- Xcel Energy (Denver, CO)
- …to conduct professional investigations regarding public property and bodily injury claims where Company personnel and/or assets may be involved. They develop ... major incidents on behalf of the Legal Department. Investigators provide litigation support and training on risk mitigation processes to assigned business areas, as… more
- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims organization. + Obtain and… more
- State of Montana (Helena, MT)
- …reasoning, and adherence to procedural and legal standards. *Essential Functions:* The Claims Investigator , will: * Prevent and detect improper benefit payments: ... accommodation with the application process, please contact the HR office. **Title:** * Claims Investigator * **Location:** *Helena* **Requisition ID:** *25142682* more
- 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
- Commonwealth of Pennsylvania (PA)
- Professional Conduct Investigator Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5133028) Apply Professional Conduct ... opportunities in your investigative career? Apply for this Professional Conduct Investigator Supervisor position with the Bureau of Enforcement and Investigation's… more
- Merck (Chicago, IL)
- …the company. The Oncology Regional Medical Scientific Director provides research support to our companies Investigator -Sponsored and Company-Sponsored Trials to ... study, support patient enrollment and retention efforts or address investigator questions. + May initiate discussion with potential investigators to determine… more
- 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... All Levels + Must meet the NYS DFS's and the NYS OMIG's minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified… more
- State of Georgia (Fulton County, GA)
- Nurse Investigator Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64040/other-jobs-matching/location-only) Hot ... of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the...proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive… more
- 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
- State of Michigan (Detroit, MI)
- Civil Rights Investigator - Detroit Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5142643) Apply Civil Rights Investigator - Detroit ... and education, and community engagement. In this important role, an investigator is responsible for investigation and/or resolution of complaints of unlawful… more
- USAA (Omaha, NE)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance… more
- 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
- MyFlorida (Fort Myers, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 79000809 Date: Nov 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865420 Agency: Business and Professional Regulations Working Title: LAW ENFORCEMENT INVESTIGATOR II - 79000809 Pay Plan: Career Service Position Number: 79000809… more
- 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
- 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 ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- City of Toledo (Toledo, OH)
- Tax Investigator Print (https://www.governmentjobs.com/careers/toledooh/jobs/newprint/4507812) Apply Tax Investigator Salary $62,185.76 - $65,459.68 Annually ... + Formulates and implements policies, procedures and/or programs. + Investigates claims and inquiries specific to Taxation. + Provides instructions and consultation… more
- 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
- Manulife (Workman, MN)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... + Acquires and reviews internal / external documents to support investigative activity and findings + Conducts interviews of...and trains more junior investigators on long term care claim cases and processes + Ability to travel on… more
- Manulife (NY)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... + Acquires and reviews internal / external documents to support investigative activity and findings + Conducts interviews of...and trains more junior investigators on long term care claim cases and processes + Ability to travel on… more
