- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + W/C and P&C… more
- Command Investigations (Cleveland, OH)
- Seeking experienced Full-Time to Part-Time Private Investigators to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims . We are ... Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private ...Investigator + Must be licensed as a Private Investigator in your state (if required) + Flexibility to… more
- Command Investigations (San Jose, CA)
- …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 (TN)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... what's possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience,… more
- 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
- Command Investigations (Baltimore, MD)
- Seeking experienced Claims /SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... Visit our website and find out why at www.GoCommand.com. The SIU/WC Investigator should demonstrate proficiency in the following areas: + Multi-lines Investigations… more
- Command Investigations (Detroit, MI)
- …Candidates may have an advantage where they possess: MACP experience A djuster/PIP claims experience Prior experience as a private investigator Prior law ... SuperiorX Investigations (Command Investigations) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP … more
- State of Colorado (Denver, CO)
- …in Executive Order D 2025 009. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ... Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator … more
- NTT DATA North America (Boston, MA)
- …Medical Equipment. The Investigator will work under the direction of an experienced pre-payment review investigator and work closely with other members of ... overall sourcing strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( "SIU...to conduct pre-payment reviews of medical records for healthcare claims in one or more of the following areas:… more
- Elevance Health (Richmond, VA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- CVS Health (Charleston, WV)
- …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** 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
- The Robison Group (Oklahoma City, OK)
- …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
- 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 (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. + Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in… more
- 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 ... of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems in a health care or… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... steps to view correspondence, and we will not consider claims of missing notice to be a valid reason...who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... steps to view correspondence, and we will not consider claims of missing notice to be a valid reason...who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified… more
- Mount Sinai Health System (New York, NY)
- …the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare standard monthly reporting for the AVP. + ... Responsible for credit balance resolution. + Collects, reviews and investigates unpaid claims internally and with established payers + May work with various Team… more