- Allied Universal (Jacksonville, FL)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied...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...database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases… 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...a diary system. + Maintaining both paper and electronic claim files. + Attending trials as liaison between defense… more
- Command Investigations (TN)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the...skills. Job Requirements: + Able to obtain a Private Investigator license. + Possession of a high school diploma… more
- C&S Wholesale Grocers, Inc. (Lumberton, NC)
- …Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation ... regarding Customer shortage requests ensuring that all pending claims are researched and processed within the agreed upon time frames. Research will utilize video… more
- Allied Universal (Palm Coast, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with… more
- Kemper (San Bernardino, CA)
- …to our stakeholders that delivers on our promises._ **Position Summary** The SIU Investigator III is responsible for the investigation of complex, large loss, and ... multi-injury claims that may contain elements of fraud or ...evidence, and conducting and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the… more
- CareFirst (Baltimore, MD)
- …an overall achievement of unit goals. + Investigator researches and analyzes claims data using company anti-fraud software, Excel, and other tools to ... **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of losses to… more
- Travelers Insurance Company (Morristown, NJ)
- …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 ... Services provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have… more
- Kemper (Doral, FL)
- … investigator must possess oral and written communications skills and promote a favorable company image to the public. + Fraud Claims Law Specialist (FCLS) or ... that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations...conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the… more
- Allied Universal (Louisville, KY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... activities and capabilities to assist with the administration of an Insurance claim . + **Private Investigator 's license** **required** **prior to applying** +… more
- Elevance Health (Lake Mary, FL)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... **Pharmacy Investigator Senior** **Hybrid** : This role requires associates to be...of proprietary data and claim systems for review of facility, professional… 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 ... ** Investigator II** **Locations:** Indianapolis, IN, Nashville, TN, Columbus, OH...of proprietary data and claim systems for review of facility,… more
- Amrize (Nashville, TN)
- Warranty Investigator Coordinator Requisition ID: 15358 Location: Nashville, TN, US, 37214 Pay Type: Salary ** COMPANY OVERVIEW** Amrize is building North ... June 23, 2025, following our spinoff as an independent company . Join us and build _your_ ambition. Learn more...Join our amazing team and contribute as a: Warranty Investigator Coordinator **ABOUT THE ROLE** As a Warranty Investigation… more
- USAA (New York, NY)
- …makes us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a "Field" position, therefore a company car is ... guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance… more
- Centene Corporation (Frankfort, KY)
- …teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions ... best practice and quality standards. + Applies a comprehensive knowledge of claims processing, provider customer service and payment knowledge to escalated provider… more
- Galileo Financial Technologies, LLC (Jacksonville, FL)
- …how our employees describe working here. Galileo is a financial technology company that provides innovative and revolutionary software products and services that ... . The Role We are seeking a talented and self-motivated Senior Fraud Investigator to support our Fraud Investigations team. This role will be responsible for… more
- Humana (Oklahoma City, OK)
- …first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- MVP Health Care (Schenectady, NY)
- …justice or a related field, and minimum of five years ofinsurance claims investigation experience; or five years of professional investigation experience with law ... experience involving economic or insurance relatedmatters. + A clinical investigator must have in addition to the above requirements:...and CPT Assistant coding guidelines as they relate to claim data. + Working knowledge of MS Office (Word,… more
- The Robison Group (Omaha, NE)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... encouraged to apply. POSITION QUALIFICATIONS: + A current and valid Nebraska Private Investigator license is highly preferred. Ability to obtain an Iowa Private … more