- Allied Universal (Lagrange, GA)
- …independently complete the 70-hour course necessary to receive a Private Investigator 's license prior to applying.** **RESPONSIBILITIES:** + Conduct independent ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Allied Universal (Billings, MT)
- …apply to this ad!** + **Private Investigator 's license** **required** ** prior to applying** **RESPONSIBILITIES:** + Investigate insurance claims for a ... exclusive perks. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims ...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- US Agency for International Development (Washington, DC)
- …least 21 years of age at the time of appointment. Applicants that have no prior series 1811 criminal investigator experience must meet the maximum age for entry ... and Millennium Challenge Corporation (MCC). Responsibilities As a GS-13 Criminal Investigator you will: Conduct complex and large-scale criminal, civil, and… more
- US Agency for International Development (Washington, DC)
- …least 21 years of age at the time of appointment. Applicants that have no prior series 1811 criminal investigator experience must meet the maximum age for entry ... consideration for vacancies, applicants must submit a complete application prior to the established cut-off date(s). Cut-off dates will...with 20 years of service as an 1811 criminal investigator . Hiring exceptions may be made for certain eligible… more
- Allied Solutions (Plano, TX)
- …This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will ... of insurance coverage to certain claim types prior to the assignment to a Claims ... claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond… 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
- Elevance Health (Indianapolis, IN)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... **Senior Investigator ( Investigator Sr)** _Location: This position will work...of proprietary data and claim systems for review of facility, professional… more
- Allied Universal (Corpus Christi, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- USAA (San Antonio, TX)
- …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
- Department of State - Agency Wide (Arlington, VA)
- …programs and operations, such as: procurement fraud, grant fraud, false claims , public corruption, conflicts of interest, trafficking in persons, and employee ... against the government, bribery, conflict of interest, improper and false claims , collusion, misuse of funds, conversion of government property, embezzlement,… more
- The Cigna Group (Bloomfield, CT)
- Join our Special Investigations Unit as a Fraud Investigator , supporting our US Commercial Healthcare Business, responsible for conducting and supporting audits and ... investigations of potentially fraudulent claim activity by providers. You will bring complex investigative...& critical thinking skills + Accredited Health Care Fraud Investigator (AHFI) certification and Certified Fraud Examiner (CFE) preferred… more
- State of Michigan (Detroit, MI)
- Civil Rights Investigator - Detroit Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4537640) Apply Civil Rights Investigator - Detroit ... and education, and community engagement. In this important role, an investigator is responsible for investigation and/or resolution of complaints of unlawful… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Labor Investigator Intake** **Job Class: Labor Investigator - Bilingual Skills Required** **Agency: Labor & Industry Dept** + **Job ID** : 81931 ... the Labor Standards Unit. The position conducts intake for claims for final wage and hour complaints and responds...+ illegal deductions This position will also assist Labor Investigator Seniors in their work of completing investigations by:… more
- Elevance Health (Los Angeles, CA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:**...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- US Secret Service (Washington, DC)
- …Applicants with veterans' preference must receive a conditional offer of employment prior to reaching age 40 to continue in the application process. Submit ... to a drug test prior to your appointment and random drug testing while...were taken on a pass/fail or similar basis, your claim must be based on class standing or membership… more
- US Secret Service (Washington, DC)
- …Applicants with veterans' preference must receive a conditional offer of employment prior to reaching age 40 to continue in the application process. Submit ... to a drug test prior to your appointment and random drug testing while...were taken on a pass/fail or similar basis, your claim must be based on class standing or membership… more
- USAA (San Antonio, TX)
- …sessions and case outcomes. **What sets you apart:** + 2+ years of SIU investigator experience. + Current or prior SIU leadership experience managing diverse ... Property & Casualty** , you will be responsible for operational management of Claims fraud investigative teams. Directs staff in the investigation of cases involving… more
- Mount Sinai Health System (New York, NY)
- …HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims to third party payers ... **Job Description** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East...and any other patient responsibility. This collection can be prior admission, during admission and/or after admission(bilingual preferred) +… 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 ... insurance verification, conducting and completing necessary third party (insurance) prior authorization requests, patient out of pocket estimates, patient… 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