Senior SIU Investigator: Insurance Fraud & WC
Delta Group
Delta Group, a national investigative firm, seeks a Special Investigation Unit professional to lead claims investigations with emphasis on Workers’ Compensation. You'll communicate with claims personnel, insurers, law enforcement, and regulators to deter fraud and protect client interests. Ideal candidates have extensive SIU experience, strong analytical and communication skills, and the ability to work independently within a fast-paced environment. #J-18808-Ljbffr Delta Group
$30 - $35 per hour
VRC Investigations is looking for experienced, self-determined Part-Time SIU Investigators in Newark, NJ. The role includes conducting insurance fraud investigations and requires strong communication skills and analytical abilities. Investigators will work partially from...FraudHourly payPart timeWork from home$130k - $200k
A leading civil defense law firm in Roseland, NJ is seeking an SIU Litigation Attorney to defend against fraudulent claims in the insurance sector. This role requires at least four years of litigation experience and involves drafting legal motions, conducting depositions...SeniorFraud- About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti‑fraud related services. We are dedicated to... ...our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating...Fraud
$30 - $35 per hour
...opportunities for experienced, self‑determined, and highly motivated Part‑Time SIU INVESTIGATORS who would like to join our team of professionals in our efforts to deter and combat insurance fraud. We have several work‑from‑home, part‑time and full‑time hourly positions...FraudBi-weekly payHourly payFull timePart timeWork at officeWork from home- ...is a privately held, national investigative firm established in 1983 and... ...experience leading national carrier fraud divisions, state fraud... ...increase revenue within the insurance industry. Our expert employees... ...personnel, insurance carrier SIU staff, law enforcement, and government...FraudLocal area
- Grey Street Consulting LLC is seeking a Senior Civil Investigator (Health Care Fraud) to join our team supporting the United States Attorney’s Office in Newark, NJ. This full-time position involves planning and conducting investigations, preparing reports, and preparing...SeniorFraudFull timeWork at office
- Grey Street Consulting, LLC is seeking a Senior Civil Investigator (Health Care Fraud) in Newark, NJ to support the United States Attorney’s Office. The role involves conducting investigations related to health care fraud, preparing detailed reports, and collaborating...SeniorFraudFull timeWork at office
- ...business provider of operational support services to Federal civilian and defense agencies, is seeking to hire a Senior Civil Investigator (Health Care Fraud) to support our prospective client within the United States Attorney’s Office, District of New Jersey (USAO‑NJ)....SeniorFraudFull timeWork at office
- ...Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making...FraudLocal areaNight shiftWeekend work
- ...ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that translate into better decision...FraudFull timeLocal areaNight shiftWeekend work
- A national investigative services firm is seeking a meticulous SIU Investigator in Newark, New Jersey. This role involves conducting comprehensive investigations into potential fraud and misconduct. The ideal candidate should possess strong analytical skills, attention...Fraud
$70.5k - $94.4k
...Jersey is seeking a Certified Professional Coder who will ensure accuracy in coding and auditing medical records. This role involves investigating fraudulent claims and managing sensitive materials while collaborating closely with other Blues Plans. Candidates should have a...Fraud$70.5k - $94.4k
...designation, and 2-3 years of relevant coding experience. The position offers competitive compensation ranging from $70,500 to $94,395 along with comprehensive health insurance, retirement plans, and generous paid time off. #J-18808-Ljbffr 100 Horizon Healthcare Services, IncFraud$70.5k - $94.4k
...requisite documentation to conduct low level investigations. The incumbent will also support the... ...Investigations Unit pended claims to insure we are meeting SLAs and service standards... ...accounting, receive and review suspected fraud and to complete cases with all information...FraudLive inLocal area$70.5k - $94.4k
...analyzes, and interprets documentation to conduct low‑level investigations, supports fraud research investigators, and manages Special... ...or GED required. Minimum 2years of experience in health‑insurance quality chart audits and/or utilization review. 2-3years...FraudWork at office- Audible is seeking a Senior Product Manager for their Fraud Defense team in Newark, New Jersey. This role involves owning the product strategy for fraud prevention and anti-piracy efforts across global marketplaces. The ideal candidate will bring over 7 years of product...SeniorFraud
- Prudential Annuities Distributors (PAD) is looking for a Cyber Enabled Fraud Threat Management professional to analyze cyber-enabled fraud... ...offers competitive salary and benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr Prudential Annuities Distributors...Fraud
- Prudential Ins Co of America is seeking a skilled individual to join its Cyber Enabled Fraud Threat Management team. This role involves analyzing fraud data, supporting cybersecurity strategies, and collaborating with various teams to manage cyber-enabled fraud threats....Fraud
- ...seeking a professional in Newark, NJ, to join their Cyber Enabled Fraud Threat Management team. This role involves analyzing fraud... ...supporting organizational responses to cyber threats through detailed investigations and analytics. Ideal candidates will have over three years of...Fraud
- Grey Street Consulting LLC is hiring a Financial Fraud Analyst in Newark, NJ to support the U.S. Attorney’s Office. The ideal candidate will analyze financial data and assist in investigations to identify violations of fraud statutes. This full-time position requires a...FraudFull timeWork at office
- ...JCPenney is seeking a Shrink professional in Jersey City, NJ. Your responsibilities will include detecting theft and fraud, conducting investigations, and ensuring a safe shopping environment. You will maintain safety standards, assist with incident investigations, and...Fraud
- Grey Street Consulting, LLC is seeking a Financial Fraud Analyst to support the United States Attorney’s Office in Newark, NJ. The... ...experience. Proficiency in Microsoft Excel and familiarity with investigations is essential. The position is full-time on-site. #J-18808-...FraudFull timeWork at office
$68.5k - $100k
...Global Financial Crimes Compliance (GFCC) Investigator performs end-to-end investigations... ...conducts complex investigations, including fraud committed by external parties, securities... ...enforcement Reports facts of the investigation to senior stakeholders, assisting in identifying...FraudWork at officeShift workDay shift$61.4k - $99.68k
...Asset Protection Investigator Collectors is the leading creator of innovative technology... ...set. Reasons To Join Us: ~ Health Insurance: All full-time employees are eligible to... ...one of our business units. This type of fraud can be carried out through false websites...FraudFull timeWork at officeLocal areaWorldwideFlexible hoursShift work- ...civilian and defense agencies, is seeking to hire a Financial Fraud Analyst to support our prospective client within the United States... ...and financial fraud statutes. Assist AUSAs in preliminary investigations to confirm such violations. Utilize standard reference works,...FraudFull timeWork at office
- ...protect creators, customers, and the integrity of the world’s leading audio storytelling platform? Come join the Audible Fraud Defense team as a Senior Product Manager - Technical, where you will own the product strategy and roadmap for Audible’s fraud defense and anti‑...SeniorFraud
$60.6k - $120k
...IAT Insurance Group has an immediate opening for a Management Liability Senior Claims Specialist that can be located in any of our IAT... ...limits. Thoroughly analyze, investigate, negotiate and resolve all levels... ...recovery/contribution/SIU opportunities. Set accurate and...SeniorWork at officeImmediate startRemote work$96.2k - $158.8k
...newly established Cyber Enabled Fraud Threat Management capability... ...Management, Anti-Fraud, Investigations, and Compliance to support the... ...working in financial services, insurance, or other highly regulated industries... ...teams Present insights to senior leaders Detail‑oriented with...Fraud$220k - $250k
Newark Senior Labor, Employment, Workplace Safety Associate At K&... ...experience advising, litigating, and investigating employment and labor issues,... ...) Business Travel Accident Insurance Vision Insurance Pet... ...Identity Protection/Restoration and Fraud Insurance Life Insurance (...SeniorFraudTemporary workWork at officeLocal areaRelocationFlexible hours- NiCE is seeking a Lead Client Services Program Manager to join their Cloud Professional Services team in Hoboken, NJ. The successful candidate will be responsible for managing multiple client programs and delivering cloud-based analytics services focused on financial crime...SeniorFraud
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