- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's an opportunity to ... efficiency. How you will create an impact The Principal Claims Investigator is responsible for all aspects...covering all lines of business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims … more
- State of Georgia (Fulton County, GA)
- …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
- USAA (Atlanta, GA)
- …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
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The **Senior Investigator ** is responsible for the ... **Senior Investigator ( Investigator Sr)** _Location: This position...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Allied Universal (Woodstock, GA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The ** Investigator II** is responsible for the ... ** Investigator II** **Location:** This position will work a...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Elevance Health (Atlanta, GA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **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
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Investigator I** is responsible for investigating ... ** Investigator I** _Location: This position will work a...analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance… more
- The Robison Group (Atlanta, GA)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... to apply. POSITION QUALIFICATIONS: + A current and valid Georgia Private Investigator license is highly preferred. + Self-motivated, determined, and intuitive. +… more
- State of Georgia (Fulton County, GA)
- …CJCC is an equal opportunity employer. Description : Under limited supervision, the Claims Investigator is responsible for the accurate and timely processing of ... Claims Examiner Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/59413/other-jobs-matching/location-only) New… more
- State of Georgia (Fulton County, GA)
- …meeting the minimum qualifications, meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a ... typically includes a prosecutor, investigators, an auditor, a nurse investigator , and an intelligence analyst. Duties & Responsibilities +...with an accounting degree as well as auditing experience, medical claims and/or claims data.… more