LTC Fraud Investigator: Analytics & Investigations
Manulife
Manulife is currently seeking a detail-oriented LTC Fraud Investigator in Massachusetts to enhance our Long-Term Care Fraud, Waste & Abuse program. The role involves analyzing claims data, supporting investigations, and improving processes. The ideal candidate has 3–5 years of experience in LTC or healthcare analysis and strong analytical skills. This is an opportunity to join a team that values your growth and supports a diverse work environment. #J-18808-Ljbffr Manulife
$73.35k - $122.25k
We’re looking for a detail-oriented, analytical LTC Fraud Investigator to help strengthen our Long-Term Care (LTC) Fraud, Waste & Abuse (FWA) program. In this role, you’ll turn claims and operational data into insights that support investigations, surface emerging fraud...SuggestedRemote jobFull timeTemporary workLocal areaFlexible hours- Overview We’re looking for a detail-oriented, analytical LTC Fraud Investigator to help strengthen our Long-Term Care (LTC) Fraud, Waste & Abuse (FWA) program. In this role, you’ll turn claims and operational data into insights that support investigations, surface emerging...SuggestedFlexible hours
$81.07k - $129.71k
...Job Description We are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities include maintaining confidentiality, adhering to SIU Policies and Procedures,...SuggestedLocal areaRemote work$46.99k - $122.4k
The Hispanic Alliance for Career Enhancement is seeking a Health Care Fraud Investigator to manage complex cases and aid in preventing fraudulent claims. The role demands 3 years of experience in health care fraud investigations, familiarity with comprehensive coding standards...SuggestedFull time$85k - $105k
A government services firm is seeking a Healthcare Fraud Investigator to provide legal support for a significant Government project. The successful candidate will be responsible for analyzing data using software tools, reviewing legal documents, and developing healthcare...Suggested$85k - $105k
Employment Type: Full-Time, Mid-Level Department: Litigation Support. CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large Government Project in Nashville, TN. The candidate must take initiative to ask questions, perform detailed work consistently...Full timeWork experience placementWork at officeLocal area$71.1k - $97.8k
Humana Inc is seeking a Senior Fraud and Waste Investigator to conduct detailed investigations of allegations of fraud and misconduct. This role involves analyzing complex data and working closely with legal and compliance teams. The position allows for remote work, with...Remote job- Love's Travel Stops is seeking a Claims Investigator in Oklahoma City. This role involves investigating various claims, including general liability and auto liability, while communicating with all relevant parties. The ideal candidate will possess a high school diploma...
- ...the Role Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you'll help protect EBC... ...fraud risks across our products and operations. You'll combine investigation, analytics, and risk management to uncover patterns, strengthen...Work at officeRemote workFlexible hours
- ...Fraud Analyst – Job Description The Fraud Analyst is responsible for detecting, investigating, and preventing fraudulent activity across the Bank’s deposit, lending, and digital... ..., Skills, and Abilities Strong analytical and investigative skills with attention...Full timeBank staffWork at officeMonday to FridayShift work
$61.88k - $103.13k
Manulife Financial is seeking an experienced Analyst for its Long-Term Care Insurance Fraud Waste and Abuse Team. This remote position requires expertise in business analysis and project management, focusing on evaluating cases and preventing fraud. Ideal candidates will...Remote job- ...the Massachusetts public defender agency, seeks a Supervising Investigator for the Central Region covering Suffolk and Norfolk Counties.... ...operations. Strong leadership, written and oral advocacy, analytical, interpersonal, communication, negotiation, and decision‑making...Work at officeRemote workNight shift
$40k
...Entry-Level Anti-Money Laundering (AML) Investigator , you will review transactions,... ...money laundering, terrorist financing, fraud, sanctions violations, and escalate for... ...skills and ability to learn quickly Analytical mindset with attention to detail and organizational...Ongoing contractFull timeWork at officeLocal areaWork from homeMonday to Friday- A federal law enforcement agency is seeking Criminal Investigators to conduct complex investigations targeting narcotics and enforce drug-related laws. Candidates must possess U.S. citizenship and meet various qualifications, including specialized experience and completion...
- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on April 20th, July 20th, and October 19th, 2...Permanent employmentLocal areaRelocationTrial periodWeekend work
- ...Us:Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We provide comprehensive solutions... ...for video analysis and data management.Analytical Skills: Strong ability to analyze data and...For subcontractorAfternoon shiftEarly shiftWeekday work
$46.99k - $122.4k
...provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims... ...recovery of company lost as a result of fraud matters. Assists team in identifying... ...Behavioral Health fraud cases. Strong analytical and research skills using health care data...Hourly payFull timeTemporary workLocal area- A federal law enforcement agency is seeking a Criminal Investigator (Special Agent) responsible for preventing, detecting, and investigating violations of laws. Responsibilities include conducting complex investigations into organized crime, developing leads, and resolving...
- ...discretion.***About the Role:**As a Senior AML Investigator - Financial Crimes, you'll work remotely... ...money laundering, terrorist financing, fraud, and sanctions violations, escalating... ...prioritize tasks effectively.* Strong analytical, problem solving and organizational...Full timeWork at officeLocal areaRemote workWork from home
- ...through information sharing, training, research, and technology. Visit . Duties & Responsibilities The position is for a Criminal Investigator (Special Agent) with primary responsibility for prevention, detection, and investigation of substantive and conspiracy‑type...Work at officeLocal area
$26 - $30 per hour
...Job Description Job Description Surveillance Investigator – Advantage Investigations WE'RE GROWING AND ADDING TO OUR TEAM OF FULL... ...surveillance, and more — saving our clients time and money on insurance fraud cases. Advantage Investigations is seeking a full-time...Bi-weekly payHourly payDaily paidFull timeRemote work- ...Description: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients...Flexible hours
- HCSC is seeking a candidate in Oklahoma City or Tulsa to perform clinical, billing, and coding reviews for claims. Responsibilities include validating claims and collaborating with various departments as needed. Required qualifications include a Bachelor Degree and 3 years...
$14.55 - $20.4 per hour
...any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are... ...skills ~ Basic time management skills ~ Investigative / analytical skills ~ Ability to respond appropriately to changes in direction...Hourly payTemporary workLocal areaHome officeFlexible hours- Part time investigators needed to perform surveillance and/or SIU assignments within a geographical area according to the instructions provided by the Investigations Coordinator. Key Responsibilities: Accepts and acknowledges receipt of case assignments Adheres to the specific...Part time
- ...Base Salary table and will be augmented by locality pay as authorized for the duty location of the position. Duties Conduct investigations to ensure compliance with the CSA and its implementing regulations involving the procurement, manufacture, distribution, security...Local areaRelocationTrial period
$26 - $30 per hour
Advantage Investigations is seeking a Part-time Surveillance Investigator in Oklahoma City, OK. Responsibilities include conducting covert surveillance, obtaining video evidence, and preparing reports. Applicants must have a Private Investigator License and possibly related...Hourly payPart time- DigiStream Investigations, Inc. is seeking adventurous individuals for the role of Surveillance Investigator. This entry-level position involves conducting covert surveillance to gather evidence while adapting to various environments. Paid training is provided, along with...
- ...Shift: Day Job Category: Banking The BSA Investigations Analyst I is responsible for the... ...terrorist financing, human trafficking, fraud, or other types of suspicious activity... ...Knowledge, Skills, and Abilities Strong analytical and conceptual thinking skills, with the...Full timeShift work
- Stride Bank Na in Oklahoma City is seeking a BSA Investigations Analyst I responsible for researching and investigating customer and transactional... ...bank regulations. The ideal candidate must possess strong analytical skills, attention to detail, and a high school diploma. This...Full time
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