• Claims Investigator

    Allied Solutions (Plano, TX)
    …This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will ... of insurance coverage to certain claim types prior to the assignment to a Claims ... claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond… more
    Allied Solutions (04/16/24)
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  • Deductions/ Claims Investigator

    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
    JBS USA (04/10/24)
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  • Surveillance Investigator

    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
    Allied Universal (04/25/24)
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  • Field Investigator (Full-Scope…

    NANA Regional Corporation (Washington, DC)
    …experienced professionals to join our team in Washington, DC, as a Field Investigator , working in support of a Law Enforcement Agency. The selected individuals will ... customer service and acting as a liaison to insurance companies claim services, claimants, policyholders, agents, counterparts in other departments, external legal… more
    NANA Regional Corporation (04/03/24)
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  • Harassment and Discrimination Investigator

    SUNY Geneseo (Geneseo, NY)
    Harassment and Discrimination Investigator & Compliance Officer Bookmark this Posting | Print Preview | Apply for this Job Please see Special Instructions for more ... Vacancy Announcement Position Information Campus Title Harassment and Discrimination Investigator & Compliance Officer Department Office of Diversity and Equity… more
    SUNY Geneseo (03/27/24)
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  • Civil Investigator (Healthcare Fraud…

    SGI Global, LLC (Raleigh, NC)
    SGI Global is seeking a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States ... Attorney's Office for the Eastern District of North Carolina. The investigator will be assigned cases and matters that vary in scope and complexity, but… more
    SGI Global, LLC (04/13/24)
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  • Field Investigator

    Commonwealth of Pennsylvania (PA)
    Field Investigator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4346185) Apply  Field Investigator Salary $19.94 - $29.76 Hourly ... your application today! DESCRIPTION OF WORK As a Field Investigator at Chester Downs Racetrack, your main role will...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
    Commonwealth of Pennsylvania (04/26/24)
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  • Law Enforcement Investigator II

    MyFlorida (Tallahassee, FL)
    LAW ENFORCEMENT INVESTIGATOR II - 41000785 Date: Apr 23, 2024 Location: TALLAHASSEE, FL, US, 32399 The State Personnel System is an E-Verify employer. For more ... 827926 Agency: Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41000785 Pay Plan: Career Service Position Number: 41000785 Salary:… more
    MyFlorida (04/24/24)
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  • Criminal Investigator

    Interior, Bureau of Indian Affairs (Albuquerque, NM)
    …Pueblos Agency in Albuquerque, New Mexico. This position serves as a Criminal Investigator and will perform the full range of in-depth investigative duties requiring ... for this position shall not exceed age 37, unless you have sufficient prior Federal civilian law enforcement [or firefighter, if applicable] experience or you are… more
    Interior, Bureau of Indian Affairs (04/25/24)
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  • Investigator OR Senior Investigator

    State of Minnesota (St. Paul, MN)
    **Working Title: Investigator OR Senior Investigator ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Who May Apply** ... criminal law + Auditing and accounting experience + Have an understanding of claims the processing operations, claims forms, edits and coding structures… more
    State of Minnesota (04/21/24)
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  • Investigator , Law

    City of Pittsburgh (Pittsburgh, PA)
    Investigator , Law Print (https://www.governmentjobs.com/careers/pittsburgh/jobs/newprint/4432809) Apply  Investigator , Law Salary See Position Description ... supplemental questions. + Applicants must become residents of the City of Pittsburgh prior to employment and remain a resident throughout employment. + Click here… more
    City of Pittsburgh (03/19/24)
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  • Criminal Investigator , GS-1811-13 MP

    National Science Foundation (IN)
    Summary This position is that of a Criminal Investigator in the Office of Investigations (OI), Office of Inspector General (OIG). The incumbent of this position is ... up to 50% to Antarctica. Responsibilities As a Criminal Investigator , you will perform the following duties: Plan, implement,...Selectee will be required to have a background investigation prior to onboarding. Selectee may be required to serve… more
    National Science Foundation (04/25/24)
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  • Clinical Fraud Investigator II

    Elevance Health (Las Vegas, NV)
    …for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare related ... check, or ask you for payment as part of consideration for employment. **Clinical Fraud Investigator II** + Job Family: FRD > Investigation + Type: Full time + Date… more
    Elevance Health (04/24/24)
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  • Insurance Investigator - Commerce Analyst…

    State of Minnesota (St. Paul, MN)
    **Working Title: Insurance Investigator - Health / Life** **Job Class: Commerce Analyst 1, Commerce Analyst 2, or Commerce Analyst 3** **Agency: Commerce ... a licensed insurance producer selling life insurance, annuities, or health insurance claims or appeals examiner or SIU. Applicants who meet the above experience… more
    State of Minnesota (04/21/24)
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  • Associate Investigator , FWA-SIU

    Commonwealth Care Alliance (Boston, MA)
    **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation ... + Utilize data mining and visualization programs to design queries and analyze claims data to detect outliers or suspicious patterns for further investigation. +… more
    Commonwealth Care Alliance (04/05/24)
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  • Industrial Injury Investigator - Safety…

    City and County of San Francisco (San Francisco, CA)
    …analyzes records of occupational injuries and illnesses and workers compensation claims data investigates and/or reviews investigation of occupational injuries and ... and injury/illness statistics, coordinates meetings , acts as liaison between the claims adjuster and department staff and performs other duties as assigned. You… more
    City and County of San Francisco (03/01/24)
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  • Open Rank Professor Series

    University of Colorado (Aurora, CO)
    …of an independent research career as a team scientist or as a principal investigator or continue to advance their own independent research agenda. In all cases, in ... with some exposure to clinical data; injury/mortality/morbidity data; administrative claims ; community epidemiologic data; multivariable models; repeated measures, and… more
    University of Colorado (04/17/24)
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  • Dispute Resolution Specialist, GS-0260-13

    Architect of the Capitol (Washington, DC)
    …Responsibilities Major duties for this position include: Equal Employment Opportunity Claims and Conciliation Program Management (50%) Performs a wide range of ... of nondiscrimination and affirmative employment. Serves as a counselor for claims processing. Provides guidance to employees, leadership, supervisors and managers on… more
    Architect of the Capitol (04/17/24)
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  • Clinical Research Coord III - GI Surgery

    University of Florida (Gainesville, FL)
    …providing research compliance and oversight related to all studies. Attend Investigator 's Meetings, as necessary. Must complete annual, bi-annual, and tri-annual ... so the facility will know the correct coding for claims . Create and submit Medicare billable studies to CMS...studies to CMS for approval after IRB approval and prior to patient enrollment. Provide an annual report to… more
    University of Florida (04/24/24)
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  • Associate Director, Patient Safety Scientist

    Bristol Myers Squibb (Madison, NJ)
    …of the strategy for signal evaluation (eg, case-series, literature review, HA/ claims database). Documents signal assessment in a Signal Report drafting a ... Medical teams for AIMS (Asset/Indication Medical Strategy), publications, and investigator sponsored research **Clinical Development & Post Marketing Product… more
    Bristol Myers Squibb (04/26/24)
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