- Allied Universal (Fargo, ND)
- …career with us and make a difference. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigator validate the ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....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...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...financial impact for cases worked in the case management system . + Assist GIS and local management as appropriate… 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...maintaining a calendar of upcoming events; maintaining a diary system . + Maintaining both paper and electronic claim… more
- Allied Universal (Ashland, VA)
- …difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Kemper (Doral, FL)
- …to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance ... claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator will function as a remote investigator working… more
- Allied Universal (Lincoln, NE)
- …activities and capabilities to assist with the administration of an Insurance claim . + **Private Investigator 's license** **required** **prior to applying** + ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- State of Colorado (Lakewood, CO)
- Criminal Investigator III - Lottery Divsion Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5150451) Apply Criminal Investigator III - ... logical security of the Lottery Division, including background checks, cybersecurity, system integrity and oversight of audits by outside vendors; oversees criminal… more
- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems , claims flow, adjudication process, system edits and display ... Medical Investigator role. + Subject matter expert in health systems operations including an understanding of reimbursement methodologies and coding conventions… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Elevance Health (Indianapolis, IN)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... recover, eliminate and prevent unnecessary medical-expense spending. **Title:** Sr Investigator **Locations:** Indianapolis, IN, Columbus, OH, Nashville, TN **Hybrid:**… more
- EFI Global (St. Paul, MN)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 865578 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001246 Pay Plan: Career Service Position Number: 41001246 Salary:… more
- UPMC (Pittsburgh, PA)
- …such as copiers, multi-line phone systems , fax machines and paging systems Preferred Qualification: + Experience in investigations, claims , medical coding, ... has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday...abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The… more
- USAA (Cheyenne, WY)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity...extract data for analysis from relevant data sources and systems . + Knowledge of city, state and local regulations,… more
- State of Michigan (Detroit, MI)
- Civil Rights Investigator - Detroit Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5142643) Apply Civil Rights Investigator - Detroit ... and education, and community engagement. In this important role, an investigator is responsible for investigation and/or resolution of complaints of unlawful… more
- Sanford Health (Fargo, ND)
- …Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and ... investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred -… more
- Idaho Division of Human Resources (Boise, ID)
- Criminal Investigator or Investigative Auditor, OAG, Criminal Law Division Posting Begin Date: 2025/10/22 Category: Criminology Sub Category: Investigative Work ... 49.06 Pay Rate Type: Hourly Description State of Idaho Opportunity Criminal Investigator or Investigative Auditor, Criminal Law Division, Office of the Attorney… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The Employee Relations Investigator reviews and investigates all assigned employee policy violations, complaints, concerns, ... disputes, claims of harassment, discrimination, and complaints of unfair treatment...with priority given to the most egregious allegations. The Investigator will have significant interaction with Human Resources, Operations… more