- Command Investigations (Long Island City, NY)
- …for hire. Visit our website and find out why at www.GoCommand.com. The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, ... or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple… more
- Synectics Inc (Milwaukee, WI)
- …independently while handling claims , may work with or consult with Sr. Claims Adjuster and Investigator . Works with insurance, legal and other industry ... Description : Responsible for claims and risk management associated with property damage or personal injury claims involving the company. Has the ability to work… more
- FSA Federal (New York, NY)
- …to generate subpoenas, engage with potential defendants, and determine whether to pursue claims . The investigator will also lend support to our existing fraud ... of law enforcement and homeland security. We currently have a vacancy for a Civil Investigator . In this role, you will be supporting the overall mission of the US… more
- NEW YORK POWER AUTHORITY (White Plains, NY)
- Summary The Senior Equal Employment Opportunity (EEO) Investigator is responsible for overseeing and conducting thorough investigations into complaints of ... harassment, and other EEO-related issues within the organization. The Investigator will also assist in facilitating reasonable accommodations for employees… more
- Los Angeles Metro (Los Angeles, CA)
- …live, work, and play within LA County. Description Supports Metro's Risk Claims Investigation administration as investigation leader by reviewing and analyzing ... claims for mitigation or claims identified to...Risk matters relating serious accidents or incidents. The Principal Investigator 's responsibilities may include but not limited to the… more
- Lemieux & Associates LLC (Seattle, WA)
- …product in on time Skills/Experience Experience conducting surveillance as a private investigator is a must Experience conducting SIU/ Claims investigations is ... excel. You must have surveillance experience as a Private Investigator , be licensed by the State of Washington as...licensed by the State of Washington as a Private Investigator and reside in the Seattle or surrounding area.… more
- The Travelers Indemnity Company (Diamond Bar, CA)
- …provides industry-leading resources designed to detect and deter fraudulent claims . Leveraging advanced technology and analytics, we proactively identify risk ... and combat fraudulent practices at scale. As an SIU Specialized Investigator , you will lead complex, multi-claim investigations with regional and national… more
- EFI Global, Inc. (Detroit, MI)
- …buildings or residences. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims . Ensures that assigned cases are investigated and reported...and ethical manner. May provide investigative guidance to Fire Investigator team members. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other… more
- Koalafi (Richmond, VA)
- …get what they need, while protecting the integrity of our platform. As a Risk Investigator , you'll be at the heart of that mission. You'll play a critical role ... proposing solutions or process changes to address them. Manage inbound fraud claims with professionalism and empathy, balancing customer care and risk mitigation.… more
- Lemieux & Associates LLC (South Charleston, WV)
- …product in on time Skills/Experience Experience conducting surveillance as a private investigator is a must. Experience conducting SIU/ Claims investigations is a ... plus but not required. Bi-lingual is a plus Associates/Bachelor, Degree in Criminal Justice or Related Field is a plus Ability to conduct written and recorded statements is a plus Ability to accurately photograph evidence ie, accident scenes, vehicle damage,… more
- EFI Global, Inc. (Phoenix, AZ)
- …and RESPONSIBILITIES Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of the ... the insurance industry and law enforcement/fire service personnel. Investigates losses/ claims with illegal, fraudulent or subrogation aspects in accordance with… more
- Mount Sinai Hospital (New York, NY)
- Job Description Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... targets are met. Responsibilities 1. Follows up on submitted claims , monitors unpaid claims and resubmits ...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Hospital (New York, NY)
- …primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior ... Responsibilities 1. Receives prescriptions, with appropriate follow up on rejected claims . 2. Completes third party prior authorization requests and verifies… more
- Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
- …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Kemper Corporation (Lake Mary, FL)
- …*College Degree or equivalent work experience *Three years of insurance claims experience or related fraud analytics background. Position Requirements: Strong ... Basic and/or Analytics Academies are desirable. Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA)… more
- University of Southern California (Los Angeles, CA)
- …lead programmer and technical specialist on research projects that use administrative healthcare claims data. SAS is required. The programmer is an integral part of ... the research team and works closely with the principal investigator and a multidisciplinary research team. The key role of the programmer is to develop a plan to… more
- Mount Sinai Hospital (Elmhurst, NY)
- …information from the accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs of coded work. Assures ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Hospital (New York, NY)
- …Interaction with plan representatives regarding enrollment audits; problems and claims resolution; identify fee schedule issues; and addressing potential corrective ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Texas Health and Human Services Commission (Dallas, TX)
- …L24A, 001387 Brief Job Description: Child Protective Investigations (CPI) Investigators investigate claims of child abuse and neglect. They have the difficult task ... to see if abuse or neglect happened and if intervention is necessary. The investigator considers both risk and safety issues and may recommend services for the child… more
- Price Benowitz LLP (Washington, DC)
- …documentation required at different stages of pre-litigation. Coordinating with the Investigator to obtain photos of scene and witness statements when needed. ... Processing PIP/MedPay. Obtaining prior injury/medical and claims /lawsuits history and reviewing all medical records. Maintaining regular contact with clients.… more
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