• Claims Fraud

    Zurich NA (St. Paul, MN)
    Claims Fraud and Investigations Manager 117871 Zurich North America is seeking a Claims Fraud and Investigations Manager to support our ... role and can reside anywhere in the United States. The Claims Fraud and Investigations Manager is responsible for managing the daily activities of the … more
    Zurich NA (10/31/24)
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  • Clinical Provider Auditor I - SIU Fraud

    Elevance Health (Mendota Heights, MN)
    …for identifying issues and/or entities that may pose potential risks associated with fraud and abuse. **How you will make an impact:** + Examines claims ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
    Elevance Health (11/02/24)
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  • Sr. Workers Compensation Claim Representative

    Travelers Insurance Company (St. Paul, MN)
    …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... all offset opportunities, including apportionment, contribution and subrogation. + Evaluate claims for potential fraud . Proactively manage inventory with… more
    Travelers Insurance Company (09/22/24)
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  • Clinical Provider Auditor Senior

    Elevance Health (Mendota Heights, MN)
    …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
    Elevance Health (10/16/24)
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