible hours$22.27 - $33.43 per hour
...FRAUD DETECTION SPECIALIST I WHAT IS THE OPPORTUNITY? A Fraud... ...initiating dispute claims. This position will... ...activity and appropriately investigates, and escalates when... ...and volunteer time Specialized health and family... ...otherwise indicated as fully remote, reporting into a...Remote workFraudHourly payWork at officeFlexible hours$46.99k - $112.2k
...Senior Healthcare Fraud Investigator We're building a world of health around every individual... ...Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self-... ...payment of suspect or fraudulent claims submitted by insured's, providers, claimants...Remote workFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home$19.64 - $42.55 per hour
...JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves... ...following review of post-payment claims. Essential Job Duties Independently...Remote workFraudHourly payContract workWork experience placementWork at officeLocal area$124.34k - $180.9k
...Health Plan Director, Special Investigations Unit Mass General... ...supporting the prevention, detection, investigation,... ...related to health care fraud, waste, and abuse.... ...position will review claims, look for patterns of... ...once per month Remote Type Hybrid Work...Remote workFraudWork at officeLocal areaShift work$65.9k - $107.9k
Zurich 56 Company Ltd is seeking an experienced Claims Fraud Investigator to join their team in California. This role involves conducting complex... ...have the flexibility to work in a hybrid model or fully remotely from specific states. The successful applicant will need a...Remote jobFraud- Zurich North America is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team. This role offers a hybrid work model with options for remote work from several states, including California. You will conduct investigations into insurance...Remote jobFraudWork at office
- A state government agency is seeking motivated Special Agents for the Criminal Division in Arizona. The role involves investigating various fraud cases, conducting interviews, and processing evidence while maintaining firearms proficiency. Ideal candidates possess knowledge...Remote jobFraudFlexible hours
- ...part-time FWA Analyst Intern to work with the Special Investigations Unit. This role involves researching healthcare Fraud, Waste, and Abuse schemes, testing outputs, and... ...for part-time employees are limited, but remote work is eligible for this position. #J-18808-Ljbffr...Remote jobFraudPart timeInternship
- A leading IT services firm is seeking a Solution Architect (Fraud Detection) to lead Fraud and AML platform projects. This remote position requires expertise in Fraud Detection tools and Cloud Security. Candidates will collaborate with stakeholders, create technical documents...Remote jobFraud
- ...Warranty Claims Investigator Requisition ID: 17082 Location: Nashville, TN, US, 37214 Pay... ...providing warranty repair services. Remote workforce position with regular travel... .... PROTECT YOURSELF FROM RECRUITMENT FRAUD The only way to apply for a position...Remote workFraudFull timeFor contractorsLocal areaFlexible hours
- ...Duties Under the supervision of a Supervising Special Investigator (SSI), the Special Investigator (SI)... ...reports, complaints, and other allegations of fraud to detect or verify suspected violations of the California False Claims Act or other statutes, regulations, and...Remote workFraudPermanent employmentFull timeWork at officeMonday to FridayFlexible hoursShift work
$58.9k - $80.07k
The Investigator within the Special Investigations Unit (SIU) will be responsible for... ...of alleged misconduct and Fraud, Waste and Abuse by providers... ...others. This position is 100% remote. Scope Of Responsibilities... ...or five years of insurance claims investigation experience or...Remote jobFraudTemporary workWork experience placementLocal area- ...YOU CONSIDERED A CAREER WHERE INVESTIGATIVE SKILL MEETS PUBLIC SERVICE?... ...stability and impact. A career as a Special Investigator with the State... ...communities, uncovering fraud, and supporting justice across... ...Deputy Attorney Generals. Verify claims of alleged or probable...FraudWork at office
$77.5k - $176k
## Special Missions Data EngineerApplylocations: Fort Benning, GA... ...important missions, from fraud detection to cancer research to national... ...will be subject to a security investigation and may need to meet... ...cameras on during meetings.* **Remote**: If this position is listed...Remote workFraudFull timeContract workPart timeWork at officeLocal area- ...Providing investigative support for special investigation unit (SIU) activities... ...on the prevention, detection, and investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information... ...Medicaid, Medicare, and claim billing codes Proven...Remote workFraudFull time
- ...COMFORT SYSTEMS is seeking an AML Senior Investigator I in Richmond, VA. The candidate will support various AML processes and conduct suspicious... ...Leadership. The role requires a minimum of 2 years of AML or Fraud investigative experience. Candidates must be within 50 miles...Remote workFraud
- Special Prosecutions Investigator (Special Agent III) Details Section: Criminal Justice... ...crimes, election crimes, fraud, homicide, human trafficking... ...as a fulltime sworn detective or sworn criminal investigator... ...arrangement, working both remotely and in office. Flexible work...Remote workFraudFull timeWork experience placementWork at officeLocal areaFlexible hoursNight shiftWeekend workAfternoon shift3 days per weekEarly shift
$77k - $97k
West Bend Insurance Company is seeking a Fraud Investigator to work remotely but may require occasional travel to Arizona for team activities. This role involves investigating suspected insurance fraud across various lines including auto and property. The ideal candidate...Remote jobFraud- Overview The Office of the Special Commissioner of Investigation for the New York City School District ("SCI")... ...RESIDENCY IS NOT REQUIRED. HYBRID OFFICE / REMOTE WORK SCHEDULE AVAILABLE AFTER... ...or pregnancy. #J-18808-Ljbffr Association of Certified Fraud Examiners, Inc.Remote workFraudWork at office
- A financial institution is seeking a Fraud Investigator II to safeguard members from financial crime. This remote position requires strong analytical and investigative skills. Candidates should have over three years of banking experience and two years in fraud or financial...Remote jobFraud
$77.6k - $176k
...Special Security Officer Specialist The Opportunity: Process... ...Adjudicator, Background Investigator, or Security Manager Knowledge... ...and protect against identity fraud. You are expected to be on... ...cameras on during meetings. Remote : If this position is listed...Remote workFraudFull timeContract workPart timeWork at officeLocal area$80.06k - $106.06k
Special Investigations Unit Investigator II (Healthcare) The SIU Investigator II... ...suspected cases of fraud, waste, and abuse within the... ...implementing measures to prevent, detect, and correct fraudulent activities... ..., Hospice, Home Health, Claims Bachelor's degree from an accredited...FraudWork experience placementWork from homeMonday to Friday$81.7k - $93.3k
Capital One is seeking an AML Senior Investigator I to support AML processes, conduct suspicious activity investigations, and collaborate... ...supervisors. The position requires at least 2 years of AML or Fraud investigative experience and the ability to write Suspicious Activity...Remote jobFraud$81.7k - $113.4k
...Digital Fraud Investigator At Municipal Credit Union, we believe that an... ...Performs the monitoring, detection, and investigation of suspicious... ...to gather facts, validate claims, and substantiate investigative... ...Conduct. Contribute to special projects and initiatives by...Remote workFraudLocal areaFlexible hours
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