- State of Indiana (Indianapolis, IN)
- Claims Investigator Date Posted: Nov 13, 2024 Requisition ID: 452302 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... that empower Hoosiers to thrive in a changing economy. Role Overview: A Claims Investigator ("CI") is part of the Adjudication Division within the Department of… more
- Elevance Health (Indianapolis, IN)
- ** Investigator Senior** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator Senior is responsible for the independent identification, investigation and… 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
- Elevance Health (Indianapolis, IN)
- **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
- CVS Health (Indianapolis, IN)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery… more