- City of New York (New York, NY)
- …requests for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect ... research of fact and questions of law. In addition, the EEO Investigator Specialist will be tasked with interviewing charging parties, witnesses and respondents… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6105) Job Brief Assists the Incident Management Investigator with conducting investigations into situations, which may violate… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …IRC recommendations. 5. In conjunction with the assigned Incident Management Investigator Specialist , prepares investigative reports and forwards completed ... Incident Management Investigator Type of Position Full time Search Location(s)...code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …assigned investigations. 6. In conjunction with the assigned Incident Management Investigator Specialist , prepares investigative reports and forwards completed ... Incident Management Investigator Type of Position Per Diem Search Location(s)...code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate… more
- Allied Universal (Los Angeles, CA)
- … claims with red flags that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must use their extensive knowledge ... programs, and exclusive perks. Allied Universal(R) is hiring a Claims / SIU Investigator . Claims ...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Allied Universal (Billings, MT)
- …programs, and exclusive perks. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigators validate the ... Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...+ Internal insurance/recovery claim experience as a Claim Processor or Claim Specialist … more
- New York State Civil Service (Melville, NY)
- …Civil Service Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/Trainee 2 (NY HELPS)...Law. Eligible titles include, but are not limited to: Investigator 1, Assistant Insurance Fund Services Representative, Program Aide;… more
- State of Connecticut, Department of Administrative Services (Norwich, CT)
- Social Services Lead Investigator - Child Support Hybrid Recruitment # 241113-7324SH-001 Location Norwich, CT Date Opened 11/15/2024 10:30:00 AM Salary $70,026 - ... to join our team as a Social Services Lead Investigator - Child Support! The State of Connecticut (https://portal.ct.gov/)...accountable for acting as a working supervisor and policy specialist for a unit of Social Services Investigators engaged… more
- Henry Ford Health System (Detroit, MI)
- …Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess and identify ... and State regulatory and contractual requirements. The Principal Compliance Investigator is responsible for conducting compliance audits, reporting results,… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- New York State Civil Service (Rochester, NY)
- …Civil Service Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services ... Representative 1, Claims Service Representative 1, Claims Services Representative 1 (Disability Benefits); OR* A bachelor's or higher degree AND two years of… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist III is a senior level individual, responsible for multiple components of the billing process for specialized or ... coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to… more
- UPMC (Pittsburgh, PA)
- …potential and current claims with relevant internal departments and UHCIP claims investigator and make appropriate recommendations to Director for approval ... UPMC Corporate is hiring a Senior Risk Management Specialist to join our team! This role will...is systematic management of potential as well as actual claims . Clinical data will by analyzed to determine areas… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL NURSE SPECIALIST (CNS)- Adult Psychiatry (9C) & Pulmonary Medicine (6C) Apply Now **Job Summary** The Clinical Nurse Specialist will be responsible for ... a competitive salary with excellent benefits! **Hourly range for Clinical Nurse Specialist $48.58-$73.39 / hour** The benefit package includes: + Excellent medical,… more
- State of Georgia (Dekalb County, GA)
- Employee Relations Specialist - Central Office - Decatur, GA (ADM) Georgia - Dekalb - Atlanta ... also include maintaining compliance with EEO, GCEO, ADA, investigating claims , developing processes. Primary Duties & Responsibilities: + Review/Investigate employee… more
- Stryker (San Jose, CA)
- …We are currently seeking a **Senior Staff Regulatory Affairs Specialist ** to join our Endoscopy division based hybrid on-site three ... improvement in functions. **What you will do** As the **Senior Staff Regulatory Affairs Specialist ** , you will play an integral role on our Open Field Visualization… more
- Mount Sinai Health System (New York, NY)
- **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the overall quality and completeness of clinical documentation ... or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) +...Reviews outpatient visit diagnoses and service levels prior to claim submission to ensure they accurately reflect the clinical… more
- MyFlorida (Miami, FL)
- INSPECTION SPECIALIST - 79011491 Date: Nov 1, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 840530 Agency: Business and Professional Regulations Working Title: INSPECTION SPECIALIST - 79011491 Pay Plan: Career Service Position Number: 79011491 Salary:… more