- Allied Universal (Richmond, VA)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....and make a difference. Enjoy comprehensive benefits for most full- time positions, including medical, dental, and vision coverage, life… more
- Allied Universal (Fredericksburg, VA)
- …perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....and make a difference. Enjoy comprehensive benefits for most full- time positions, including medical, dental, and vision coverage, life… more
- Elevance Health (Norfolk, VA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... ** Investigator II - Pharmacy** **Location:** This position will...to recover corporate and client funds paid on fraudulent claims . Ideal locations include Woodland Hills, CA; Atlanta, GA;… more
- Elevance Health (Richmond, VA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:**...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- Elevance Health (Norfolk, VA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... ** Investigator II** **Location:** This position will work on...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Elevance Health (Norfolk, VA)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... ** Investigator Assistant** **Supports the Payment Integrity line of...an impact:** + Collects, researches, and validates bills and claims data against relevant guidelines. + Assists in preparation… more
- The Robison Group (Fairfax, VA)
- …SIU work, Field Supervisor, Field Operations Manager, Case Management, etc. Department Surveillance Employment Type Part time Minimum Experience Experienced ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC… more