- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's an opportunity to ... empathy and efficiency. How you will create an impact The Principal Claims Investigator is responsible for all aspects of the investigation process to include… more
- Command Investigations (Atlanta, GA)
- 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
- Command Investigations (Atlanta, GA)
- …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… more
- Command Investigations (Atlanta, GA)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... and confidence in driving skills. Job Requirements: + Able to obtain a Private Investigator license. + Possession of a high school diploma or GED. + Readiness to… 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
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Allied Universal (Atlanta, GA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... us and make a difference. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and stationary… 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 ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Elevance Health (Atlanta, GA)
- ** Investigator Assistant** Location: **Hybrid 1** - This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... - Friday, 8 am to 5 pm (EST)** The ** Investigator Assistant** is responsible for providing administrative support to...an impact:** + Collects, researches, and validates bills and claims data against relevant guidelines. + Assists in preparation… more
- Humana (Atlanta, GA)
- …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
- Merck (Atlanta, GA)
- …external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. The Oncology Regional ... Medical Scientific Director provides research support to our companies Investigator -Sponsored and Company-Sponsored Trials to enhance the understanding of the… more
- Boehringer Ingelheim (Athens, GA)
- …of study protocols, raw data, and reports to support registrations and other claims related to veterinary products. The CRA performs these duties for on-site and ... + Conduct Investigation Site Visits to evaluate qualifications of the site, Investigator , and research staff. + Conduct pre-study and ongoing monitoring visits in… more