- 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...complex cases; + Testifies in court on cases involving support or claims for reimbursement and determines… more
- Elevance Health (Columbus, GA)
- …to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support ... ** Investigator Assistant** **_Location:_** _This position will work a...an impact:** + Collects, researches, and validates bills and claims data against relevant guidelines. + Assists in preparation… more
- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims organization. + Obtain and… more
- Saia, Inc (Houma, LA)
- …+ Investigates and assesses carrier liability for low-value cargo loss and damage claims according to company guidelines. + Reviews claim forms and documentation ... shipments requiring inspections and coordinates with external agencies. + Provides backup support to cargo claims associate staff. **Preferred Qualifications** +… 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 (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
- USAA (Chicago, IL)
- …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
- Baylor Scott & White Health (Dallas, TX)
- **Research Investigator (PhD)** **Dallas, TX** **M-F 8a- 5p** **GENERAL DESCRIPTION:** * Baylor Scott and White North Texas Region is looking for an early career PhD ... PACER Center - Patient and Community Engaged Research Center. * The Research Investigator independently leads and manages research efforts at Baylor Scott and White… 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 ... 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
- 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
- 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
- USAA (San Antonio, TX)
- …complex fraud cases and/or rings + Ability to use public record systems and/or claims databases to support investigations + Ability to work with minimal direct ... us so special! **The Opportunity** As a dedicated SIU investigator , you will protect USAA and our members from...will protect USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through Friday 8:00 ... direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste and...abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The… 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
- 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
- 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 ... The apprentice will work under the oversight of an Investigator II while investigating violations of the Workers' Compensation...Stop Work Orders to violators * Gathers evidence to support the issuance of a Stop Work Order *… 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 Minnesota (St. Paul, MN)
- **Working Title: Labor Investigator Intake** **Job Class: Labor Investigator - Bilingual Skills Required** **Agency: Labor & Industry Dept** + **Job ID** : 81931 ... to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. This position is designated… 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
- 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 ... inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding… more