Fraud Investigation Coordinator II
Qlarant
Qlarant is a not-for-profit organization focused on protecting health care and human services programs by identifying fraud, waste, and abuse. This role involves in-depth evaluation of complaints and leads from Medicare/Medicaid investigations to determine referrals for action. Under close supervision, the investigator will coordinate with teams and stakeholders to collect information, prepare intake reports, and support the Lead Investigator in documenting findings and recommendations. #J-18808-Ljbffr Qlarant
- ...developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country.... ...and makes field level judgments related to complaints and investigative leads of potential fraud investigations (e.g. Medicare and/or...FraudFor contractorsWork experience placement
$3,000 - $4,999 per month
...- Dept of Family & Protectve Svc - CPS Investigations Region 3E - Protective Services - Not Eligible... ...Title: CPI Investigative Supervisor I/II Job Title: CPI Investigative Supervisr... ...and external stakeholders to ensure coordination, quality, efficiency, and effectiveness...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeRemote workFlexible hoursShift workDay shift$69.87k - $90.41k
Quality Assurance and Process Improvement Coordinator II (QMHP) #736 LifeWorks NW's Quality Assurance and Process Improvement... ...management work independently. The Coordinator II investigates HIPAA violations and fraud, waste and abuse reports, responds to client and...Fraud$95.16k - $130.49k
....As a Manufacturing Engineer II/Sr. for Greenheck Group you will... ...TN area.What You’ll Be Doing:Coordinate and implement moderate... ...complexity capital expenditures.Investigate, purchase, and implement tooling... ...accommodation.RECRUITING FRAUD ALERTAt Greenheck Group, your...FraudFull timeWork experience placementWork at officeWorldwideRelocation- ...GEICO is seeking an Internal Major Case SIU Investigator to lead complex fraud investigations across multiple jurisdictions. The role requires coordinating field investigations, reviewing digital evidence, and analyzing data trends to identify evolving fraud schemes. You...Fraud
$85.73k - $117.55k
...extraordinary things.As a Maintenance Supervisor I/II for Greenheck Group you will support... ...Effectively manage the maintenance team, coordinate maintenance activities, ensure compliance... ..., and requested accommodation.RECRUITING FRAUD ALERTAt Greenheck Group, your personal...FraudFull timeWork experience placementWork at officeWorldwide- ...J T Becker & Co Inc is seeking skilled Field Investigators to join our team in the Town of Vermont, Wisconsin. This role is perfect for licensed... ...various insurance claims, including workers' compensation and fraud. The ideal candidate will conduct a variety of assignments,...FraudFlexible hours
- What You’ll Be Doing Level II Analyzes and processes minimum... ...Works with the Customer Service Coordinator to manage and provide... ...claims for possible abuses and/or fraud and bring to the attention of... ...the integrity of the product; investigates claims referred by staff for...FraudContract workTemporary workFlexible hours
- ...RealPage is seeking a Trust and Safety Analyst to support intake, triage, investigation, and resolution of fraud-related escalations across its payments ecosystem. The role requires strong SQL proficiency, curiosity, and the ability to work quickly in a fast-moving environment...Fraud
- Job Overview The Timekeeping Coordinator II ensures accurate and timely payroll processing for multiple Primoris Energy Services projects by meticulously managing time entries, resolving discrepancies, and maintaining compliance with company policies and labor laws. This...Weekly payFor contractorsWork at office
- Primoris Services Corp. is looking for a Timekeeping Coordinator II in Hubbard, TX, responsible for supporting civil operations through effective timekeeping and payroll functions. The ideal candidate will have experience in administrative support and attention to detail...Weekly payFull time
$60k - $87.4k
...payments. The individual will conduct thorough investigations by identifying injured parties, billing... ...an experienced SIU Medical Provider Fraud Investigator, preferably located within the... ...$60,000.00 - $87,400.00/salary SIU Cons II: $62,100.00 - $92,700.00/salary Compensation...FraudWork from homeWork visa- J T Becker & Co Inc is looking for skilled Field Investigators in the Town of Texas to provide expert investigative services on an as-needed... ...hours, focusing on various insurance claims, including fraud and liability. The ideal investigators will conduct surveillance...FraudFlexible hours
- Centene Corporation is seeking an experienced Health Care Fraud Investigator to guide SIU investigations related to fraud, waste and abuse across national programs. This role supports management, mentors staff, and ensures work adheres to CMS guidelines and applicable...FraudRemote jobWork at officeFlexible hours
- Safeway Insurance Company is looking for an experienced SIU Field Investigator to join their Texas Claims Department. This role focuses on... ..., deterring, and investigating potential automobile insurance fraud, with responsibilities including face-to-face customer...Fraud
- ...Inc in Wisconsin is looking for skilled and experienced Field Investigators to provide expert investigative services on an "as needed" basis... ...claims, including workers' compensation and suspected fraud. Responsibilities include conducting surveillance, completing...FraudFlexible hours
- ...of Texas, Wisconsin, is seeking skilled and experienced Field Investigators to join our team on an 'as needed' basis. This position offers... ...providing investigative services for insurance claims including fraud and liability. The ideal candidate will conduct a variety of...FraudFlexible hours
- Job Overview The Timekeeping Coordinator II at Primoris Energy Services in Haskell, Texas, is responsible for accurately processing and auditing employee time records, ensuring compliance with company policies, project requirements, and labor laws. This role plays a critical...Weekly payFor contractorsWork at office
- Primoris Energy Services is seeking a Timekeeping Coordinator II to ensure accurate and timely payroll processing across multiple projects and locations. You will manage time entries, resolve discrepancies, maintain policy and labor law compliance, and prepare reports...
- Becker & Company in Wisconsin is seeking skilled Field Investigators to join our team on an as-needed basis. This role offers flexible hours... ..., including workers' compensation, liability, and suspected fraud. You will conduct surveillance and SIU assignments within an assigned...FraudFlexible hours
- ...and internal accounting, exception review clearing OFAC/Fraud potential hits and wire investigations research and review, as well as support the RTP and... ...projects as they arise. The position Deposit Ops Analyst II (Wires Department) performs daily operational tasks that...FraudFull timeTemporary workPart timeWork experience placementBank staffRemote workFlexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators to join their team in the Town of Texas, Wisconsin, on an as-needed basis.... ...while providing expert services for various insurance claims like fraud detection and liability mitigation. The position involves...FraudFlexible hours
- Becker & Company in Wisconsin is seeking skilled Field Investigators on an as-needed basis to provide expert investigative services across workers' compensation, fraud, and liability claims. Ideal for licensed investigators seeking flexible hours. You will conduct surveillance...FraudFlexible hours
- Becker & Company is seeking skilled and experienced Field Investigators to join our team on an as-needed basis. This role is perfect for a... ...of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients...FraudFlexible hours
- J T Becker & Co Inc in Wisconsin is seeking skilled Field Investigators to join our team on an as-needed basis. This role is ideal for licensed... ...expert investigative services for insurance claims, including fraud detection and liability investigations. The ideal candidate...FraudFlexible hours
- Allstate is seeking an experienced SIU Medical Provider Fraud Investigator to identify suspicious medical provider businesses and attorney connections, conduct thorough investigations, and document findings. The role focuses on bodily injury claims, including non-litigation...FraudRemote job
- Job Overview:Primoris Energy Services Corp is seeking a Coordinator II - Billing for our project in Sherman, Texas. This onsite position provides administrative and billing support to the Billing Supervisor and project team for civil construction projects. The Coordinator...Weekly payContract workFor contractorsFor subcontractorWork at officeWeekend 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...FraudFlexible hours
$107.9k - $172.64k
Job Description Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders... ...focused on detecting, preventing, and correcting health care fraud, waste, and abuse. This role ensures patient care is...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$25 - $32 per hour
...national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your SIU expertise. Our... .../Claims investigation experience as a Private Investigator or Fraud Investigator and live in the Milwaukee area. Licensed by the State...FraudPart timeLive inFlexible hours
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