• 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 ... preferred. - Minimum of 1-3 years combined gas/electric utility and/or claims -related work experience or equivalent required. - Working knowledge of applicable… more
    DirectEmployers Association (11/12/25)
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  • SIU Investigator P&C (Mid-level)

    USAA (Denver, CO)
    …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
    USAA (11/18/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Denver, CO)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
    Elevance Health (11/04/25)
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  • Senior Investigator , Special…

    CVS Health (Denver, CO)
    …States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
    CVS Health (11/19/25)
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  • Fraud and Waste Investigator

    Humana (Denver, CO)
    …Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate ... environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested *… more
    Humana (11/21/25)
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  • Manager, Evidence Generation, IME & Sponsorship…

    Otsuka America Pharmaceutical Inc. (Denver, CO)
    …generation of medical evidence, (eg, observational studies, registries, and investigator -initiated studies (IISs) / investigator -initiated trials (IITs)) + Manage ... 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
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Senior Director, Translational Medicine (MD)

    Otsuka America Pharmaceutical Inc. (Denver, CO)
    …clinical development plans. + Review and approval of clinical study protocols, investigator brochures, study reports, etc. + Support budget and timeline activities ... 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
    Otsuka America Pharmaceutical Inc. (11/19/25)
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  • Associate Director, Congress & Medical Education…

    Otsuka America Pharmaceutical Inc. (Denver, CO)
    …Advocacy Groups) before during and after congresses + Organize and facilitate investigator meetings and advisory boards in conjunction with congress + Coordinate ... 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
    Otsuka America Pharmaceutical Inc. (11/14/25)
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