- System One (Baltimore, MD)
- ALTA IT is hiring an Associate Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit (SIU) ... Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and… more
- NANA Regional Corporation (Washington, DC)
- …of experienced professionals to join our team in Washington, DC, as a Field Investigator , working in support of a Law Enforcement Agency. The selected ... (ANC), our mission and purpose extend beyond our exciting federal projects as we support our shareholder communities in Alaska. At SAVA, the work you do every day… more
- Elevance Health (Columbus, OH)
- …to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support ... you a check, or ask you for payment as part of consideration for employment. ** Investigator Assistant** + Job Family: FRD > Investigation + Type: Full time + Date… more
- JBS USA (Greeley, CO)
- **Deductions/ Claims Investigator ** **Purpose and Scope/General Summary:** We are looking for a Deductions/ Claims Investigator for our Fed Beef division. ... This role will sit at our Corporate office in Greeley, CO. The Deductions/ Claims Investigator responds to notifications of discrepancies that may be reported by… more
- The Hartford (NJ)
- …be responsible for conducting thorough, timely, efficient and impartial investigations to support the accurate resolution of insurance claims by the Company. ... claim staff, or losses reviewed by the field investigator proactively which may be appropriate for SIU involvement....emerging issues impacting property and casualty and group benefit claims . + Provide support to claims… more
- National General Insurance Company (Uniondale, NY)
- …process + Utilizes analytic tools or SIU field intelligence to identify complex claims for investigation and/or for support in the evidence of the ... ** This role is a field Investigator role where the investigator would...The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job Summary:… more
- State of Massachusetts (Boston, MA)
- …and Public Policy. The Office of the General Counsel provides legal support across the office related to human resources, procurements, compliance, litigation, and ... law enforcement and public prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a...when no crime or civil action is involved. *Senior Investigator : Position Overview* The Senior Investigator reports… more
- State of Nevada (NV)
- COMPLIANCE/AUDIT INVESTIGATOR 3 APPROXIMATE ANNUAL SALARY - $58,025.52 to $86,150.88 PAY GRADE: 35 For more information on benefit and retirement programs, please ... provide work direction and training to others. The incumbent is a Compliance/Audit Investigator III in the Insurer/TPA Compliance Unit and serves as the lead worker… more
- State of Georgia (Fulton County, GA)
- Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot ... of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the...proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Equal Employment Opportunity and Title IX Investigator (EEO/Title IX Investigator ) serves as part of a team investigating and resolving ... and meet the University's legal obligations to address discrimination and harassment claims and sexual misconduct. Document findings as to the basis for significant… more
- SUNY Geneseo (Geneseo, NY)
- Harassment and Discrimination Investigator & Compliance Officer Bookmark this Posting | Print Preview | Apply for this Job Please see Special Instructions for more ... Vacancy Announcement Position Information Campus Title Harassment and Discrimination Investigator & Compliance Officer Department Office of Diversity and Equity… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud, waste, ... personnel to perform analysis and obtain analytical information of significance to support case investigations. You will also coordinate efforts to recover erroneous… more
- SGI Global, LLC (Raleigh, NC)
- …a Civil Investigator (Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the United States Attorney's Office ... for the Eastern District of North Carolina. The investigator will be assigned cases and matters that vary in scope and complexity, but characteristically involve… more
- Immigration and Customs Enforcement (IN)
- …Office of the Chief of Staff. The incumbent serves as an entry-level investigator in the IHSC Investigations Unit (IIU). This is a non-supervisory position. This ... not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: As an Investigator , the incumbent will perform, but not limited to, the following… more
- Sedgwick (Springfield, IL)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing ... an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening… more
- Commonwealth of Pennsylvania (PA)
- Field Investigator Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4346185) Apply Field Investigator Salary $19.94 - $29.76 Hourly ... your application today! DESCRIPTION OF WORK As a Field Investigator at Chester Downs Racetrack, your main role will...of determining your eligibility for the position. Information to support your eligibility for the position must be provided… more
- City of New York (New York, NY)
- …checks, along with other background investigations to ascertain that arrested individuals who claim to reside with a NYCHA tenant have actual connections to the ... both public entities and private employers and performing litigation support . Field investigations involve visits to apartments where a...the duties of the supervisor. 6. As a seasoned investigator , will be required to work with new incumbents… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Investigator OR Senior Investigator ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Who May Apply** ... to access, extract, manipulate and present data in different formats to support investigative activities + Format, analyze, and prepare computer generated reports… more
- Interior, Bureau of Indian Affairs (Albuquerque, NM)
- …based on your education, you MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or ... Albuquerque, New Mexico. This position serves as a Criminal Investigator and will perform the full range of in-depth...(credit hours) were taken on a pass/fail basis, your claim of superior academic achievement must be based upon… more
- AmeriHealth Caritas (Washington, DC)
- **Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will work ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations of reported,… more