Healthcare Fraud Investigator I (Hybrid)
$61.2k - $76.5kElevance Health
Elevance Health is seeking an Investigator I to investigate assigned cases and analyze claim data for potential fraud in a hybrid work environment. The role includes reviewing claims, drafting recommendations, and preparing reports. The ideal candidate will have a BA/BS degree, at least 2 years of related experience, and strong skills in analytics and investigations. A comprehensive benefits package is offered along with a salary range of $61,200 to $76,500. #J-18808-Ljbffr Elevance Health
$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Tampa, Florida, to identify and investigate healthcare fraud cases effectively. This hybrid role balances office presence with work-from-home flexibility, ensuring collaboration while prioritizing work-life balance. The...SuggestedWork at officeWork from home$85k - $105k
Overview CGS Federal (Contact Government Services) seeks a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work...SuggestedFull timeWork experience placementWork at officeLocal area$61k - $77k
Mufgamericas is seeking a Fraud Investigation Analyst in Tampa, FL. The candidate will conduct fraud investigations, ensuring identification of suspicious transactions. With a focus on investigative procedures, strong communication, and interpersonal skills are required...SuggestedRemote job- A government services provider is seeking a Healthcare Fraud Investigator to support a significant litigation project in Nashville, TN. The role requires an analytical professional with a degree in criminal justice or finance and at least three years of relevant experience...Suggested
$67.64k - $101.46k
Investigator II Location: Hybrid: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while... ...and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on...SuggestedWork at officeLocal area2 days per week1 day per week$61.2k - $76.5k
Anticipated End Date: 2026-06-30 Position Title: Investigator I Job Description: Investigator I Hybrid 1: This role requires associates to be in-office 1 -... ...of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach...Full timeContract workWork experience placementWork at officeLocal areaMonday to Friday1 day per week- Reports To: Business Information Security Officer Department: Information Technology Location/Schedule: Hybrid (Chicago IL, Tampa, FL) Classification: Full-Time/Exempt Who We Are: Old Republic is a leading specialty insurer that operates diverse property & casualty, as...Full timeLocal area
$40k - $44k
A healthcare service provider is looking for an Appeals Examiner to manage provider reconsiderations and appeals. This role requires strong problem-solving skills and a commitment to compliance. The ideal candidate will coordinate appeals processes, document outcomes meticulously...$40k - $44k
...detail and professionalism. As a part of the team, you will contribute to a dynamic environment focused on delivering excellence in healthcare service operations while developing your expertise in benefit administration and regulatory compliance. Role Purpose The Appeals...Minimum wageWork at officeLocal area$33.5 - $38.5 per hour
Job Description Job Description Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Come Join ReSource Pro! Your role: ReSource Pro is seeking a Premium Insurance Field Auditor (1099/Contractor)...Hourly payContract workFor contractorsWork experience placementLive outLocal areaImmediate startRemote work- Markel Service Inc. is seeking a Claims Examiner in Tampa, Florida, responsible for managing healthcare malpractice/negligence claims. The role requires a minimum of 7-15 years of claims handling experience and involves overseeing cases from inception to conclusion. Salary...
- A leading firm in financial services is looking for a qualified professional in forensic accounting based in Tampa, Florida. The role involves performing detailed valuations, forensic analyses, and providing guidance to clients. Ideal candidates should have at least 3 years...
$61k - $77k
MUFG Bank, Ltd is seeking a Fraud Investigation Analyst in Tampa, FL, to investigate fraudulent activities and ensure proper reporting of suspicious transactions. The candidate will monitor anomalies in transactions, prepare reports and make strategic recommendations to...Remote jobFull time- JPMorgan Chase & Co. is seeking a Fraud Analyst in Tampa, Florida, to provide exceptional client fraud protection and remediation services. In this role, you will manage challenging situations, secure accounts, and ensure best practices are delivered throughout the fraud...
$61k - $77k
Reporting to the Senior Fraud Prevention Manager (Vice President), the Investigator will complete fraud investigations to ensure that potentially suspicious transactions are appropriately identified within specified timeframes and that decisions to file or not to file Suspicious...Work at officeLocal areaRemote work$93k - $179k
...the job poster from SoTalent Executive Healthcare Recruiter at Wellstar Health System with... ...Role: We’re looking for an experienced fraud risk professional to help shape and drive... ...5,000.00 1 week ago SIU Bilingual Field Investigator I, II, or Sr - National General Tampa, FL...Full time- ...Portuguese? Join our team to ensure our clients receive the best fraud protection and remediation services in the industry. You will... ...departments to enhance fraud detection and prevention strategies. Investigate detailed US & International bank fraud activities, using...
- Join our team as a Solutions Analyst II and be at the forefront of driving technical innovation and strategic business solutions. Your role will be key to transforming complex challenges into efficient, tailored solutions, fostering both personal and professional growth...
- ...Fraud Ops Analyst Working at Citi is far more than just a job. A career with us means joining a team of more than 230,000 dedicated... ...programs to close any gaps, often requiring in-depth data investigation. Perform capacity plans and contribute to the achievement of...Work at office
- The Business Analysis and Reporting Manager is an individual contributor position on the Global Security (GS) Investigations Fraud Analytics and Investigative Technologies Team (FAIT). The ideal candidate will provide innovative solutions to support fraud prevention, detection...
$130 - $148 per hour
...micro-biologic laboratory results. • Reviews medical records, law enforcement reports, and other reports as part of death investigation. Provides explanation of findings and opinions to families of deceased and other Client persons. • Certifies indigent natural...- High Value Residential Insurance Inspector Posted On 06/01/2026 Job Information Insurance Work Experience 1-3 years City Tampa State/Province Florida 33601 Job Description Signature is looking to add Field Consultants to cover Hililsborough and Pinellas counties For over...Extra incomeFor contractorsWork experience placementLocal area
- JPMorgan Chase is looking for a Fraud Analyst in Tampa, Florida. You will identify and... .... The role includes tasks such as investigating fraud activities and collaborating with... ...rewards package is available, including healthcare and retirement savings plans. #J-18808...
- First American Financial Corp. in Tampa, Florida, is seeking a dedicated individual for a leadership role that involves coordinating work activities and conducting title research. Ideal candidates will have 5+ years of related experience along with a high school diploma...Remote job
- Job Opportunity Since 1993, Signature Companies has been a trusted provider of inspection and appraisal services to insurance carriers. We prioritize client relationships and commit ourselves to asking thoughtful questions while focusing on collecting data that helps...Extra incomeFor contractorsLocal area
- Fairygodboss is seeking a Business Analyst II for its POS Fraud Strategy Team based in Tampa, Florida. In this role, you'll manage fraud risk strategies and perform complex data analyses to protect the bank and improve customer experiences. A strong background in fraud...
- Signals Intelligence (SIGINT) Analyst - Mid-Level About Lucayan Technology Solutions LLC At Lucayan Technology Solutions LLC, we deliver secure, innovative solutions in support of national defense and intelligence missions. As a trusted government contracting partner, ...Full timeMonday to Friday
- Slide is seeking a motivated investigator in Tampa, Florida, dedicated to uncovering insurance fraud. The ideal candidate holds an active Florida 6-20 Resident All Lines Adjuster License and has a minimum of 3 years' experience in the P&C insurance sector. Responsibilities...
- American Integrity Insurance Company of Florida, Inc. is seeking a Liability Claims Specialist to investigate and manage liability claims. Responsibilities include resolving claims, negotiating settlements, and ensuring compliance with regulations. Ideal candidates should...
- MountainCreek Solutions ( is seeking experienced Physical Premium Auditors who have the ability to multi-task with a high degree of accuracy to be a part of an exciting new company! MountainCreek Solutions executes its business strategy through state‑of‑the‑art software...Full timeContract workPart timeShift work
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