- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
- Command Investigations (Lubbock, TX)
- …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
- C&S Wholesale Grocers, Inc. (North Houston, TX)
- **Position Overview** As a Claims Investigator , you will be researching shortage claims based on calls received from our customer locations. These ... will contribute by?** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation regarding… more
- Allied Universal (San Antonio, TX)
- …Description:** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
- Texas A&M University System (College Station, TX)
- Job Title Civil Rights Investigator Agency Texas A&M University Department University Risk And Compliance Proposed Minimum Salary $6,250.00 monthly Job Location ... Staff Job Description A Glimpse of the Job The Civil Rights Investigator is responsible for conducting thorough, unbiased, and prompt investigations of allegations… more
- Molina Healthcare (San Antonio, TX)
- **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
- Elevance Health (Grand Prairie, TX)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Allied Universal (Dallas, TX)
- **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
- Elevance Health (Grand Prairie, TX)
- **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
- Woodforest National Bank (The Woodlands, TX)
- …of one of the largest employee-owned banks in the country! The Fraud Investigator I is responsible for reviewing and compiling evidence to substantiate allegations ... the Bank. This position is also responsible for conducting individual investigations on claims of forgery. This position works to mitigate forgery losses, as well as… more
- Highmark Health (Austin, TX)
- …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance… more
- Elevance Health (Grand Prairie, TX)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... data and claim systems for review of facility, professional and pharmacy claims + Effectively establish rapport and on-going working relationship with law… more
- Honeywell (Richardson, TX)
- …to our customers. Product Integrity supports accident investigations and product liability claims in the rare instances when product safety has not met customer, ... Honeywell, or regulatory standards and requirements. Product Integrity drives timely corrective action to ensure the safety of Honeywell Sensing Solutions products. Reports directly to IA Quality Leader Significant interaction and collaboration required with… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …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