- Allied Universal (Crossville, TN)
- …investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit / Claims Investigator . Special Investigations Unit (SIU) Specialists investigate ... Universal(R) Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company , provides… more
- Allied Universal (Charleston, WV)
- …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss ... Universal(R) Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company , provides… 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...database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases… more
- JBS USA (Greeley, CO)
- **Deductions/ Claims Investigator ** **Purpose and Scope/General Summary:** We are looking for a Deductions/ Claims Investigator for our Fed Beef division. ... This role will sit at our Corporate office in Greeley, CO. The Deductions/ Claims Investigator responds to notifications of discrepancies that may be reported by… 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 ... and correct system error list related to wage reporting, claim computation, and payment of benefits. The job description...(3) years of comparable experience. + Successfully completed the Claims Investigator Trainee Program. + The ability… more
- The Hartford (NJ)
- …timely, efficient and impartial investigations to support the accurate resolution of insurance claims by the Company . Key responsibilities of the role include: + ... claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU involvement....group benefit claims . + Provide support to claims partners and other departments within the Company… more
- National General Insurance Company (Uniondale, NY)
- ** This role is a field Investigator role where the investigator would travel within a territory of Essex county, Union County and Bergen county, NJ AND the 5 ... The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job Summary:...conflicts or issues + Summarizes documents and enters into claim system notes, documenting a claim file… more
- Elevance Health (Iselin, NJ)
- …on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, interviewing, law enforcement ... for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type:...referral, and use of proprietary data and claim systems for review of facility, professional and… more
- Elevance Health (Columbus, OH)
- …paid on fraudulent claims . **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... you for payment as part of consideration for employment. ** Investigator Senior** + Job Family: FRD > Investigation +...of proprietary data and claim systems for review of… more
- Elevance Health (Columbus, OH)
- …and claim systems for review of facility and professional claims . + Responsible for independently identifying and developing enterprise-wide specific healthcare ... check, or ask you for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr… more
- Elevance Health (Norfolk, VA)
- …on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, interviewing, law enforcement ... you for payment as part of consideration for employment. ** Investigator II** + Job Family: FRD > Investigation +...referral, and use of proprietary data and claim systems for review of facility, professional and… more
- Allied Universal (Coventry, RI)
- …Universal(R) Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company , provides ... and vision coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time compliance and investigation… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator I** + Job Family: FRD > Investigation + Type: Full time + Date Posted:Apr ... ATLANTA + OH, COLUMBUS + OH, COLUMBUS + TN, NASHVILLE **Description** **JR111671 Investigator l** **Location** : This position will work a hybrid model (remote and… more
- NANA Regional Corporation (Washington, DC)
- **Overview** **Work Where it Matters** SAVA, an Akima company , is not just another global services contractor. As an Alaska Native Corporation (ANC), our mission and ... join our team in Washington, DC, as a Field Investigator , working in support of a Law Enforcement Agency....service and acting as a liaison to insurance companies claim services, claimants, policyholders, agents, counterparts in other departments,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud, waste, ... miles north of Seattle, Washington.** **What you'll do:** + Analyze healthcare claim data and vet referrals to detect fraudulent activity and independently determine… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date ... North Carolina, Winston + District of Columbia, Washington **Description** ** Investigator Assistant** **Supports the Payment Integrity line of business** _Location:… more
- Elevance Health (Las Vegas, NV)
- …check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraid Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Abbott (Abbott Park, IL)
- …Our 114,000 colleagues serve people in more than 160 countries. **CAPA Investigator ** **About Abbott** Abbott is a global healthcare leader, creating breakthrough ... have access to: + Career development with an international company where you can grow the career you dream...disorders to infectious diseases and cancers. As the **CAPA Investigator ** , you'll investigate quality issues to root cause,… more
- AmeriHealth Caritas (Washington, DC)
- **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will work ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported,… more
- The Robison Group (Missoula, MT)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... QUALIFICATIONS: + Candidates MUST hold a current and valid Montana Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative and… more