- Elevance Health (Grand Prairie, TX)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the exception ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Allied Universal (Fort Worth, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... cover fuel and travel expenses** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Molina Healthcare (Fort Worth, TX)
- **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
- Elevance Health (Grand Prairie, TX)
- ** Investigator I** **Location:** Hybrid 1: This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while ... and adaptable workplace. Alternate locations may be considered. The ** Investigator I** is responsible for investigating assigned cases, collecting, researching… more
- Travelers Insurance Company (Richardson, TX)
- …provides industry-leading resources designed to detect and deter fraudulent claims . Leveraging advanced technology and analytics, we proactively identify risk ... and combat fraudulent practices at scale. As an SIU Specialized Investigator , you will lead complex, multi-claim investigations with regional and national… more
- Kemper (Dallas, TX)
- …College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong ... and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA)… more
- Merck (Dallas, TX)
- …in the company's areas of interest _*Scientific exchange does not include promotional claims about any drug, vaccine, or biologic product. RMSDs have no sales ... approved, in development and active Company-Sponsored Trials and/or company Investigator -Sponsored Program (MISP) and Oncology Translational Studies Program (OTSP)… more