- Allied Universal (Billings, MT)
- …programs, and exclusive perks. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigators validate the ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… 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...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- 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
- Allied Universal (Fredericksburg, VA)
- …perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- ICW Group (Sacramento, CA)
- …The purpose of this job is to detect, prevent, and investigate suspected fraudulent claims for all lines of insurance, with heavy emphasis on Workers' Compensation ... claims . This position exists in order to protect company...Locates, extracts, analyzes, and organizes critical data from multiple systems to prevent and detect fraud. + Ensures the… more
- CareFirst (Baltimore, MD)
- …of audits of financial business records, provider and subscriber medical data, claims , systems ? reports, medical records, analysis of contract documents, ... detailed offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems , medical… more
- Kemper (Los Angeles, CA)
- …to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance ... claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator will function as a remote investigator working… more
- Kemper (Miami, FL)
- …to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims ... to and accepted for investigation by the Special Investigative Unit. Our Special Investigator will function as a remote investigator working from her/his… more
- Allied Universal (Miami, FL)
- 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
- Allied Universal (Dothan, AL)
- 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
- 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
- Elevance Health (FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Henry Ford Health System (Detroit, MI)
- …Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess and identify ... and State regulatory and contractual requirements. The Principal Compliance Investigator is responsible for conducting compliance audits, reporting results,… more
- Elevance Health (Grand Prairie, TX)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator II** **Location** : This position will work...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- EFI Global (Las Cruces, NM)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large… 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
- EFI Global (Denver, CO)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- 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 ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...& Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex complaint… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Special Investigator (General) Office/On-site Recruitment # 241218-7804AR-001 Location Hartford, CT Date Opened 1/13/2025 12:00:00 AM Salary $72,758* - $91,881/year ... dedicated individual to join our team as a Special Investigator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=7804AR&R1=&R3=) . This position will support DMHAS' Tobacco… more