Director of Insurance Fraud Investigations & Enforcement
State of Maryland
The State of Maryland is hiring a Chief of Criminal and Civil Fraud within the Maryland Insurance Administration (MIA). This role involves overseeing investigations of insurance fraud, providing guidance to a team of investigators, and ensuring compliance with laws and procedures. Candidates must have a Bachelor's degree and significant investigative experience, including supervisory roles. The position allows for hybrid work options in Baltimore City. #J-18808-Ljbffr State of Maryland
- Howard County Government is seeking Investigators for the Office of Inspector General to conduct complex investigations related to fraud, waste, and misconduct. The position requires a Bachelor's degree and four years of relevant experience. Investigators will analyze...FraudWork at office
- CVSHealth is looking for an analytically driven individual to join their Special Investigations Unit as a lead reviewer. This position focuses on identifying fraud, waste, and abuse through rigorous data analysis and reporting. Ideal candidates will have at least 5 years...FraudFull time
$46.99k - $112.2k
...a time. Position Summary The Special Investigations Unit (SIU) is looking for an analytically... ...for the validation of existing Fraud, Waste and Abuse business rules/leads designed... ...Advanced experience with Excel Healthcare Insurance background. Excellent verbal and...FraudHourly payFull timeTemporary workWork experience placementLocal area$60k - $130k
...engagements involving coding audits, disputes, claims analysis, and investigations. Deliver high-quality, accurate coding analysis that informs... ...to billing, coding, and reimbursement, including potential fraud, waste, and abuse. Support the development of defensible...FraudWork at officeLocal areaFlexible hours$46.99k - $112.2k
...Enhancement is searching for an analytically driven Lead Reviewer in Maryland at CVS Health®. You will be responsible for identifying fraud, waste, and abuse patterns through data analysis and interpretation. Required qualifications include 5+ years of claim data...FraudFull time- The FIU AML Risk Investigator (Investigator) serves as a subject matter expert performing... ...interpretation upon review of subpoenas / law enforcement requests is required. The Investigator... ...reporting related to BSA/AML and Fraud. * Utilizes a variety of analytical techniques...FraudWork experience placement
- Introduction The Maryland Insurance Administration (MIA)... ...by monitoring and enforcing insurers' and insurance... ...of Criminal and Civil Fraud in the Insurance Fraud... ...Division. Report to the Director of Fraud and Producer Enforcement. Oversee investigative operations, including...FraudWork at officeRemote work
- ...manage firewall infrastructure. Develop and enforce firewall policies and rules. Perform regular... ...for possible impact on system security, and the investigation and resolution of security incidents such as intrusion, frauds, attacks, or leaks. Employees have knowledge...Fraud
- ...with American Road Services Company, the insurance claims component of Ford Motor Credit... ...territory. Conduct thorough coverage investigations, including fire, theft, false pretense... ...investigations, salvage disposal, and fraud investigations. Perform loss prevention...FraudWork at officeImmediate startRelocationFlexible hoursNight shift
$17.5 - $28.32 per hour
...merchandise and apprehend shoplifters who commit fraud or other criminal acts against the company Investigate criminal violations against the person or property... ...Develop and maintain relationship with local law enforcement to facilitate maximum coordination for potential...FraudHourly payFull timeLocal areaFlexible hoursAfternoon shift$112.8k - $257k
...forensics and damage mitigation. Create and enforce company-wide security standards such as... ...selected will be subject to a security investigation and may need to meet eligibility... ...authenticity and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeWork at officeLocal areaRemote work- ...be responsible for preventing financial loss due to theft and fraud while supporting safety compliance. You will utilize various tools... ..., prepare detailed case reports, and interact with law enforcement when necessary. The ideal candidate should demonstrate integrity...Fraud
$99k - $225k
...products, supporting system integration, and enforcing governance across the enterprise. That's... ...selected will be subject to a security investigation and may need to meet eligibility... ...authenticity and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$99k - $225k
...Experience reviewing, interpreting, and enforcing Security Technical Implementation Guides... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$18.5 per hour
...responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their... ...and recoveries, preserving evidence, interacting with law enforcement and testifying in criminal and civil court actions. The Asset Protection...FraudLocal area- ...software.Proactively conducts external theft investigations utilizing exception-based reports, Team... ..., Risk Department, various law enforcement and public safety agencies to minimize... ...reports related to incidents of theft, fraud, and quality analytics.Responsible for...FraudLocal areaRemote work
$10k
...positions, where your prior law enforcement officer (LEO) experience may... ...that include health and insurance plans, a generous annual and... ...use of firearms, preparing investigative reports, serving court orders... .... Leading investigations of fraud, contraband, criminal activity...FraudFull timeLocal areaImmediate startRelocationNight shift$23.16 per hour
...departments to manage member risk. Support internal initiatives such as fraud detection, corporate compliance, wellness programs, and product... ...None. Experience Minimum 0-2 years of experience in insurance underwriting of self‑funded or fully insured prospects....FraudContract workWork at officeLocal area$105k - $120k
...Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability... ...claims for Long Term Care clients by investigating and gathering information to determine... ...Identifies and investigates for possible fraud, subrogation, contribution, recovery,...FraudLocal areaFlexible hours$55.2k - $126k
...Clearance: Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$25.65 per hour
...Communicate effectively with injured workers, insureds/employers, medical providers, attorneys,... ...telephone, video conference, and email Investigate new and existing claims by gathering... ...potential subrogation issues or fraud indicators Determine coverage, compensability...FraudHourly payFlexible hours$30.58 - $53.51 per hour
...candidates must possess at least 2 years experience in either Law Enforcement, Department of Corrections, Security, or the United States... ...Parsons is aware of fraudulent recruitment practices. To learn more about recruitment fraud and how to report it, please refer toFraudFull timePart timeShift workNight shift$77.6k - $176k
...Clearance : Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeWork at officeLocal areaRemote work- ...benefits, 401k with company matching, and life insurance. Rate: $65.00 to $75.00/hr. w2 #LI-... ...reported by business stakeholders. Investigate unexpected or inconsistent model outputs... ...fraudulent activity, please contact fraud@eliassen.com . About Eliassen...FraudHourly payContract workLocal areaRemote work
- ...parallel file systems, networking and security. Technical skills to investigate and resolve complex problems. Direct experience and... ...applicants with criminal histories. No Fees Notice & Recruitment Fraud Disclaimer: It has come to HPE’s attention that there has been...FraudFull timeWork experience placement
$99k - $225k
...Clearance: Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote work$52.9k - $108k
...Clearance Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified... ...to take your picture to verify your identity and prevent fraud. Work Model Our people‑first culture prioritizes the benefits...FraudFull timeContract workPart timeLocal areaRemote work$86.9k - $198k
...Clearance Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudWork at officeLocal areaRemote work$99k - $225k
...Clearance: Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeFor subcontractorWork at officeLocal areaRemote work$99k - $225k
...Clearance: Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to... ...to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments...FraudFull timeContract workPart timeApprenticeshipWork at officeLocal areaRemote work
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