• Surveillance / Claims Investigator

    Allied Universal (Billings, MT)
    …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
    Allied Universal (10/30/24)
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  • Principal Claims Investigator

    AIG (Atlanta, GA)
    …reimagining the way we help customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's an opportunity to ... empathy and efficiency. How you will create an impact The Principal Claims Investigator is responsible for all aspects of the investigation process to include… more
    AIG (09/06/24)
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  • Claims Investigator

    WMCHealth (Valhalla, NY)
    Claims Investigator Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical Department: Risk Management- WMC ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26645) Internal Applicant link Job Details: Job Summary: The Claims Investigator is responsible for the management… more
    WMCHealth (09/20/24)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
    Allied Solutions (10/14/24)
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  • Claims Investigator

    Command Investigations (San Diego, CA)
    CLAIMS INVESTIGATOR Seeking experienced investigator with multi-lines investigations to include AOE/COE, General Liability, and Auto, with Homeowner's highly ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
    Command Investigations (11/06/24)
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  • Workers Compensation/ Claims

    Command Investigations (Albuquerque, NM)
    …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + Workers ... Compensation + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize multiple tasks… more
    Command Investigations (11/06/24)
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  • Claims / SIU Investigator

    Allied Universal (Los Angeles, CA)
    …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims / SIU Investigator . Claims / SIU Specialists investigate ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
    Allied Universal (11/07/24)
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  • EEO Investigator Specialist

    City of New York (New York, NY)
    …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Employment Opportunity & Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex complaint investigations, as… more
    City of New York (10/28/24)
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  • Senior Risk Management Specialist

    UPMC (Pittsburgh, PA)
    …potential and current claims with relevant internal departments and UHCIP claims investigator and make appropriate recommendations to Director for approval ... is systematic management of potential as well as actual claims . Clinical data will by analyzed to determine areas...or denial of requests for reimbursement or adjustments of claims . + Identify educational needs of the institution and… more
    UPMC (11/02/24)
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  • Senior Investigator (Hybrid)

    CareFirst (Columbia, MD)
    **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator , Sr. is to assist in the reduction and recuperation of losses ... of financial business records, provider and subscriber medical data, claims , systems? reports, medical records, analysis of contract documents, provider/subscriber… more
    CareFirst (10/28/24)
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  • Sr Human Resources Investigator

    Kaleida Health (Buffalo, NY)
    …or violations of the company's policies including but not limited to claims of discrimination, harassment, bullying ,workplace violence, work performance concerns or ... Vision and Values of Kaleida Health. The Sr. HR Investigator will be responsible for reviewing complaints and planning,...Labor & Employment Counsel to investigate third party agency claims such as but not limited to EEOC, NYS… more
    Kaleida Health (10/20/24)
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  • Fire Investigator - Senior

    EFI Global (Denver, CO)
    …buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
    EFI Global (10/23/24)
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  • Fire Investigator -Senior

    EFI Global (Memphis, TN)
    …buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims . + Ensures that assigned cases are investigated and...ethical manner. + May provide investigative guidance to Fire Investigator team members. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
    EFI Global (10/17/24)
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  • Equal Employment Opportunity and Title IX…

    University of Rochester (Rochester, NY)
    GENERAL PURPOSE: The Equal Employment Opportunity and Title IX Investigator (EEO/Title IX Investigator ) serves as part of a team investigating and resolving ... and meet the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the basis for significant… more
    University of Rochester (09/21/24)
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  • Law Enforcement Investigator II

    MyFlorida (West Palm Beach, FL)
    LAW ENFORCEMENT INVESTIGATOR II - 41000796 Date: Oct 31, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 840410 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41000796 Pay Plan: Career Service Position Number: 41000796 Salary:… more
    MyFlorida (11/01/24)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot ... of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the...proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive… more
    State of Georgia (09/20/24)
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  • SIU Desk Investigator

    Travelers Insurance Company (Franklin, TN)
    …summarize and prioritize information to uncover potentially fraudulent activity. The investigator , supporting a Claim Center, will investigate claims deemed ... Services provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have… more
    Travelers Insurance Company (11/06/24)
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  • Senior Investigator

    Elevance Health (Columbus, GA)
    **Senior Investigator ( Investigator Sr)** _Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... recover, eliminate, and prevent unnecessary medical-expense spending. The **Senior Investigator ** is responsible for the independent identification, investigation and… more
    Elevance Health (10/27/24)
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  • Senior SIU Investigator - major case field…

    USAA (Orlando, FL)
    …of what makes us so special! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help protect USAA and our ... members from potential fraudulent claims by investigating complex fraud investigations with significant financial...state laws and regulations. + Must be a skilled investigator with experience taking sophisticated statements from multiple parties… more
    USAA (11/08/24)
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  • Mid-Level Field SIU Investigator

    USAA (Colorado Springs, CO)
    …a part of what makes us so special! **The Opportunity** As a dedicated SIU investigator , you will protect USAA and our members from potential fraudulent claims ... and investigation strategies on any questionable or suspect first or third part claims . + Participates in the development of fraud prevention strategies. + Applies… more
    USAA (11/05/24)
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