• Claims Investigator - Part-Time

    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 Universal (11/08/25)
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  • Claims Investigator

    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
    Allied Solutions (10/12/25)
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  • GYN Oncology, Regional Medical Scientific Director…

    Merck (Chicago, IL)
    …+ Upon request from Global Center for Scientific Affairs (GCSA), support company Investigator -Sponsored studies to enhance the understanding of the scientific ... scientific leaders, provide areas of interest and general high-level information regarding the company Investigator Study Program process. + Serve as a role… more
    Merck (11/08/25)
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  • Investigator A ( Claims )

    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
    NJ Transit (10/23/25)
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  • Claims Investigator - Part-time

    Command Investigations (Las Vegas, NV)
    Command Investigations, LLC is looking for Claims Investigator to become part of a dynamic team. This is a great opportunity for individuals with prior SIU ... however, we pride ourselves on distributing available cases fairly. Position(s) Available: Claims Investigator Our employees have opportunities to grow within a… more
    Command Investigations (11/18/25)
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  • Claims / Surveillance Hybrid…

    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
    Command Investigations (09/02/25)
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  • Claims Investigator

    Xcel Energy (Denver, CO)
    …Responsible to conduct professional investigations regarding public property and bodily injury claims where Company personnel and/or assets may be involved. They ... put your skills and talents to work at a company you can feel proud to be a part...Property and Bodily Injury Investigations - involve processing Public Claim Applications, gathering, and documenting facts, determining liability and/or… more
    Xcel Energy (11/12/25)
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  • Senior Claims Investigator

    Insight Global (Norfolk, VA)
    …Our client is seeking two contract-to-hire professionals to join their team as Claims Investigators / Process Specialists. These roles are pivotal in ensuring the ... accuracy and efficiency of claims processing. Key Responsibilities: -Develop Solutions: Create and implement...rate between $20-38/hr depending on experience We are a company committed to creating diverse and inclusive environments where… more
    Insight Global (11/14/25)
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  • SIU Investigator

    Allied Universal (Provo, UT)
    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 Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with… more
    Allied Universal (11/12/25)
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  • Fraud Investigator

    Blue KC (Kansas City, MO)
    …both the employee and employer contribute** **Annual incentive bonus plan based on company achievement of goals** **Time away from work including paid holidays, paid ... Summary:** As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud, waste, and abuse (FWA) and … more
    Blue KC (10/16/25)
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  • Surveillance Investigator

    Allied Universal (Stillwater, OK)
    ** 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
    Allied Universal (10/31/25)
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  • Surveillance Investigator

    Allied Universal (Lewiston, ME)
    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
    Allied Universal (11/15/25)
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  • Market Regulation Investigator - Insurance…

    Iowa Department of Administrative Services (Des Moines, IA)
    …regulatory agency. * Relevant professional certification(s) (eg, Certified Insurance Fraud Investigator (CIFI), * Fraud Claim Law Associate (FCLA), Senior ... Market Regulation Investigator - Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5138436) Apply  Market Regulation … more
    Iowa Department of Administrative Services (11/11/25)
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  • Clinical Investigator

    MVP Health Care (Rochester, 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
    MVP Health Care (09/20/25)
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  • Healthcare Fraud Investigator *Clinical

    Sanford Health (Fargo, ND)
    …investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred - ... Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and… more
    Sanford Health (09/10/25)
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  • Senior Fraud & Waste Investigator

    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
    Humana (10/10/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Atlanta, GA)
    **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
    Elevance Health (11/04/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbus, OH)
    …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
    AmeriHealth Caritas (10/22/25)
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  • Surveillance Investigator

    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
    The Robison Group (10/16/25)
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  • Investigator 1 - FWA Prepayment Review

    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
    Point32Health (10/31/25)
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