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Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by provider...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choo...

Overview
The Investigator will work as part of a team responsible for investigating Healthcare Fraud, Waste or Abuse. This position partners with more senior investigators and will focus on both analyzing healthcare data, identifying potential FWA, and conducting interviews. This position can be done remote, from your home, in the continental United States.
Responsibilities
* Investiga...

Wealthfront is seeking a talented, passionate, and detail-oriented Anti-Money Laundering (AML) compliance professional to join its Financial Intelligence Unit. As the newest member of the FIU team, the ideal candidate will be someone who enjoys hands-on investigative work, possesses a strong degree of intellectual curiosity, and is looking to continue developing their AML skillset in an indivi...

ARIZONA BOARD OF NURSING
The mission of the Arizona State Board of Nursing is to protect and promote the welfare of public by ensuring that each person holding a nursing license or certificate is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. The mission, derived from the Nursi...

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Deta...

*REMOTE OPPORTUNITY* Desktop Investigators perform claims investigation utilizing various public record searches to compile results and prepare comprehensive investigative reports for submission. The ideal candidate will possess a sense of urgency, excellent verbal and written communication skills, int

Who Are We?
Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers – and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.
Job Category
Claim
Target Open...

Overview
Treliant is an essential consulting firm serving banks, mortgage originators and servicers, fintechs, and other companies providing financial services globally. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challen...

About the Company
Founded in 2018 by professors of Yale University and Columbia University, CertiK is a pioneer in blockchain security, utilizing best-in-class AI technology to secure and monitor blockchain protocols and smart contracts. CertiK’s mission is to secure the cyber world. Starting with blockchain, CertiK applies cutting-edge innovations from academia into enterprise, enabling missio...

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
A Day in the Life
The Principal Compliance Specialist is primarily responsible for executing Global Ethics and Compliance investigations within the Off...

Are You Driven?® We Are.
We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make on a daily basis. At GAINSCO, it is our people that set us apart.
If you are looking for a place where you can make a d...

Crum & Forster Company Overview
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recogni...

We have an exciting opportunity to join the SIU team and the Expanding Commercial GEICO Market as a Lead Security Investigator! This is a Remote position. As a Lead Security Investigator on our Commercial Team, you will conduct non-field investigations of suspected Commercial Auto, Commercial Trucking, Multiline, and Auto claims suspected of containing fraud flags and/or other illegal activitie...

We have an exciting opportunity to join the SIU team as a Senior Field Security Investigator! As a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Responsibilities include evaluating inf...

Job Overview
At Hubbell, we are committed to high standards of ethical and responsible conduct in compliance with the laws of the countries in which we and our business partners do business. Hubbell is seeking a Compliance Investigator supporting enterprise-wide internal investigations.
Reporting directly to the Director, Compliance, the Compliance Investigator is responsible for conduc...

Who Are We?
Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
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Company Description
ProSidian is a Management and Operations Consulting Services Firm focusing on providing value to clients through tailored solutions based on industry-leading practices. ProSidian services focus on the broad spectrum of Enterprise Solutions for Risk Management | Compliance | Business Processes | IT Effectiveness | Engineering | Environmental | Sustainability | and Human Capi...

Who We Are:
Headquartered in Washington, DC, Versar Global Solutions provides full mission lifecycle solutions for challenges faced by our government and commercial Customers in the natural, built, and digital environments. With nearly 2,000 team members around the world, and a rich legacy spanning more than 70 years, Versar Global Solutions delivers a broad array of planning, analysis and ri...