- 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....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
- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...financial impact for cases worked in the case management system . + Assist GIS and local management as appropriate… 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
- 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...operations are essential Knowledge of C&S warehouse and office system applications + Special Skills : + Physical abilities:… more
- Allied Universal (Palm Coast, FL)
- …difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Company Overview: 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
- CareFirst (Baltimore, MD)
- …of audits of financial business records, provider and subscriber medical data, claims , systems report, medical records, analysis of contract documents, ... for offsite audits/investigations and interviews when requested. Research provider/subscriber claims activity, operations manuals, data systems , medical… more
- Kemper (Doral, FL)
- …to our stakeholders that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance ... claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator will function as a remote investigator working… more
- Allied Universal (Louisville, KY)
- …activities and capabilities to assist with the administration of an Insurance claim . + **Private Investigator 's license** **required** **prior to applying** + ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- State of Colorado (CO)
- Pay Transparency Compliance Investigator I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5191579) Apply Pay Transparency Compliance ... Investigator I Salary $4,906.00 - $5,884.75 Monthly Location Statewide,...documenting your education and work history in the application system . Attachments will not be accepted or considered during… more
- Elevance Health (Lake Mary, FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... **Pharmacy Investigator Senior** **Hybrid** : This role requires associates...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- EFI Global (Detroit, MI)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- Elevance Health (Columbus, OH)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator II** **Locations:** Indianapolis, IN, Nashville, TN, Columbus,...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Amrize (Nashville, TN)
- Warranty Investigator Coordinator Requisition ID: 15358 Location: Nashville, TN, US, 37214 Pay Type: Salary **COMPANY OVERVIEW** Amrize is building North America. ... Join our amazing team and contribute as a: Warranty Investigator Coordinator **ABOUT THE ROLE** As a Warranty Investigation...between building owners, contractors, and our internal legal and claims teams. This is a dual-impact role where you… more
- MyFlorida (Orlando, FL)
- SENIOR CHILD PROTECTIVE INVESTIGATOR - 60022401 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 867782 Agency: Children and Families Working Title: SENIOR CHILD PROTECTIVE INVESTIGATOR - 60022401 Pay Plan: Career Service Position Number: 60022401 Salary:… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a SIU Investigator ! This is a remote, full-time role working daylight hours Monday through Friday. Experience as a ... Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned dental fraud, waste and abuse (FWA)… more
- MyFlorida (Orlando, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 79000848 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 867815 Agency: Business and Professional Regulations Working Title: LAW ENFORCEMENT INVESTIGATOR II - 79000848 Pay Plan: Career Service Position Number: 79000848… more
- USAA (Nashville, TN)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity...extract data for analysis from relevant data sources and systems . + Knowledge of city, state and local regulations,… more
- Centene Corporation (Frankfort, KY)
- …Word, Xcelys, SalesForce, and Microsoft Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred ... teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions… more