- Allied Universal (Beckley, WV)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss ... Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Allied Universal (Tampa, FL)
- …Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims...Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… 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...assigned + Obtain adjuster licenses as needed Qualifications: + Associate college degree required except in the following circumstances:… more
- Saia, Inc (Houma, LA)
- …and coordinates with external agencies. + Provides backup support to cargo claims associate staff. **Preferred Qualifications** + High school diploma or ... + Investigates and assesses carrier liability for low-value cargo loss and damage claims according to company guidelines. + Reviews claim forms and documentation… more
- Commonwealth of Pennsylvania (PA)
- …injury claims and their estates by collecting and analyzing claim , asset and expenditure information, and by researching, interpreting and analyzing Public ... injury claims AND their estates by collecting and analyzing claim , asset and expenditure information, and by researching, interpreting and analyzing Public… more
- CareFirst (Baltimore, 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
- San Jose State University (San Jose, CA)
- … Investigator Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=544207&lJobSourceTypeID=837&sLanguage=en-us) Job no: 544207 ... MPP, At-Will, Compliance/Legal, Full Time Job Summary The Civil Rights Investigator is responsible for conducting investigations pertaining to protected status… more
- 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 ... the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the...for Equity and Inclusion and Chief Diversity Officer and Associate VP for Equity & Inclusion and Sr. … more
- 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 ... the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the...for Equity and Inclusion and Chief Diversity Officer and Associate VP for Equity & Inclusion and Sr. … more
- City of New York (New York, NY)
- …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send ... Job Description Claims and Collections pursues monetary recoveries owed to...nature involving public or private funds; or 2. An associate degree or 60 semester credits from an accredited… more
- State of Massachusetts (Boston, MA)
- …of employers to certain workers' compensation insurance costs. The Apprentice Investigator position is a training level classification that involves a combination ... field experience. The apprentice will work under the oversight of an Investigator II while investigating violations of the Workers' Compensation laws. Thisposition… more
- Humana (Indianapolis, IN)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas + Adequately staff and manage the program integrity … more
- Elevance Health (Los Angeles, CA)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Centene Corporation (Austin, TX)
- …Purpose:** Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited ... overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services… more
- City of New York (New York, NY)
- …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
- CVS Health (Columbus, OH)
- …convenient and affordable. Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue the prevention, investigation ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- Mount Sinai Health System (New York, NY)
- …medicine. Healing made personal. **_Roles & Responsibilities:_** The Financial Authorization Associate I is responsible for the admitting and financial aspects of ... through the MSH Admitting and Throughput department. The Financial Authorization Associate I validates or obtains insurance benefits for patients, determines patient… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Financial Authorization Associate I for the Radiation Oncology Department verifies or obtains insurance benefits for patients, determines ... forms and agreements and ensures they are accurate for claims processing. 8. Performs other related duties. **About Us**...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …in financial clearance issues which might delay their treatment start date. + Submit claims with attachments and required claim forms when required, to Co-pay ... staff, coding staff and billing assistants. **Qualifications** + High School Diploma ? Associate Degree or higher preferred + Minimum Related Experience + 3+ years… more
- University of Colorado (Aurora, CO)
- …of an independent research career as a team scientist or as a principal investigator or continue to advance their own independent research agenda. In all cases, in ... with some exposure to clinical data; injury/mortality/morbidity data; administrative claims ; community epidemiologic data; multivariable models; repeated measures, and… more