Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Prepare evidence package for referral to third parties including contract holders, state insurance ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Prepare evidence package for referral to third parties including contract holders, state insurance ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Prepare evidence package for referral to third parties including contract holders, state insurance ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Prepare evidence package for referral to third parties including contract holders, state insurance ...
Mgr - SIU (Field)
Jacksonville, FL · Remote
May be deployed to remote locations and/or extended hours for extended periods to support SIU ... CIFI (Certified Insurance Fraud Investigator); FCLS (Fraud Claims Law Specialist), FCLA (Fraud ...
Mgr - SIU (Field)
Jacksonville, FL · Remote
May be deployed to remote locations and/or extended hours for extended periods to support SIU ... CIFI (Certified Insurance Fraud Investigator); FCLS (Fraud Claims Law Specialist), FCLA (Fraud ...
SIU Major Case Manager (Medical Provider)
Miami, FL · On-site +1
$119/hr
This role is remote eligible in the continental U.S. with occasional business travel. What you'll do: * Responsible for insurance fraud detection and investigation services to reduce fraud-related ...
SIU Major Case Manager (Medical Provider)
Miami, FL · On-site +1
$119/hr
This role is remote eligible in the continental U.S. with occasional business travel. What you'll do: * Responsible for insurance fraud detection and investigation services to reduce fraud-related ...
SIU Major Case Manager (Medical Provider)
Miami, FL · On-site +1
$119/hr
This role is remote eligible in the continental U.S. with occasional business travel. What you'll do: * Responsible for insurance fraud detection and investigation services to reduce fraud-related ...
SIU Major Case Manager (Medical Provider)
Miami, FL · On-site +1
$119/hr
This role is remote eligible in the continental U.S. with occasional business travel. What you'll do: * Responsible for insurance fraud detection and investigation services to reduce fraud-related ...
Senior Fire Investigator, IAAI-CFI
Miami, FL · On-site +1
Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote#NowHiring #CertifiedFireInvestigator #FireInvestigator #FireInvestigation #IAAICFI ...
Senior Fire Investigator, IAAI-CFI
Miami, FL · On-site +1
Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote#NowHiring #CertifiedFireInvestigator #FireInvestigator #FireInvestigation #IAAICFI ...
Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote#NowHiring #CertifiedFireInvestigator #FireInvestigator #FireInvestigation #IAAICFI ...
Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote#NowHiring #CertifiedFireInvestigator #FireInvestigator #FireInvestigation #IAAICFI ...
SIU Field Investigator - Tampa/Orlando
Orlando, FL · On-site +1
$43K - $53K/yr
... insurance fraud on assigned claims involving multiple lines of business. The ideal candidate ... auto, workers' compensation, and commercial claims which may include but is not limited to ...
SIU Field Investigator - Tampa/Orlando
Orlando, FL · On-site +1
$43K - $53K/yr
... insurance fraud on assigned claims involving multiple lines of business. The ideal candidate ... auto, workers' compensation, and commercial claims which may include but is not limited to ...
SIU Field Investigator - Tampa/Orlando
Tampa, FL · On-site +1
$43K - $53K/yr
... insurance fraud on assigned claims involving multiple lines of business. The ideal candidate ... auto, workers' compensation, and commercial claims which may include but is not limited to ...
SIU Field Investigator - Tampa/Orlando
Tampa, FL · On-site +1
$43K - $53K/yr
... insurance fraud on assigned claims involving multiple lines of business. The ideal candidate ... auto, workers' compensation, and commercial claims which may include but is not limited to ...
SIU Field Investigator - Brevard County, FL
Melbourne, FL · On-site +1
$43K - $52K/yr
... auto insurers in the United States. When you join our company, we want you to feel valued ... Ability to handle complex fraud cases and/or rings * Knowledge on how to use public record systems ...
SIU Field Investigator - Brevard County, FL
Melbourne, FL · On-site +1
$43K - $52K/yr
... auto insurers in the United States. When you join our company, we want you to feel valued ... Ability to handle complex fraud cases and/or rings * Knowledge on how to use public record systems ...
Senior Field Security Investigator
Orlando, FL · On-site +1
... auto insurers in the United States. When you join our company, we want you to feel valued ... of fraud or other illegal activities against the Company, including interviewing, database ...
Senior Field Security Investigator
Orlando, FL · On-site +1
... auto insurers in the United States. When you join our company, we want you to feel valued ... of fraud or other illegal activities against the Company, including interviewing, database ...
Senior Field Security Investigator
Orlando, FL · On-site +1
... auto insurers in the United States. When you join our company, we want you to feel valued ... of fraud or other illegal activities against the Company, including interviewing, database ...
Senior Field Security Investigator
Orlando, FL · On-site +1
... auto insurers in the United States. When you join our company, we want you to feel valued ... of fraud or other illegal activities against the Company, including interviewing, database ...
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
SIU Investigator Part time Bilingual Spanish a PLUS
Tampa, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Tampa, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
SIU Investigator Part time Bilingual Spanish a PLUS
Tampa, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Tampa, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
Quick apply
SIU Investigator Part time Bilingual Spanish a PLUS
Fort Lauderdale, FL · Remote
$25 - $50/hr
... fraud indicators, and investigative documentation ... Assignments may involve property losses, auto claims, liability investigations, and other insurance ...
Fraud Analyst
Jacksonville, FL · Remote
... investigations. Additionally, the Fraud Analyst will ensure that all cases of suspicious or ... Fully Remote. * 401(k) plan. * Insurance - Health, Dental, and Vision. * Time Off Ready to join? We ...
Quick apply
Fraud Analyst
Jacksonville, FL · Remote
... investigations. Additionally, the Fraud Analyst will ensure that all cases of suspicious or ... Fully Remote. * 401(k) plan. * Insurance - Health, Dental, and Vision. * Time Off Ready to join? We ...
PIP Adjuster - Remote Bilingual/Spanish
Plantation, FL · On-site +1
$60K - $75K/yr
Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we ... Investigate, evaluate, and settle insurance claims (e.g., establish coverage and qualification for ...
PIP Adjuster - Remote Bilingual/Spanish
Plantation, FL · On-site +1
$60K - $75K/yr
Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we ... Investigate, evaluate, and settle insurance claims (e.g., establish coverage and qualification for ...
Remote Auto Insurance Fraud Investigator information
What is the difference between Remote Auto Insurance Fraud Investigator vs Remote Auto Claims Adjuster?
| Aspect | Remote Auto Insurance Fraud Investigator | Remote Auto Claims Adjuster |
|---|---|---|
| Primary Role | Detects and investigates insurance fraud cases | Evaluates and processes auto insurance claims |
| Required Credentials | Insurance or fraud investigation certifications often preferred | Adjuster license and claims handling certifications |
| Work Environment | Remote, investigative setting, often with law enforcement or legal teams | Remote, customer service and claims processing environment |
| Industry Usage | Insurance companies, fraud detection agencies | Insurance companies, third-party claims organizations |
While both roles work within the auto insurance industry and may require similar certifications, the Remote Auto Insurance Fraud Investigator focuses on uncovering fraud, whereas the Remote Auto Claims Adjuster handles the assessment and settlement of claims. Understanding these differences helps job seekers target the right position based on their skills and interests.
What are the most commonly searched types of Auto Insurance Fraud Investigator jobs in Florida? The most popular types of Auto Insurance Fraud Investigator jobs in Florida are:
What are popular job titles related to Remote Auto Insurance Fraud Investigator jobs in Florida? For Remote Auto Insurance Fraud Investigator jobs in Florida, the most frequently searched job titles are:
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- Insurance Investigator
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What job categories do people searching Remote Auto Insurance Fraud Investigator jobs in Florida look for? The top searched job categories for Remote Auto Insurance Fraud Investigator jobs in Florida are:
What cities in Florida are hiring for Remote Auto Insurance Fraud Investigator jobs? Cities in Florida with the most Remote Auto Insurance Fraud Investigator job openings:
Full-time
Posted 4 days ago
Cigna Healthcare rating
8.4
Based on 237 frontline employees who took The Breakroom Quiz
26th of 887 rated healthcare providers
Job description
Bilingual Spanish Junior Healthcare Fraud Investigator:
Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.
As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.
What you'll do:
Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies
Support on-site inspections and patient/provider interviews as necessary
Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate
Prepare reports to expedite tracking and reporting of investigations
Requirements:
Located in South Florida (Miami, homestead) and West Palm Beach area to support site visits
Bilingual Spanish
A bachelor's degree in a Criminal Justice, or related field
1+ years professional work experience, preferably with health insurance investigations/audit
Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word
Excellent verbal and written communication skills, along with ability to effectively manage conflict
Keen ability to deal with ambiguity and leverage reasoning skills
Possession of a strong desire and demonstrated ability to lead
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
What Cigna Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Cigna
Sourced by ZipRecruiter
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Bloomfield, CT, US