• Claims Investigator

    Allied Universal (Bronx, NY)
    …+ **Pay Rate: $2** **8 - $32** **/** **hr** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for Insurance ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the states in which you… more
    Allied Universal (07/12/25)
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  • EEO Investigator Specialist

    City of New York (New York, NY)
    …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Employment Opportunity & Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex complaint investigations, as… more
    City of New York (05/14/25)
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  • SIU Investigator

    Allied Universal (Bronx, NY)
    …/** **hr** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
    Allied Universal (07/12/25)
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  • Senior Investigator

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting the ... of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from... and Collections (C&C) is recruiting (1) one Fraud Investigator II to function as a Senior Investigator more
    City of New York (07/10/25)
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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: - Send ... 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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  • Incident Management Investigator Specialist

    Constructive Partnerships Unlimited (Manhattan, NY)
    Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6481) Job Brief Assists the Incident Management Investigator with conducting investigations into situations, which may violate… more
    Constructive Partnerships Unlimited (05/22/25)
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  • Incident Management Investigator

    Constructive Partnerships Unlimited (Manhattan, NY)
    Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... recommendations. 5. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports to… more
    Constructive Partnerships Unlimited (05/22/25)
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  • Surveillance Investigator

    Allied Universal (Bronx, NY)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... $25** **- $30** **/** **hr** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and stationary… more
    Allied Universal (07/11/25)
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  • Investigator , Coding SIU

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims more
    Molina Healthcare (06/19/25)
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  • Experienced Surveillance Investigator

    Command Investigations (Norwalk, CT)
    Seeking individuals for an Experienced level position as a Private Investigator in the area to conduct SURVEILLANCE as it relates to the investigation of suspect ... insurance claims . Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a...Must be eligible to be licensed as a Private Investigator in your state + Flexibility to work varied/irregular… more
    Command Investigations (06/02/25)
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  • Environmental, Health and Safety…

    City of New York (New York, NY)
    …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
    City of New York (05/14/25)
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  • Claims Service Representative 1/Trainee 1/2

    New York State Civil Service (White Plains, NY)
    NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 10601 Duties Description Under the general supervision of a Claims Services Representative 2, the incumbent will oversee all aspects of workers… more
    New York State Civil Service (07/09/25)
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  • Underwriter 1/Trainee 1/2 (NY Helps)

    New York State Civil Service (White Plains, NY)
    …Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, ... underwritten* Analyze previous loss and premium data* Experience rating data and claims material to price coverage* Define, restrict, or qualify policy coverage*… more
    New York State Civil Service (07/08/25)
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  • Biller- Oncology Claims Follow-Up/Billing-…

    Mount Sinai Health System (New York, NY)
    …proficiency in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + HS/GED; Associates Degree is preferred + ... **1-2 years of experience in medical billing or health claims , with experience in billing systems in a health...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (04/30/25)
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  • Accounting Clerk- Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers....and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (07/10/25)
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  • Supervisor IV-Patient Financial Services (Medicare…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
    Mount Sinai Health System (04/28/25)
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  • Group Supervisor (Medicaid)

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the...levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group Supervisor, who… more
    City of New York (06/24/25)
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  • Senior Contracting Compliance Analyst…

    Mount Sinai Health System (New York, NY)
    …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (07/09/25)
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  • Billing Coordinator - Senior Accounts Receivable

    Mount Sinai Health System (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 ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
    Mount Sinai Health System (06/27/25)
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