• 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 ... 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 (10/30/24)
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  • Claims / SIU Investigator

    Allied Universal (Los Angeles, CA)
    …Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + ... programs, and exclusive perks. Allied Universal(R) is hiring a Claims / SIU Investigator . Claims ...that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must… more
    Allied Universal (11/07/24)
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  • Claims Investigator

    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
    Allied Solutions (10/14/24)
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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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  • Bilingual Labor Law Investigator

    Commonwealth of Pennsylvania (PA)
    Bilingual Labor Law Investigator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4701464) Apply  Bilingual Labor Law Investigator Salary ... of Labor & Industry is seeking a Labor Law Investigator to monitor and enforce Pennsylvania's laws that protect...technical investigative or construction and trades experience and an associate 's degree in a field related to investigative or… more
    Commonwealth of Pennsylvania (11/07/24)
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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 ... 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 (09/21/24)
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  • Senior Fraud Investigator

    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
    City of New York (10/28/24)
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  • Industrial Accidents Investigator

    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
    State of Massachusetts (10/09/24)
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  • Senior Fraud and Waste Investigator

    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
    Humana (11/07/24)
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  • Clinical Fraud Investigator II - SIU Fraud…

    Elevance Health (Woburn, MA)
    **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within ... **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
    Elevance Health (10/01/24)
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  • Investigator , Law

    City of Pittsburgh (Pittsburgh, PA)
    Investigator , Law Print (https://www.governmentjobs.com/careers/pittsburgh/jobs/newprint/4432809) Apply  Investigator , Law Salary See Position Description ... + EDUCATION/TRAINING : The application must clearly show a minimum of an Associate 's degree from a fully accredited institution in Human Resources, Administration of… more
    City of Pittsburgh (10/25/24)
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  • Environmental, Health and Safety…

    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
    City of New York (10/28/24)
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  • Research Associate I

    Montana State University (Bozeman, MT)
    …McPhee ###@montana.edu ### Classification Title Research Professional Working Title Research Associate I Brief Position Overview Research in the Pulse Crop Breeding ... routine of research trials including field and greenhouse experiments. The Research Associate will be expected to carry out research trials with some oversight… more
    Montana State University (08/20/24)
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  • Financial Authorization Associate

    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 (10/22/24)
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  • Research Associate III - Real-World…

    ThermoFisher Scientific (Frederick, MD)
    …(Mon-Fri) **Environmental Conditions** Office **Job Description** Position Overview: The Research Associate III will be contributing to the design of observational ... cross-sectional, and/or prospective studies for review by the Principal Investigator . + Co-authors project proposals and deliverables (defined above), ensuring… more
    ThermoFisher Scientific (10/19/24)
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  • Financial Authorization Associate I - CSM…

    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 (10/11/24)
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  • Open Rank Professor Series

    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
    University of Colorado (09/07/24)
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  • Supervisor VI -(CDM) Chargemaster/Projects…

    Mount Sinai Health System (New York, NY)
    …and troubleshoot root causes, if/when needed. + Assist with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make ... recommendations to Associate Director for...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (10/03/24)
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  • Vice Chair for Quality, Safety, and System…

    University of Pennsylvania (Philadelphia, PA)
    …School of Medicine at the University of Pennsylvania seeks candidates for an Associate or Full Professor position in either the non-tenure clinician educator track ... collaborative research, tenure track faculty focus primarily on independent, investigator driven research while clinician-educator track faculty focus primarily on… more
    University of Pennsylvania (11/01/24)
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  • Clinical Reimbursement Manager- Billing,…

    Mount Sinai Health System (New York, NY)
    …of the beneficiary, as coded and reported by the hospital on its claim , matches both the attending physician's description and the information contained in the ... regulatory requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (08/21/24)
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