- 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 ... empathy and efficiency. How you will create an impact The Principal Claims Investigator is responsible for all aspects of the investigation process to include… 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) Financial… 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
- Allied Universal (Atlanta, GA)
- 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
- Elevance Health (Atlanta, GA)
- ** Investigator II** **Supporting the Payment Integrity line of business** _Location: Location: This position will work a hybrid model (remote and office)._ ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** is responsible for the identification, investigation and development… more
- Elevance Health (Atlanta, GA)
- **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
- 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
- CVS Health (Atlanta, GA)
- …care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or ... or intricate healthcare fraud schemes - Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business - Researches and prepares… more
- CVS Health (Atlanta, GA)
- …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
- State of Georgia (Fulton County, GA)
- …team, which typically includes a prosecutor, investigators, an auditor, a nurse investigator , and an intelligence analyst. Duties & Responsibilities + Obtains and ... meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a CFE (Certified Fraud Examiner).… more
- State of Georgia (Dekalb County, GA)
- …also include maintaining compliance with EEO, GCEO, ADA, investigating claims , developing processes. Primary Duties & Responsibilities: + Review/Investigate employee ... duties may include serving as the agency Sexual Harassment Investigator and/or Sexual Harassment Coordinator. Upon hire, the employee...years of experience handling Title VII, ADA, and EEO claims + 3 or more years of professional level… more