- CoventBridge Group (Los Angeles, CA)
- Overview Claims Investigator (Part-Time) Los Angeles, CA area Immediate need for a PT Claims Investigator within the largest worldwide investigative ... or all the following duties: Ability to conduct multiple types of complex claims investigations Daily submission of updates regarding work performed on each case… more
- HOMELAND SECURITY INVESTIGATIONS (Phoenix, AZ)
- …locations. These are non-bargaining unit positions. Duties Help As a Criminal Investigator (Special Agent), you will perform the following duties: Serve as a ... businesses, employers, criminal organizations or criminal conspiracies, and cyber systems and networks. Utilize a combined methodology of intelligence, investigative… more
- Lemieux & Associates LLC (Bismarck, ND)
- …product in on time Skills/Experience Experience conducting surveillance as a private investigator is a must Experience conducting SIU/ Claims investigations is ... excel. You must have surveillance experience as a Private Investigator , be licensed by the State of North Dakota...reliable vehicle, digital camera and computer with Windows Operating System , Microsoft Word and Internet connection Must have the… more
- State of Pennsylvania (Harrisburg, PA)
- …to work with considerable independence as a Workers' Compensation Compliance Investigator , examining complaints against employers, insurers or medical providers not ... for you. DESCRIPTION OF WORK As a Workers' Compensation Compliance Investigator , you will be responsible for conducting investigations of alleged uninsured… more
- Mount Sinai Hospital (New York, NY)
- …: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... Job Description Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner....Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone… more
- Mount Sinai Hospital (New York, NY)
- …: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... posting of line item insurance payments and patient payments into the billing system , posting of declines, charge corrections, and preparation of daily deposits and… more
- Amrize (Nashville, TN)
- … by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... parties, and negotiating claim resolution. In reaching resolution, the Claims Investigator will be responsible for reviewing repair quotes, identifying… more
- Allied Universal (Butte, MT)
- …Investigator 's license** **required** **prior to applying** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of ... 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 (Las Vegas, NV)
- …as needed to ensure a full schedule** Allied Universal(R) is hiring a SIU / Claims Investigator . SIU / Claims Specialists investigate claims with ... 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 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
- NJ Transit (Newark, NJ)
- Investigator A ( Claims ) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... public agencies. + Carrying out negotiations in adjusting of claims and entering of settlements with attorneys. + Obtaining...maintaining a calendar of upcoming events; maintaining a diary system . + Maintaining both paper and electronic claim… more
- Commonwealth of Pennsylvania (PA)
- Workers' Compensation Compliance Investigator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5014224) Apply Workers' Compensation Compliance ... to work with considerable independence as a Workers' Compensation Compliance Investigator , examining complaints against employers, insurers or medical providers not… more
- CareFirst (Baltimore, MD)
- …of audits of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, ... detailed offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems , medical… more
- State of Colorado (CO)
- Financial Investigator (Criminal Investigator IV) - Division of Gaming Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5010422) Apply ... Financial Investigator (Criminal Investigator IV) - Division of...entity to identify all parties who may have a claim to the company's assets, including those whose ownership… more
- Allied Universal (Portland, ME)
- … claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with 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… more
- Molina Healthcare (St. Petersburg, FL)
- **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
- Henry Ford Health System (Detroit, MI)
- …Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess and identify ... and State regulatory and contractual requirements. The Principal Compliance Investigator is responsible for conducting compliance audits, reporting results,… 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 . ... ** 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 (Detroit, MI)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- State of Colorado (Denver, CO)
- Compliance Investigator I: DORA/Divison of Civil Rights Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5016818) Apply Compliance ... Investigator I: DORA/Divison of Civil Rights Salary $4,906.00 -...charges and investigation data into the division's case management system and federal case management applications accurately and in… more
