• Claims Investigator

    Command Investigations (Orlando, FL)
    …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, ... Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience… more
    Command Investigations (11/29/24)
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  • Claims Investigator

    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 ... 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 (11/06/24)
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  • Experienced Surveillance…

    Command Investigations (San Jose, CA)
    Seeking experienced Full-Time and Part-Time Private Investigators in the area to conduct SURVEILLANCE as it relates to the investigation of suspect insurance ... claims . We are seeking individuals who possess proven investigative...Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private … more
    Command Investigations (10/31/24)
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  • Experienced Surveillance…

    Command Investigations (Norwich, CT)
    $250 SIGN ON BONUS!! Seeking individuals for an Experienced level position as a Private Investigator in the area to conduct SURVEILLANCE as it relates to the ... investigation of suspect insurance claims . Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a...Must be eligible to be licensed as a Private Investigator in your state + Flexibility to work varied/irregular… more
    Command Investigations (11/28/24)
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  • Experienced Private Investigator

    The Robison Group (Memphis, TN)
    …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... POSITION QUALIFICATIONS: + Candidates MUST hold an active Tennessee Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative… more
    The Robison Group (10/14/24)
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  • EEO Investigator Specialist

    City of New York (New York, NY)
    …The Agency's Equal Employment Opportunity & Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex ... the City. We have an exciting opportunity for an experienced Attorney to be part of a team that...from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also… more
    City of New York (10/28/24)
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  • Fire Investigator

    EFI Global (Anchorage, AK)
    …in accordance with assignments from clients or assigned legal counsel.** Seeking an experienced **fire investigator ** with expertise in **origin and cause of ... and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of… more
    EFI Global (11/20/24)
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  • Nurse and CPC - Clinical Fraud Investigator

    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
    Elevance Health (10/01/24)
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  • Senior Investigator , Special…

    CVS Health (Columbus, OH)
    …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 (11/10/24)
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  • Part Time Private Investigator - Special…

    The Robison Group (Olympia, WA)
    …such as auto and property theft, fire damages, auto accidents, commercial claims , finding missing persons, courthouse searches, and other investigative tasks. This ... for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team of investigators and industry… more
    The Robison Group (11/27/24)
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  • Senior Healthcare Fraud Investigator (Aetna…

    CVS Health (Tallahassee, FL)
    …more personal, convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Researches and… more
    CVS Health (11/21/24)
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  • Senior Healthcare Fraud Investigator (Aetna…

    CVS Health (Hartford, CT)
    …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 (11/19/24)
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  • Tax Law Specialist (Spanish)

    Internal Revenue Service (Detroit, MI)
    …letters, memoranda, etc. related to Federal taxation. Analyzing and adjudicating tax claims , appeals, settlement offers, or similar work related to Federal tax ... interpreting laws and regulations. Work as an accountant, auditor, or investigator that required application of Federal tax accounting principles and/or the… more
    Internal Revenue Service (11/24/24)
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  • Billing Coordinator-Senior Accounts Receivable

    Mount Sinai Health System (New York, NY)
    **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
    Mount Sinai Health System (11/28/24)
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  • Billing Coordinator - Senior Accounts Receivable…

    Mount Sinai Health System (New York, NY)
    **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. Non-Bargaining Unit, 845 - Orthopaedics - ISM, Icahn School… more
    Mount Sinai Health System (09/17/24)
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  • Onsite Procedural Billing Specialist III…

    Mount Sinai Health System (New York, NY)
    …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator or Manager… more
    Mount Sinai Health System (09/10/24)
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  • Senior Billing Coordinator-Analyst-MSH-Adolescent…

    Mount Sinai Health System (New York, NY)
    …Center FT Days** The Senior Billing Coordinator and Analyst is an experienced billing and revenue-capture individual, responsible for multiple components of the ... proficient in these processes to ensure accurate and timely payment of claims and collection. This individual coordinates all activities related to analysis,… more
    Mount Sinai Health System (11/12/24)
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  • Procedural Billing Specialist I (Medical Office…

    Mount Sinai Health System (New York, NY)
    …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
    Mount Sinai Health System (11/14/24)
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  • FPA Coding & Reimbursement Analyst (CPC…

    Mount Sinai Health System (New York, NY)
    …in analysis and problem resolution, ensuring accurate and timely payment of claims and collection. Provides education and guidance on coding and claims ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems in a...and updates in regulations/ relevant items. + Mentors less experienced billing staff and assists Billing Manager/Revenue Cycle Manager… more
    Mount Sinai Health System (11/21/24)
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  • Billing Coordinator, Generalist, Senior…

    Mount Sinai Health System (New York, NY)
    …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a...Accounts Receivable and current billing concerns. 13. Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in… more
    Mount Sinai Health System (11/20/24)
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