- Usaa (Los Angeles, CA)
- …us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a Field position . Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity...County, California . This being a Field position a company car is provided and there is regular business… more
- Allied Universal (Cape Coral, FL)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases… more
- State of Indiana (Indianapolis, IN)
- Claims Investigator Date Posted: Dec 12, 2025 Requisition ID: 469549 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... Role Overview : The primary job responsibilities of a Claims Investigator are to investigate unemployment issues....and correct system error list related to wage reporting, claim computation, and payment of benefits. The job description… more
- NJ Transit (Newark, NJ)
- Investigator A ( Claims ) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... public agencies. + Carrying out negotiations in adjusting of claims and entering of settlements with attorneys. + Obtaining...a diary system. + Maintaining both paper and electronic claim files. + Attending trials as liaison between defense… more
- Command Investigations (TN)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the...skills. Job Requirements: + Able to obtain a Private Investigator license. + Possession of a high school diploma… more
- Commonwealth of Pennsylvania (PA)
- …Insurance Investigator 2 position. Investigating consumer complaints to determine company and producer compliance with existing statutes and regulations, as well ... Administration);or + Seven years of experience as an insurance investigator , underwriter, agent, broker or claims adjuster....attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Allied Universal (Crossville, TN)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... difference. Allied Universal(R) is hiring a SIU / Surveillance Investigator . SIU / Surveillance Specialists investigate claims ...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Kemper (Doral, FL)
- … investigator must possess oral and written communications skills and promote a favorable company image to the public. + Fraud Claims Law Specialist (FCLS) or ... that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations...conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the… more
- Allied Universal (Monroe, LA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... activities and capabilities to assist with the administration of an Insurance claim . + **Private Investigator 's license** **required** **prior to applying.** +… more
- Commonwealth of Pennsylvania (PA)
- Bilingual Labor Law Investigator (Labor Law Investigator ) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5171179) Apply Bilingual Labor ... Law Investigator (Labor Law Investigator ) Salary $51,971.00 - $79,062.00 Annually Location *Home Headquartered, PA Job Type Non-Civil Service Permanent Full-time… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
- USAA (Los Angeles, CA)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a Field position** . Within defined guidelines and ... framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity...County, California** **.** This being a Field position a company car is provided and there is regular business… more
- Centene Corporation (Frankfort, KY)
- …teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions ... best practice and quality standards. + Applies a comprehensive knowledge of claims processing, provider customer service and payment knowledge to escalated provider… more
- Humana (Oklahoma City, OK)
- …first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- Elevance Health (Seattle, WA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Humana (Santa Fe, NM)
- …help us put health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do you enjoy ... an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law enforcement authorities. Assembles evidence and… more
- AmeriHealth Caritas (Columbia, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... Proactively performs research using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as part of the… more
- The Robison Group (Albany, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... Candidates must be willing and able to obtain a New York Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative and work… more
- Point32Health (Canton, MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Investigator I is an essential team member of the Special Investigation Unit ... ("FWA") investigations under the direction of the Manager, FWA Prepayment Review. The Investigator I works closely with other members of the SIU to set investigative… more
