Top 276 Fraud Jobs in Florida

SIU Investigator
Centene —Florida
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Corporate Ethics & Compliance Investigator
Centene —Florida
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Tallahassee, FL
- $25.60 - $42.67 an hour
- Overtime
- Remote
- Mid-level
- Bachelor's degree
- 2 years
- 403(b) matching
- Paid parental leave
Quick Apply
8h
Senior Fraud Data Analyst
Suncoast Credit Union —Tampa, FL
- $75,000 - $117,000 a year
- Full-time
- Remote
- 6 years
- Computer Science
- Finance
- Paid parental leave
- Paid holidays
Fraud Operations Specialist
Citi —Jacksonville, FL
- $41,600 - $53,600 a year
- Full-time
- Hybrid work
- High school diploma or GED
- 1 year
- Communication skills
- Paid holidays
- Disability insurance
8d
Fraud Specialist
Citi —Jacksonville, FL
- From $20.05 an hour
- Full-time
- Hybrid work
- High school diploma or GED
- 1 year
- Communication skills
- Paid holidays
- Disability insurance
Manager, SIU Intelligence & Innovation
Centene —Florida
- $87,700 - $157,800 a year
- Full-time
- Remote
- Computer science
- Computer Science
- Master's degree
- Paid holidays
- Health insurance
7d
Fraud Specialist
BrightStar Credit Union —Cooper City, FL
- $23.80 - $29.32 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Office
- Health savings account
- Health insurance
Fraud Investigator I (Hybrid)
BankUnited, N. A. —Miami Lakes, FL
- Research
- Mid-level
- Communication skills
13d
Internal Major Case SIU Investigator
GEICO —Lakeland, FL
- Full-time
- Mentoring
- Typing
- Senior level
Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home
The Cigna Group —Miami, FL
- Online Application
- Remote
- Spanish
- Analysis skills
- Conflict management
SIU Desk Investigator - Miami
AssuranceAmerica —Florida
- Full-time
- Customer service
- Mid-level
- Office
Ethics and Compliance Specialist (Investigations and Audit)
Chromalloy —Palm Beach Gardens, FL
- $79,200 - $103,950 a year
- Overtime
- Remote
- Up to 50% travel
- 5 years
- Pass drug screening
- Wellness program
- Paid holidays
Quick Apply
Fraud Investigator
Seacoast Bank —Florida
- Writing skills
- Mid-level
- 3 years
Quick Apply
1d
Fraud Mitigation Specialist
Gold Coast Federal Credit Union —West Palm Beach, FL
- Mid-level
- Communication skills
- Time management
- Disability insurance
- Health insurance
14d
Corporate Security Specialist
AD Mortgage —Fort Lauderdale, FL
- Full-time
- Mid-level
- Office
- Finance
- Paid training
- Health insurance
Quick Apply
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
CVS Health —Plantation, FL
- $46,988 - $102,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Fraud Investigator I
Space Coast Credit Union —Miramar, FL
- $28.13 - $29.79 an hour
- Hybrid work
- Pass drug screening
- Mid-level
- Office
- Health savings account
- Disability insurance
Quick Apply
SIU Field Investigator - Brevard County, FL
GEICO —Melbourne, FL
- $32.05 - $49.86 an hour
- Full-time
- 5 years
- Mid-level
- Associate's degree
Sr. Analyst, Fraud & Payment Analytics
Subway —Miami, FL
- Full-time
- Mid-level
- Finance
- Analysis skills
- 401(k)
- Tuition reimbursement

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SIU Investigator

Centene -
Florida

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Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Data mining
Health data analysis
Bachelor's degree in business
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Audit Reporting
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Please note: candidates who reside in Florida are highly preferred.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:

Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

fraud jobs in florida

SIU Investigator

Corporate Ethics & Compliance Investigator

Fraud and Abuse Investigator / CPC - Remote

Senior Fraud Data Analyst

Fraud Operations Specialist

Fraud Specialist

Manager, SIU Intelligence & Innovation

Fraud Specialist

Fraud Investigator I (Hybrid)

Internal Major Case SIU Investigator

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

SIU Desk Investigator - Miami

Ethics and Compliance Specialist (Investigations and Audit)

Fraud Investigator

Fraud Mitigation Specialist

Corporate Security Specialist

Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida

Fraud Investigator I

SIU Field Investigator - Brevard County, FL

Sr. Analyst, Fraud & Payment Analytics

I want to receive the latest job alert for fraud in florida

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