- Los Angeles Metro (Los Angeles, CA)
- …in processing Conducts intensive data mining reviews of information relating to claims /cases using multiple software data analysis systems to determine ... Exempt Bargaining Unit: Non-Contract Metro's mission is to provide a world-class transportation system that enhances the quality of life for all who live, work, and… more
- Lemieux & Associates LLC (Seattle, WA)
- …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 Washington as...reliable vehicle, digital camera and computer with Windows Operating System , Microsoft Word and Internet connection Must have the… more
- Koalafi (Richmond, VA)
- …get what they need, while protecting the integrity of our platform. As a Risk Investigator , you'll be at the heart of that mission. You'll play a critical role ... across both customer and merchant activity, using tools like internal systems , third-party platforms, and open-source research. Conduct onboarding reviews for new… more
- Mount Sinai Hospital (New York, NY)
- …gross, days in A/R and net collection ratios are met. 4. May analyze claims system reports to ensure that underpayments are correctly identified and collected ... Description Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner....System is one of the largest academic medical systems in the New York metro area, with more… more
- Lemieux & Associates LLC (South Charleston, WV)
- …product in on time Skills/Experience Experience conducting surveillance as a private investigator is a must. Experience conducting SIU/ Claims investigations is a ... license Possess a reliable vehicle, digital camera and computer with Windows Operating System , Microsoft Word and Internet connection Must have the personal pride to… 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 ... the reconciliation of all manual charge postings into the patient accounts system . Interacts with departments that put data into patient accounting records through… more
- Mount Sinai Hospital (Elmhurst, 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 ... accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs...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 ... and troubleshoot root causes, if/when needed. Assist with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make… 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 ... primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior… 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 ... Interaction with plan representatives regarding enrollment audits; problems and claims resolution; identify fee schedule issues; and addressing potential corrective… more
- University of Southern California (Los Angeles, CA)
- …lead programmer and technical specialist on research projects that use administrative healthcare claims data. SAS is required. The programmer is an integral part of ... the research team and works closely with the principal investigator and a multidisciplinary research team. The key role...SAS. Working knowledge of Stata, SQL, Microsoft and Linux systems . Serves as lead programmer or technical specialist on… more
- Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
- …role will take a leadership position in the conduct of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including ... and correcting non-compliance and mitigating risks, The performance of the Quality Systems and Risks will be reported periodically to Senior Management through the… more
- Texas Health and Human Services Commission (Dallas, TX)
- …retirement annuity, Texa$aver 401(k) and 457 Programs under the Employees Retirement System of Texas. Functional Title: CPI Investigation Worker Trainee Job Title: ... L24A, 001387 Brief Job Description: Child Protective Investigations (CPI) Investigators investigate claims of child abuse and neglect. They have the difficult task… more
- County of Los Angeles, CA (Los Angeles, CA)
- …all related materials that you deem necessary. An interactive, Online Test Preparation System for taking practice tests may be accessed on the Department of Human ... 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
- 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
