- 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
- Allied Universal (Beckley, WV)
- …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss ... for Insurance claims through scene Investigations, claimant and witness Interviews, document...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Crossville, TN)
- …jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- State of Indiana (Fort Wayne, IN)
- Claims Investigator Date Posted: Apr 26, 2024 Requisition ID: 442419 Location: Fort Wayne, IN, US, 46805 Work for Indiana Begin a fulfilling career with the ... hears and defend determinations. + Receive, investigate, and correct system error list related to wage reporting, claim...(3) years of comparable experience. + Successfully completed the Claims Investigator Trainee Program. + The ability… more
- Xcel Energy (Denver, CO)
- …utility and claims -related exp., including 3 years gas/electric Utility Claims Investigator exp. or equivalent. - Advanced knowledge of applicable ... public claimants and that payment is received for damage claims , and pursue delinquent damage claim accounts....- Ability to maintain confidentiality. - Knowledge of applicable systems (eg, Broadspire, REA, OMS, CRS, WEBI, etc.). -… more
- The Hartford (NJ)
- …referred by the claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU involvement. + The investigator ... SIU Investigator - CF08BE We're determined to make a...General Liability lines-of-business. SIU Investigators work in partnership with claim handlers across all lines of business to investigate… more
- Elevance Health (Columbus, OH)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... **Senior Investigator ( Investigator Sr)** _Location: This position...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- State of Colorado (Denver, CO)
- Labor Law - Compliance Investigator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4496216) Apply Labor Law - Compliance Investigator ... thorough as possible in documenting your education and work history in the application system . Attachments will not be accepted or considered during any phase of the… more
- Elevance Health (Columbus, OH)
- …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 . **How will you make an impact:** + … more
- Molina Healthcare (Omaha, NE)
- **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
- Allied Universal (Coventry, RI)
- …Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding ... and investigation jobs! Allied Universal(R) is hiring a Surveillance Investigator . Surveillance Investigators perform discreet mobile and stationary surveillance of… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Maine Human Rights Investigator - Repost Augusta, ME 04330 | Legal | Full-time Apply by: May 23, 2024 Apply with Linkedin Apply Opening Date: May 9, 2024 Closing ... determine if there are sufficient facts to state a claim . + Develops an appropriate investigative case plan to...with parties and attorneys representing the parties. + Writes Investigator 's Reports applying the appropriate law (Maine Human Rights… more
- Elevance Health (Chicago, IL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator II** **Location** : This position will work...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Elevance Health (West Des Moines, IA)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator II** **Schedule** : 1-2 days per week...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- EFI Global (Edina, MN)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... requirements for consideration.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss,… more
- State of Massachusetts (MA)
- …Unemployment Assistance related to fraudulent activities by reviewing and investigating UI claim data and UI system transactions using pattern recognition ... data patterns and documents pertinent information concerning any potentially fraudulently claim activities or other alleged violations of laws, rules, and… more
- System One (Baltimore, MD)
- …Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems , medical policies, job duties ... ALTA IT is hiring an Associate Investigator to support a leading health insurance customer....if an individual has committed fraud for the investigators. System One, and its subsidiaries including Joule, ALTA IT… more
- State of Nevada (NV)
- COMPLIANCE/AUDIT INVESTIGATOR 3 APPROXIMATE ANNUAL SALARY - $58,025.52 to $86,150.88 PAY GRADE: 35 For more information on benefit and retirement programs, please ... provide work direction and training to others. The incumbent is a Compliance/Audit Investigator III in the Insurer/TPA Compliance Unit and serves as the lead worker… more
- BAE Systems (Falls Church, VA)
- …to Have: o Fluent in Spanish o Experience working on EEO claims /matters o Experience drafting position statements **Pay Information** Full-Time Salary Range: $113080 ... qualifications, such as skills, education, and experience. Employee Benefits: At BAE Systems , we support our employees in all aspects of their life, including… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …case files. + Experience with relevant technology, such as background check systems , claims processing platforms, data mining and fraud detection software. ... . As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud, waste,… more