- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking experienced investigator with multi-lines investigations to include AOE/COE, General Liability, and Auto, with Homeowner's highly ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Command Investigations (Santa Cruz, CA)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and… more
- Kemper (Cerritos, 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
- Allied Universal (Bakersfield, CA)
- …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....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… 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 (Sacramento, CA)
- …buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims . + Ensures that assigned cases are investigated and...ethical manner. + May provide investigative guidance to Fire Investigator team members. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Command Investigations (San Jose, CA)
- …to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims . We are seeking individuals who possess proven investigative skill sets within ... Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private ...Investigator + Must be licensed as a Private Investigator in your state (if required) + Flexibility to… 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...combination of education and experience. **CERTIFICATES, LICENSES, REGISTRATIONS** Private Investigator 's License, fraud related certificates (CFE, CIFI) recommended but… more
- Elevance Health (Los Angeles, CA)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... **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
- EFI Global (Sacramento, CA)
- …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the insurance industry and law enforcement/fire service personnel.** **Investigates losses/ claims with illegal, fraudulent or subrogation aspects in accordance with… more
- Allied Universal (Monterey Park, CA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... and exclusive perks. Allied Universal(R) is hiring a Surveillance Investigator . Surveillance Investigators perform discreet mobile and stationary surveillance of… more
- CVS Health (Sacramento, CA)
- …more personal, convenient and affordable. **Position Summary** + As a Senior Investigator you will conduct high level, complex investigations of known or suspected ... or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares… more
- Command Investigations (San Jose, CA)
- …SURVEILLANCE as it relates to the investigation of suspect insurance claims . Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a calm ... . Requirements: + Must be eligible to be licensed as a Private Investigator in your state + Flexibility to work varied/irregular hours and days including… more
- American Family Insurance - Corporate (Sacramento, CA)
- …low to moderately complex insurance fraud activity involving multi-line claims , develop meaningful industry social network and assist special investigations ... role. + 2+ years of experience in auto clams + 2+ years of experience in property claims We encourage you to apply even if you do not meet all of the requirements… more
- Merck (Sacramento, CA)
- …external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs provide to ... interest to the company. The RMSD provides research support to our Investigator -Sponsored and Company-Sponsored Trials to enhance the understanding of the scientific… more
- J&J Family of Companies (Irvine, CA)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work ... well as support product development, pre- and post-approval clinical studies, downstream claims , safety assessments, and product launch and training. + Lead the… more
- Merck (Sacramento, CA)
- …and goals for approved, in-development, and active Company-sponsored trials and/or investigator -sponsored research studies. The RMSD serves as a role model for ... in the company's areas of interest Scientific exchange does not include promotional claims about any drug, vaccine, or biologic product. RMSDs have no sales… more
- Sharp HealthCare (San Diego, CA)
- …Requirements** + Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) Certification - Preferred **Essential Functions** + Intake, Triage ... all gathered information to identify fraudulent patterns and substantiate claims .Ensures thorough documentation of investigative processes and findings to support… more
- Humana (Sacramento, CA)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting day 1 of employment +… more
- Stanford University (Stanford, CA)
- …will work with minimal supervision under the direction of the project Principal Investigator . We are looking for candidates highly proficient in SAS and SQL with ... in the VA Corporate Data Warehouse is a plus. + Prior experience with medical claims and billing data is a plus. + Prior experience working with health care… more