• UnitedHealth Group (Frederick, MD)
    …investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources ... at home with us and start doing your life's best work.(sm)The Senior Investigator reports directly to the Manager of Investigations. The Senior Investigator more
    CareerBuilder (11/30/21)
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  • Collabera Inc. (Arlington, VA)
    Investigator , Fraud Investigation, Lead Fraud Specialist, Lead Specialist Fraud, Fraud Claims Investigator , Fraud Claims Analyst, Claims Analyst, ... , Fraud Investigation, Lead Fraud Specialist, Lead Specialist Fraud, Fraud Claims Investigator , Fraud Claims Analyst, Claims Analyst, Fraud… more
    CareerBuilder (11/19/21)
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  • Multiplan (Atlanta, GA)
    …bright people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been ... benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND...mining and coordination of benefits techniques to client paid claims data. 3. Evaluate medical claims for… more
    Jobs2Careers (11/27/21)
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  • MultiPlan (Atlanta, GA)
    …bright people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been ... benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… more
    CareerBuilder (11/18/21)
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  • MultiPlan (Atlanta, GA)
    …bright people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been ... coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. The incumbent will assist department… more
    CareerBuilder (11/05/21)
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  • Commonwealth Care Alliance (Boston, MA)
    …and to quantify overpayments.Responsible for reviewing medical records and claims against coding guidelines, regulations, provider contracts and other applicable ... sources to investigate and recover overpayments that are the result of fraud, waste or abuse.Conducts detailed research across multiple diverse regulatory environments to determine appropriate benefit administration.Develops internal partnerships with internal… more
    JobDiagnosis (11/26/21)
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  • TalentBridge (Kansas City, MO)
    …role: Law Enforcement, Customer Service, Fraud, Collections, Claims ( Investigator /Adjuster/Analyst/Examiner), Loan Processing, Banking (Analyst/Investigative ... provides an abundance of room for growth and development!The Fraud Investigator will specialize in investigating and identifying fraudulent transactions in wireless… more
    CareerBuilder (11/30/21)
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  • United Claims Service, Inc. (New York, NY)
    Seeking Insurance Claims Field Investigators/Adjusters with experience preferred. Independent Claims Adjusting and Private Investigation Firm seeking qualified ... applicants to conduct Insurance Claims Field Investigation & Adjustment in the New York...in-depth investigations to allow our clients to make informed claims decisions. Seeking highly motivated individuals to conduct field… more
    PandoLogic (12/07/21)
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  • Advantage Surveillance LLC (Orlando, FL)
    …clients time and money. Job Description: Advantage Surveillance is seeking a (Bi-Lingual) SIU Claims Investigator for our Operations Team in Orlando, FL . The ... investigations of auto, property, homeowner liability and worker's compensation insurance claims in support of client objectives and Company quality standards.… more
    Advantage Surveillance LLC (12/07/21)
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  • Coleman Worldwide Moving (Midland City, AL)
    …information gathered by investigation, and report findings and recommendations.Refer questionable claims to investigator or claims adjuster for ... Job Summary:The Claims Adjuster will examine claims forms and other records to determine carrier liability, interview or correspond with claimants or other… more
    CareerBuilder (12/03/21)
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  • Collabera (Atlanta, GA)
    …a call on ### to discuss this further or email me at . Fraud Claims Analyst,Fraud Investigator ,Fraud Claims ,Fraud,Banking Claims ,Fraud Claims ... Position Details:Position: Fraud Claims AnalystClient: Fortune 500Industry: BankingJob duration: 6 months (possible extension)Location: 100% Remote (Candidate may be… more
    CareerBuilder (11/18/21)
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  • COllabera (Fayetteville, AR)
    Investigator , Fraud Investigation, Lead Fraud Specialist, Lead Specialist Fraud, Fraud Claims Investigator , Fraud Claims Analyst, Claims Analyst, ... , Fraud Investigation, Lead Fraud Specialist, Lead Specialist Fraud, Fraud Claims Investigator , Fraud Claims Analyst, Claims Analyst, Fraud… more
    Jobs2Careers (12/03/21)
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  • Collabera Inc. (New York, NY)
    Investigator , Fraud Investigation, Lead Fraud Specialist, Lead Specialist Fraud, Fraud Claims Investigator , Fraud Claims Analyst, Claims Analyst, ... , Fraud Investigation, Lead Fraud Specialist, Lead Specialist Fraud, Fraud Claims Investigator , Fraud Claims Analyst, Claims Analyst, Fraud… more
    JobGet (12/05/21)
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  • UnitedHealth Group (Sugar Land, TX)
    …investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources ... at home with us and start doing your life's best work.(sm)The Senior Investigator reports directly to the Manager of Investigations. The Senior Investigator more
    CareerBuilder (12/04/21)
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  • UnitedHealth Group (Atlanta, GA)
    …investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources ... the power and stability of a leading health care organization. The Senior Investigator reports directly to the Manager of Investigations . The Senior Investigator more
    Jobs2Careers (12/03/21)
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  • UnitedHealth Group (Atlanta, GA)
    …and prevention of Pharmacy-related healthcare fraud, waste, and abuse. The Principal Investigator will utilize claims data, applicable guidelines, and other ... at home with us and start doing your life's best work.(sm)The Principal Investigator reports directly to the Manager of Investigations. The Principal Investigator more
    CareerBuilder (11/30/21)
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  • Project Resources Group (Grand Rapids, MI)
    …days of the week, day, and evenings; hours can be 24/7. Law enforcement and/or prior investigator a plus Claims background also plus Still a good fit? If so, the ... for an outside plant expert for our Damage Field Investigator role in the area. Is that you? If...it to the local handling office via email. Assist Claims Recovery team post-investigation Develop and maintain monthly market… more
    Jobs2Careers (12/03/21)
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  • Tallon Recruiting and Staffing (Weston, FL)
    Investigator with a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator background to support claims for review for Medicare, Medicaid, ... data. Qualified candidates will have experience conducting in-depth evaluation of claims and making field level judgments related to investigations for potential… more
    CareerBuilder (10/24/21)
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  • UnitedHealth Group (Minnetonka, MN)
    …for a career in which you can do your life's best work.The Investigator Intern will assist with identification, investigation and prevention of healthcare fraud, ... waste and abuse. Additionally, they will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and… more
    CareerBuilder (12/05/21)
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  • UnitedHealth Group (Atlanta, GA)
    …your life's best work.(sm)The Program Integrity/Special Investigations Unit (PI/SIU) Lead Investigator for Nebraska and Arkansas will be responsible for detecting, ... regulatory reporting purposes Generates leads for fraud investigations and analyzes claims data to detect fraudulent activity Develops company awareness program… more
    CareerBuilder (11/30/21)
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