- 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 (Crossville, TN)
- …investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit / Claims Investigator . Special Investigations Unit (SIU) Specialists investigate ... 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
- 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 ... for Insurance claims through scene Investigations, claimant and witness Interviews, document...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… 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 ... 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
- 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
- National General Insurance Company (Uniondale, NY)
- …customer communications, concerns, conflicts or issues + Summarizes documents and enters into claim system notes, documenting a claim file with notes, ... ** This role is a field Investigator role where the investigator would...policy, coverage, and regulation + Applies broad knowledge of claim processes, policies, procedures, claim systems… more
- Elevance Health (Iselin, NJ)
- …entity review, interviewing, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims ... for payment as part of consideration for employment. **Senior Investigator ** + Job Family: FRD > Investigation + Type:...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … 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 . ... you for payment as part of consideration for employment. ** Investigator Senior** + Job Family: FRD > Investigation +...to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + … more
- Elevance Health (Columbus, OH)
- …review, law enforcement referral, and use of proprietary data and claim systems for review of facility and professional claims . + Responsible for ... 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
- 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
- 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
- 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
- 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
- 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
- EFI Global (Chantilly, VA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... meet certification requirements.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss,… 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
- 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
- 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