- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + W/C and P&C… more
- Command Investigations (Cleveland, OH)
- Seeking experienced Full-Time to Part-Time Private Investigators to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims . We are ... Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private ...Investigator + Must be licensed as a Private Investigator in your state (if required) + Flexibility to… 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, ... $350 SIGN ON BONUS Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and… more
- Command Investigations (TN)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... what's possible, setting the bar high for investigative excellence. Seeking experienced Insurance Fraud Investigators with commercial or personal lines experience,… more
- The Robison Group (Memphis, TN)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... POSITION QUALIFICATIONS: + Candidates MUST hold an active Tennessee Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative… more
- Command Investigations (Baltimore, MD)
- Seeking experienced Claims /SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... Visit our website and find out why at www.GoCommand.com. The SIU/WC Investigator should demonstrate proficiency in the following areas: + Multi-lines Investigations… more
- Command Investigations (Detroit, MI)
- …Candidates may have an advantage where they possess: MACP experience A djuster/PIP claims experience Prior experience as a private investigator Prior law ... SuperiorX Investigations (Command Investigations) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP … 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
- CVS Health (Bismarck, ND)
- …home anywhere in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- CVS Health (Morgantown, WV)
- …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares… more
- The Robison Group (Brooklyn, NY)
- …such as auto and property theft, fire damages, auto accidents, commercial claims , finding missing persons, courthouse searches, and other investigative tasks. For ... for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team of investigators and industry… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems in a health care or… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Manager, a typical day may include:** + Act as the lead investigator on employee concerns including devising investigation strategies, reviewing data and documents, ... and communicating investigation summaries. + Provide coaching/supervision on investigations to less experienced members of ER team and HRBPs + Interact and engage… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... steps to view correspondence, and we will not consider claims of missing notice to be a valid reason...who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified… more
- General Dynamics Information Technology (Fairfax, VA)
- …Party activities. **Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with insurance policies, ... criteria. + Verifies the accuracy of diagnosis and procedure codes in claims data, ensuring alignment with medical policies and industry coding standards. +… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …to our culture and values. The Director will lead a small team of experienced employee relations experts who together solve complex problems on a regular basis. The ... and values. The individual must also be a skilled investigator , both in conducting investigations and being able to...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... steps to view correspondence, and we will not consider claims of missing notice to be a valid reason...who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified… more
- The County of Los Angeles (Los Angeles, CA)
- …experience applies to a person who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified and able to perform a ... who has completed an apprenticeship program or is an experienced worker, not a trainee, and is fully qualified...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more