- Collectors Holdings, Inc. (Santa Ana, CA)
- …Hong Kong, Toronto, Guadalajara, Dallas, and Paris. We're looking for a Claims Investigator to join our Collectors Claimsteam, providing essential assistance ... their times of need. Our team's core responsibility revolves around efficiently handling claims for customers who may have encountered damage or loss of their items… more
- Amrize (Nashville, TN)
- … by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... parties, and negotiating claim resolution. In reaching resolution, the Claims Investigator will be responsible for reviewing repair quotes, identifying… more
- Allied Universal (Las Vegas, NV)
- …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Claims /SIU Investigator . Claims /SIU Specialists investigate claims ... that suggest fraudulent behavior In relation to an Insurance claim . The Claims /SIU Specialist must use...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Queens, NY)
- …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss ... **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
- 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
- NTT DATA North America (Boston, MA)
- …as part of an overall sourcing strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( "SIU ) REMOTE EAST COAST The ... Investigator will be assigned to conduct pre-payment reviews of medical records for healthcare claims in one or more of the following areas: (1) Partial… more
- Allied Universal (Crestview, FL)
- **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. 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 opportunities for claim … more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... 009. The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse &...only to hires new to the Colorado State Personnel System Sign-On bonuses will be paid based on the… more
- Molina Healthcare (Lexington, 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
- 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
- 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
- Elevance Health (Middletown, NY)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- EFI Global (Eden Prairie, 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
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... the country, with nearly 6,000 employees. DEP's water supply system is comprised of 19 reservoirs and 3 controlled...Opportunity & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant… more
- MyFlorida (Pensacola, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 79000075 Date: Sep 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 861023 Agency: Business and Professional Regulations Working Title: LAW ENFORCEMENT INVESTIGATOR II - 79000075 Pay Plan: Career Service Position Number: 79000075… 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
- Aramco Services Company (Houston, TX)
- …assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of moderate to high ... contract compliance, reviews of selected internal controls, reviews of IT systems , and audits of organizations. Audits may be organizational, functional, financial… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Labor Investigator Intake** **Job Class: Labor Investigator - Spanish Bilingual Skills Required** **Agency: Labor & Industry Dept** + **Job ID** ... the Labor Standards Unit. The position conducts intake for claims for final wage and hour complaints and responds...+ illegal deductions This position will also assist Labor Investigator Seniors in their work of completing investigations by:… more
- MyFlorida (Miami Beach, FL)
- MEDICAL MALPRACTICE INVESTIGATOR - 64000552 Date: Sep 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 860135 Agency: Department of Health Working Title: MEDICAL MALPRACTICE INVESTIGATOR - 64000552 Pay Plan: Career Service Position Number:...data bases; knowledge and use of the compliance management system and licensing system used by the… more
