• NEW YORK POWER AUTHORITY (White Plains, NY)
    Summary The Senior Equal Employment Opportunity (EEO) Investigator is responsible for overseeing and conducting thorough investigations into complaints of ... harassment, and other EEO-related issues within the organization. The Investigator will also assist in facilitating reasonable accommodations for employees… more
    Upward (07/18/25)
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  • EFI Global, Inc. (Detroit, MI)
    …buildings or residences. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims . Ensures that assigned cases are investigated and reported...and ethical manner. May provide investigative guidance to Fire Investigator team members. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other… more
    Upward (06/30/25)
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  • Mount Sinai Hospital (New York, NY)
    Job Description Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... targets are met. Responsibilities 1. Follows up on submitted claims , monitors unpaid claims and resubmits ...payer and provider representatives to negotiate higher rates for claim payments. 6. Responds to patient and third party… more
    Upward (07/18/25)
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  • University of Southern California (Los Angeles, CA)
    …excellence, and private and public sector engagement, is looking for a Senior SAS Research Programmer to provide programming support on research projects examining ... health behavior research and related health policy topics. The Senior SAS Research Programmer will serve as lead programmer and technical specialist on research… more
    Upward (07/20/25)
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  • Otsuka Pharmaceutical Co., Ltd. (Princeton, NJ)
    …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Upward (07/28/25)
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  • Texas Health and Human Services Commission (Dallas, TX)
    …L24A, 001387 Brief Job Description: Child Protective Investigations (CPI) Investigators investigate claims of child abuse and neglect. They have the difficult task ... to see if abuse or neglect happened and if intervention is necessary. The investigator considers both risk and safety issues and may recommend services for the child… more
    Upward (07/30/25)
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  • County of Los Angeles, CA (Los Angeles, CA)
    …Chief, Helicopter Maintenance. Technical guidance may be received from Senior Helicopter Mechanics. Incumbents perform journey-level technical maintenance, repairs, ... 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
    Upward (07/05/25)
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  • Clinical Fraud Investigator Senior

    Elevance Health (Norfolk, VA)
    **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior ** is responsible for identifying issues and/or entities… more
    Elevance Health (07/25/25)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation of ... effective and result in an overall achievement of unit goals. + Senior Investigator will develop documentation that supports conclusions, recommendations, and… more
    CareFirst (07/12/25)
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  • Senior Investigator

    City of New York (New York, NY)
    …Collections (C&C) is recruiting (1) one Fraud Investigator II to function as a Senior Investigator , who will: - Send letters to Clients to require a response ... Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting the… more
    City of New York (07/10/25)
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  • Senior Investigator , Employee…

    Dycom (West Palm Beach, FL)
    …insurance, and much more! **What you'll do as a Senior Investigator ** + Conduct investigations into claims of potential harassment, discrimination, workplace ... **Discover a more connected Senior Investigator , Employee Relations (bilingual)** **career** At Dycom Industries, Inc as a Senior Investigator , you'll be… more
    Dycom (06/05/25)
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  • Senior Investigator , Special…

    CVS Health (Carson City, NV)
    …And we do it all with heart, each and every day. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
    CVS Health (07/23/25)
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  • Senior EEO Investigator

    New York Power Authority (Buffalo, NY)
    Senior EEO Investigator Location: White Plains, USBuffalo, USMarcy, US **Summary** The Senior Equal Employment Opportunity (EEO) Investigator is ... harassment, and other EEO-related issues within the organization. The Investigator will also assist in facilitating reasonable accommodations for employees… more
    New York Power Authority (07/18/25)
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  • Senior Fraud Investigator

    City of New York (New York, NY)
    …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - ... Job Description Claims and Collections pursues monetary recoveries owed to...their cases and obtain additional information (if necessary) FRAUD INVESTIGATOR - 31113 Qualifications 1. A four-year high school… more
    City of New York (05/14/25)
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  • Senior Civil Investigator

    SGI Global, LLC (Mobile, AL)
    …USA | Ability to obtain clearance | Full Time SGI Global is seeking a Senior Civil Investigator to support the Affirmative Civil Enforcement (ACE) program at the ... taxpayer dollars and uphold the integrity of federally funded programs. The Investigator will work closely with Assistant United States Attorneys (AUSAs) and agency… more
    SGI Global, LLC (07/15/25)
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  • Senior Child Protective Investigator

    MyFlorida (Orlando, FL)
    SENIOR CHILD PROTECTIVE INVESTIGATOR - 60070936 Date: Jul 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 857107 Agency: Children and Families Working Title: SENIOR CHILD PROTECTIVE INVESTIGATOR - 60070936 Pay Plan: Career… more
    MyFlorida (07/26/25)
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  • Senior Healthcare Fraud Investigator

    CVS Health (Hartford, CT)
    …heart, each and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Researches and… more
    CVS Health (07/22/25)
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  • Senior Fire Investigator

    EFI Global (Detroit, MI)
    …buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims . + Ensures that assigned cases are investigated and...ethical manner. + May provide investigative guidance to Fire Investigator team members. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
    EFI Global (06/27/25)
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  • Senior Fire Investigator - Iaai-CFI

    EFI Global (Los Angeles, CA)
    …Click here to learn more about EFI Global. Seeking a certified fire investigator in the greater Los Angeles area. Must hold IAAI-CFI certification. **PRIMARY ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
    EFI Global (07/01/25)
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  • Claims Investigator

    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...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
    Allied Solutions (07/13/25)
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