- Allied Universal (Billings, MT)
- …programs, and exclusive perks. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigators validate the ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Durango, CO)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims / SIU Investigator . Claims / SIU Specialists investigate ... that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...financial impact for cases worked in the case management system . + Assist GIS and local management as appropriate… more
- State of Indiana (Indianapolis, IN)
- …that are responsible for the investigation of circumstances of an individuals unemployment claim . The Claims Investigator Supervisor also manages the ... Claims Investigator Supervisor Date Posted: Sep...appeals. hears and defends determinations. Receive, investigate, and correct system error list related to wage reporting, claim… more
- WMCHealth (Valhalla, NY)
- Claims Investigator Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical Department: Risk Management- WMC ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26645) Internal Applicant link Job Details: Job Summary: The Claims Investigator is responsible for the management… more
- State of Indiana (Fort Wayne, IN)
- Claims Investigator Date Posted: Sep 10, 2024 Requisition ID: 449354 Location: Fort Wayne, IN, US, 46774 Work for Indiana Begin a fulfilling career with the ... to thrive in a changing economy. Role Overview: A Claims Investigator ("CI") is part of the...hears and defend determinations. + Receive, investigate, and correct system error list related to wage reporting, claim… more
- Robert Half Office Team (Carmel, IN)
- Description We are seeking a Claims Investigator to join our team in the Financial Services industry, located in CARMEL, Indiana, United States. In this role, ... you will be responsible for investigating claims , gathering and documenting information, interacting with external insurance...collateral being investigated. * Make outbound calls to insurance claim departments to inquire and follow up on details… more
- Saia, Inc (Houma, LA)
- …+ Investigates and assesses carrier liability for low-value cargo loss and damage claims according to company guidelines. + Reviews claim forms and documentation ... sales to determine liability. + Recommends liability amounts for low-value cargo claims based on company policy. + Identifies shipments requiring inspections and… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and ... to identify trends related to potentially inappropriate submission of claims by providers and collaborates with other team members...system enhancements, and prepay edits. The FWA Sr. Investigator Coder will be proficient at each step of… more
- Elevance Health (Indianapolis, IN)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... **Senior Investigator ( Investigator Sr)** _Location: This position...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Allied Universal (Nashville, TN)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Allied Universal (Lincoln, NE)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- Elevance Health (Columbus, OH)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + … more
- Elevance Health (Washington, DC)
- …Healthcare fraud investigation experience preferred. + Advanced Excel skills highly preferred. + Claims systems experience is a plus. For candidates working in ... ** Investigator I** **Supports the Payment Integrity line of...responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or… more
- Molina Healthcare (New York, NY)
- **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 (Nashville, TN)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claims systems for review of facility, professional, and pharmacy claims ... ** Investigator II - Carelon Payment Integrity** **Location** :...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Elevance Health (Atlanta, GA)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator II - Carelon Payment Integrity** **Location:** This...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Elevance Health (FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... Job Description ** Investigator II** **Supporting the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- EFI Global (San Antonio, TX)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... greater Houston TX area.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more