- Los Angeles Metro (Los Angeles, CA)
- …live, work, and play within LA County. Description Supports Metro's Risk Claims Investigation administration as investigation leader by reviewing and analyzing ... claims for mitigation or claims identified to...complex investigations, communicating findings and recommendations to assist with claim management and mitigation, denial of fraudulent and abusive… more
- Mount Sinai Hospital (New York, NY)
- … claims , conducting and completing necessary third party (insurance) prior authorization requests (when applicable), and verifies prescriptions to other ... 1. Receives prescriptions, with appropriate follow up on rejected claims . 2. Completes third party prior authorization...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- County of Los Angeles, CA (Los Angeles, CA)
- …at 8:00 AM (PT) THE FILING PERIOD MAY BE SUSPENDED AT ANY TIME WITHOUT PRIOR NOTICE. THIS EXAMINATION MAY REOPEN AS THE NEEDS OF THE SERVICE REQUIRE. NO APPLICATIONS ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be...information will only be disclosed to an assigned background investigator if he/she is deemed suitable for the job… more
- Price Benowitz LLP (Washington, DC)
- …photos of scene and witness statements when needed. Processing PIP/MedPay. Obtaining prior injury/medical and claims /lawsuits history and reviewing all medical ... records. Maintaining regular contact with clients. Preparing notice letters to Medicare/Medicaid and lienholders. Drafting and sending out demand packages, and monitoring receipt and processing of demand. Preparing closing statements, check account balances,… more
- Command Investigations (Detroit, MI)
- …have an advantage where they possess: MACP experience A djuster/PIP claims experience Prior experience as a private investigator Prior law enforcement or ... our high-performing team . While all promising candidates will be considered, any prior investigative, claims and legal/law enforcement experience is a plus. The… more
- Allied Universal (Augusta, GA)
- …must independently complete the 70-hour course necessary to receive a Private Investigator 's license prior to applying.** Allied Universal(R) is hiring a ... Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate ...Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Macon, GA)
- …must independently complete the 70-hour course necessary to receive a Private Investigator 's license prior to applying.** Allied Universal(R) is hiring a ... Surveillance Investigator . The Surveillance Investigator will perform discreet...claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers'… more
- Allied Universal (Butte, MT)
- …'s license** **required** ** prior to applying** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... 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)
- …This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will ... of insurance coverage to certain claim types prior to the assignment to a Claims ... claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond… 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...Attending trials as liaison between defense counsel and the claim department; possibly testifying in relation to prior… 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
- 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
- City of Pittsburgh (Pittsburgh, PA)
- DHR Investigator Print (https://www.governmentjobs.com/careers/pittsburgh/jobs/newprint/5010587) Apply DHR Investigator Salary See Position Description ... so we can best serve the public. The DHR investigator serves as an unbiased fact finder, identifying and...Applicants must become residents of the City of Pittsburgh prior to employment and remain a resident throughout employment.… more
- Elevance Health (Norfolk, VA)
- …for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- Interior, Bureau of Indian Affairs (Billings, MT)
- …the Bureau of Indian Affairs, Office of Justice Services, Billings, MT. Criminal Investigator with the Missing and Murdered Unit (MMU) responsible for the review and ... for this position shall not exceed age 37, unless you have sufficient prior Federal civilian law enforcement [or firefighter, if applicable] experience or you are… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6481) Job Brief Assists the Incident Management Investigator with conducting investigations into situations, which may violate… more
- Elevance Health (Gilbert, MN)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Clinical Fraud Investigator II - Registered Nurse and CPC -...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- University of Rochester (Rochester, NY)
- …the University community and meet the University's legal obligations to address claims of hostile work environment, discrimination, harassment or other kinds of ... for each case, whether identified by the parties, witnesses or at the investigator 's discretion + Completes all investigations in a timely fashion based on scope,… more
- US Secret Service (Washington, DC)
- …Applicants with veterans' preference must receive a conditional offer of employment prior to reaching age 40 to continue in the application process. Submit ... to a drug test prior to your appointment and random drug testing while...were taken on a pass/fail or similar basis, your claim must be based on class standing or membership… more
- V2X (Phoenix, AZ)
- …well as performing thorough vehicle inspections, research of the vehicle history, insurance claims , and / or repairs, etc. The ideal candidate will have Dealership ... + Minimum of 8 years related automotive service industry experience + Current or prior ASE certifications A1 - A8, with a preference for Electrical Electronics or T1… more
