• Claims Investigator

    Allied Universal (Bronx, NY)
    …on the position and eligibility. **Job Description:** 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....+ Ability to be properly licensed as a Private Investigator as required by the states in which you… more
    Allied Universal (10/06/25)
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  • Claims Investigator - Experienced

    Command Investigations (New York, NY)
    …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and… more
    Command Investigations (08/08/25)
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  • Investigator A ( Claims )

    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 ... and other public agencies. + Carrying out negotiations in adjusting of claims and entering of settlements with attorneys. + Obtaining information in collection… more
    NJ Transit (07/24/25)
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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 ... Opportunity & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant...fact and questions of law. In addition, the EEO Investigator Specialist will be tasked with interviewing charging parties,… more
    City of New York (08/13/25)
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  • SIU Investigator

    Allied Universal (Bronx, NY)
    …Description:** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims ... **Company Overview:** 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 (10/06/25)
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  • Senior EEO Investigator

    New York Power Authority (White Plains, NY)
    Senior EEO Investigator Location: White Plains, USBuffalo, USMarcy, US **Summary** The Senior Equal Employment Opportunity (EEO) Investigator is responsible for ... 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 (07/15/25)
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  • Investigator , Special Investigative Unit…

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
    Molina Healthcare (09/22/25)
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  • Investigator Senior

    Elevance Health (Morristown, NJ)
    ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
    Elevance Health (10/01/25)
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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 (08/21/25)
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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 (08/21/25)
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  • Surveillance Investigator

    Allied Universal (Paramus, NJ)
    **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
    Allied Universal (10/06/25)
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  • Incident Management Investigator

    Constructive Partnerships Unlimited (Manhattan, NY)
    Incident Management Investigator Type of Position Per Diem Search Location(s) Manhattan, NY Apply Now ... investigations. 6. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports to… more
    Constructive Partnerships Unlimited (07/13/25)
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  • Clinical Investigator

    MVP Health Care (Tarrytown, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
    MVP Health Care (09/20/25)
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  • Surveillance Investigator

    The Robison Group (Newark, NJ)
    …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... + Must be willing and able to obtain a New Jersey Private Investigator 's license TRAINING The Robison Group provides remote and/or in-classroom training to ensure… more
    The Robison Group (08/27/25)
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  • Financial Investigator

    BronxCare Health System (Bronx, NY)
    …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and… more
    BronxCare Health System (10/09/25)
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  • Claims Services Representative 1/Trainee…

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90 Lost Time) Occupational Category Other Professional Careers ... include, but are not limited to:Under the general supervision of a Claims Services Representative 2, the incumbent will oversee all aspects of workers… more
    New York State Civil Service (09/25/25)
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  • Underwriter 1/Trainee 1/2 (Mid Markets) (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 (09/26/25)
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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 (09/23/25)
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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 (10/08/25)
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  • Billing Coordinator - Accounts Receivable-MSH

    Mount Sinai Health System (New York, NY)
    **Job Description** Responsible for ensuring 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 (09/17/25)
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