- Dexian - DISYS (Baltimore, MD)
- …are timely, effective and result in an overall achievement of unit goals. Investigator researches and analyzes claims data using company anti-fraud software, ... Job Description: Job Duties: The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of losses through the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred . + (2) years of active experience in ... . As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud, waste,… more
- EFI Global (Edina, MN)
- …Certified Fire & Explosion Investigator (CFEI) certification. IAAI Certified Fire Investigator (IAAI-CFI) is preferred and will be required within 6 months ... requirements for consideration.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss,… more
- EFI Global (Philadelphia, PA)
- …Certified Fire & Explosion Investigator (CFEI). IAAI Certified Fire Investigator (IAAI-CFI) certification is preferred . Will be required to obtain ... and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of… more
- Universal Health Services (Reno, NV)
- …auditing, data analytics or related field + The following certifications are preferred : Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner ... facilities, and members. This position researches, gathers, and analyzes claims data, medical records, corporate policy, state/federal policy, and practice… more
- Allied Universal (Beckley, WV)
- …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss ... for Insurance claims through scene Investigations, claimant and witness Interviews, document...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...Property and Casualty insurance experience of 1-3 years highly preferred ; + Preference given to those with Claim… more
- Allied Universal (Crossville, TN)
- …jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …collegially with colleagues. Additional qualifications as specified by the Principal Investigator . PREFERRED QUALIFICATIONS: PhD or equivalent research degree in ... research, which encompasses the analysis of national cancer registries, medical claims databases, and electronic health record (EHR) data. They will collaborate… more
- Xcel Energy (Denver, CO)
- …utility and claims -related exp., including 3 years gas/electric Utility Claims Investigator exp. or equivalent. - Advanced knowledge of applicable ... public claimants and that payment is received for damage claims , and pursue delinquent damage claim accounts....states. At Xcel Energy, we strive to be the preferred and trusted provider of the energy our customers… more
- Command Investigations (Orlando, FL)
- …for hire. Visit our website and find out why at www.GoCommand.com. The Claims /Field Investigator should demonstrate proficiency in the following areas: + Writing ... are a few characteristics of our Investigators and staff. Bilingual candidates are preferred ! If you have the desire to operate at your highest professional level… more
- The Hartford (NJ)
- …referred by the claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU involvement. + The investigator ... SIU Investigator - CF08BE We're determined to make a...General Liability lines-of-business. SIU Investigators work in partnership with claim handlers across all lines of business to investigate… more
- Elevance Health (Columbus, OH)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... **Senior Investigator ( Investigator Sr)** _Location: This position will work...of proprietary data and claim systems for review of facility, professional… more
- Travelers Insurance Company (Fayetteville, GA)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... - $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a dynamic fast paced… more
- State of Colorado (Denver, CO)
- Labor Law - Compliance Investigator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4496216) Apply Labor Law - Compliance Investigator ... Division of Labor Standards and Statistic is hiring three Senior Compliance Investigator II ("CI II") positions. The Strategic Enforcement Policy and Investigations… more
- Elevance Health (Columbus, OH)
- …paid on fraudulent claims . **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator Senior** **Supports the Payment Integrity line of...required with understanding of health insurance policies, health insurance claims handling and provider network contracting. ** Preferred … more
- Elevance Health (Chicago, IL)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator II** **Location** : This position will work a hybrid model...of proprietary data and claim systems for review of facility, professional and… more
- Elevance Health (West Des Moines, IA)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator II** **Schedule** : 1-2 days per week in the office...of proprietary data and claim systems for review of facility, professional and… more
- Commonwealth of Pennsylvania (PA)
- Special Investigator 2 Ec Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4489248) Apply Special Investigator 2 Ec Salary $56,900.00 - ... professional with an investigative background to fill a full-time Special Investigator 2 position within the Eastern Regional Office in Harrisburg. If… more
- Allied Universal (Coventry, RI)
- …Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding ... and investigation jobs! Allied Universal(R) is hiring a Surveillance Investigator . Surveillance Investigators perform discreet mobile and stationary surveillance of… more
