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Online Resumes with "fraud investigation"



Director of Provider Relations, Physiscian credentialing, contract negotiations

Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.

Tags for this Online Resume: Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer

Fraud Investigations

Fraud Investigator- 8 years Experience- Portland, Maine

I am seeking a job that will allow me to utilize my education, experience and excellent research and communication skills.

Tags for this Online Resume: Investigator, Law Enforcement, Management, Maine, Portland, Augusta, Leader, Communication

Featured Profile

Executive Vice President - Leader/Coach - over 25 years experience

Lead/Mentor Department Managers to obtain Company Objectives through effective Leadership of staff, Customer Service and Efficiency.

Ideal Companies: Banking, Financial Services,

Tags for this Online Resume: Regulatory Compliance/Relations, Organizational Alignment, Risk Management, Board and Management Reporting, Strategic Analysis and Planning, Fraud Investigations

Fraud Investigator

Seasoned professional with extensive expertise gained as a federal agent responsible for the successful resolution of major fraud investigations. Proven capabilities include case coordination, prioritization, and execution. In-depth understanding of the law regarding financial fraud and mail fraud schemes. Highly regarded for success in developing and managing new programs and reenergizing underperforming teams. Outstanding...

Tags for this Online Resume: Fraud , Corporate Investigations, Security Director, Physical Security, SIU Investigator, Investigator, CFE, CPP

Insurance Fraud Investigator - 10 Years of Experience - Near 37064

Claims Investigator - 15 Years of Experience - Near 33189

I have 15 years of Fraud Investigation experience. I've worked in the construction and insurance industry. I've worked staged accidents, PIP, BI, Auto Theft, and Construction fraud claims. I also have experience with worker's comp, Health & Wellness, located and background. I also have Managerial experience in the SIU field.

Tags for this Online Resume: South Florida, Miami, ISO, NICB, TLO, Accurant, KDC, FIFEC

Claims Investigator - 20 Years of Experience - Near 38028

Tags for this Online Resume: Memphis, Fraud investigator, Negotiations, Insurance Investigation, Report preparation, Analyze data

Compliance Officer - 15 Years of Experience - Near 33321

I am a Certified Fraud Investigator who utilizes expertise to adjudicate wrongful claims and implement general insurance and healthcare policies in accordance with state and federal laws. I am fluent in English and Spanish.

Tags for this Online Resume: Analytical Thinking, Leadership skills, Strategic Planning, Comprehensive Report Writing, ?High Security Protocol, Ethics and Compliance , Interviewing Skills, Writing/Communication Skills

Investigator - 16 years experience 12 year supervisor

Employment with a successful company as an investigator or investigation supervisor.

Tags for this Online Resume: Investigator, Detective, Corporate Security, Commander, Rissk Management, Fraud Investigator

Accountant

Tags for this Online Resume: accounting, auditing, fraud examination, fraud investigation

Law Enforcement - 20 Years of Experience - Near 33647

Highly experienced and self motivated senior manager with over 28 years of experience in the field of law enforcement and federal criminal investigations. Seasoned in all aspects of international, federal, state and private industry liaison both domestic and abroad. Seeking a follow-on related career in corporate, private and/or retail investigations.

Tags for this Online Resume: Investigations, Corporate Security, Law Enforcement, Asset Protection, SIU , Brand Protection, Outside Investigations , Fraud Investigations