• Claims / Surveillance Investigator

    Allied Universal (Charleston, WV)
    …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... in our communities and customers we serve. We offer medical , dental and vision coverage, life insurance, retirement plan,...Insurance claims through scene Investigations, claimant and witness Interviews, document… more
    Allied Universal (06/14/24)
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  • Paralegal Claims Investigator

    City of Norfolk, Virginia (Norfolk, VA)
    Paralegal Claims Investigator Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/4519534) Apply  Paralegal Claims Investigator Salary ... City and related entities, and their employees. The Paralegal Claims Investigator 's role involves assistance in pre-litigation...or suits against the City; evaluation and analysis of medical records related to personal injury claims ;… more
    City of Norfolk, Virginia (05/28/24)
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  • SIU / Claims Investigator

    Allied Universal (Pittsburgh, PA)
    …jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... in our communities and customers we serve. We offer medical , dental and vision coverage, life insurance, retirement plan,...policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for… more
    Allied Universal (06/06/24)
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  • Claims /WC Investigator - Remote

    Command Investigations (Orlando, FL)
    …for hire. Visit our website and find out why at www.GoCommand.com. The Claims /Field Investigator should demonstrate proficiency in the following areas: + Writing ... Degree in Criminal Justice or similar + Bilingual candidates Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Dynamic and fast paced work… more
    Command Investigations (06/01/24)
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  • Claims /Field Investigator

    Command Investigations (Foxborough, MA)
    …for hire. Visit our website and find out why at www.GoCommand.com. The Claims /Field Investigator should demonstrate proficiency in the following areas: + ... in Criminal Justice or similar + Bilingual candidates Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
    Command Investigations (04/04/24)
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  • Claims /Field Investigator

    Command Investigations (Buffalo, NY)
    …is a W-2 role; subcontractors will not be considered. The SIU/Insurance Investigator should demonstrate proficiency in the following areas: + P&C investigations + ... to include Microsoft Word and Microsoft Outlook email Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
    Command Investigations (04/04/24)
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  • Special Investigations Unit Field…

    The Hartford (Chicago, IL)
    SIU Investigator - CF08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This...the state of Illinois, Wisconsin, Minnesota, and, at times, claims in Michigan, Indiana, and Iowa. The ideal candidate… more
    The Hartford (06/08/24)
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  • Investigator 2

    Iowa Department of Administrative Services (Des Moines, IA)
    Investigator 2 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4541853) Apply  Investigator 2 Salary $50,252.80 - $76,336.00 Annually Location ... Iowa Workforce Development (IWD) is seeking a new team member for the role of Investigator 2 in the Unemployment Integrity Bureau. As an Investigator 2 the… more
    Iowa Department of Administrative Services (06/12/24)
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  • FWA Investigator Coder Sr. Associate…

    Commonwealth Care Alliance (Boston, MA)
    …reports. **What You'll Be Doing:** **Essential Duties & Responsibilities:** + Conduct prospective medical record review of claims as part of a prepayment review ... Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr. Associate is an integral part of...recommendations. + Review and analyze internal and external referrals, claims and associated medical records to identify… more
    Commonwealth Care Alliance (05/15/24)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
    State of Georgia (03/22/24)
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  • Labor Law: Compliance Investigator Intern

    State of Colorado (Denver, CO)
    Labor Law: Compliance Investigator Intern Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4538708) Apply  Labor Law: Compliance Investigator ... Contribution Plan (https://www.copera.org/) plus 401(k) and 457 plans + Medical and dental health plans (https://www.colorado.gov/pacific/dhr/benefits) + Employer supplemented… more
    State of Colorado (06/12/24)
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  • Medical Malpractice Investigator

    MyFlorida (Alachua, FL)
    MEDICAL MALPRACTICE INVESTIGATOR - 64003801 Date: May 23, 2024 Location: ALACHUA, FL, US, 32615 GAINESVILLE, FL, US, 32307 GAINESVILLE, FL, US, 32601 ... . Requisition No: 820170 Agency: Department of Health Working Title: MEDICAL MALPRACTICE INVESTIGATOR - 64003801 Pay Plan: Career Service… more
    MyFlorida (06/17/24)
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  • SIU Investigator mid-level - desk - San…

    USAA (Phoenix, AZ)
    …a part of what makes us so special! **The Opportunity** As a dedicated SIU investigator , you will protect USAA and our members from potential fraudulent claims ... on any questionable or suspect first or third part claims . + Participates in the development of fraud prevention...local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology. **What sets… more
    USAA (06/13/24)
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  • Senior Investigator

    Elevance Health (Middletown, NY)
    …Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical -expense spending. The **Senior Investigator ** is responsible for the ... **Senior Investigator ( Investigator Sr)** _Location: This position...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
    Elevance Health (06/13/24)
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  • Fraud Investigator

    Independent Health (Buffalo, NY)
    …investigation experience involving economic or insurance-related matters; or an authorized medical professional to evaluate medical -related claims . + ... Experience with medical insurance claims and medical record reviews/audits using standard coding (HCPC, CPT, ICD-9, ICD-10) required. Experience in a managed… more
    Independent Health (05/15/24)
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  • SIU Field Investigator I, II, or Sr.

    National General Insurance Company (TX)
    National General is seeking an SIU Field Investigator for the San Antonio, or Austin, TX area. The ideal candidate will have previous experience as an SIU ... Investigator within an Insurance carrier. JOB SUMMARYThis job is...responsible for investigating and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation… more
    National General Insurance Company (06/04/24)
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  • Investigator (O-5 Billet) Non-Supervisory

    Immigration and Customs Enforcement (IN)
    …Office of the Chief of Staff. The incumbent serves as an entry-level investigator in the IHSC Investigations Unit (IIU). This is a non-supervisory position. This ... not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: As an Investigator , the incumbent will perform, but not limited to, the following… more
    Immigration and Customs Enforcement (05/30/24)
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  • Criminal Investigator (Open Continuous)

    US Agency for International Development (Washington, DC)
    …and Millennium Challenge Corporation (MCC). Responsibilities As a GS-13 Criminal Investigator you will: Conduct complex and large-scale criminal, civil, and ... Applicants may make changes to applications to ensure experience is current. MEDICAL REQUIREMENTS: The duties of this position require moderate to arduous physical… more
    US Agency for International Development (05/25/24)
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  • SIU Fraud Investigator - LTC Insurance

    LTCG (MN)
    …of its customers. With illumifin, there's a brighter future A SIU/Fraud Investigator is responsible for working with multiple business units on coordination, ... fraud, waste, and abuse from both auto-detection programs and from claims organization, as assigned * Coordinates and performs investigations with oversight… more
    LTCG (05/25/24)
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  • Supervisory Criminal Investigator (SAC)

    US Agency for International Development (Washington, DC)
    …duties typical of a supervisor. Requirements Conditions of Employment Qualifications MEDICAL REQUIREMENTS: The duties of this position require moderate to arduous ... at the time of appointment. Applicants that have no prior series 1811 criminal investigator experience must meet the maximum age for entry into a covered position… more
    US Agency for International Development (06/11/24)
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