- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Special Investigations Unit is seeking a Sr. Manager to lead ... our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible...complex data to identify potential fraud schemes, and directs investigations to resolve issues effectively. This is a hybrid… more
- CVS Health (Hartford, CT)
- …Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... in identifying resources and best course of action on investigations - Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . **Pay Range** The typical pay range for this… more
- Elevance Health (Wallingford, CT)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- The Cigna Group (Bloomfield, CT)
- **POSITION SUMMARY** Join our Special Investigations Unit as a Fraud Investigator, supporting our US Commercial Healthcare Business, responsible for ... in fraud detection, investigation, claim auditing and other areas related to Special Investigations . + Prepare reports to expedite tracking and reporting of … more
- Travelers Insurance Company (Hartford, CT)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Travelers Insurance Company (Hartford, CT)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Travelers Insurance Company (Windsor, CT)
- …other internal and external customers/business partners. + Recognizes when to refer claims to Special Investigations Unit and/or Subrogation Unit . + ... Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Performs other duties as assigned. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be… more
- USAA (Springfield, MA)
- …and policy provisions. + Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable. + Maintains ... to how we treat each other. Come be a part of what makes us so special ! As a dedicated Sr. Field Auto Appraiser, you will within defined guidelines and framework… more