- Allied Universal (Crossville, TN)
- …investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit / Claims Investigator . Special Investigations Unit (SIU) Specialists investigate ... to ensure a full schedule** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers'… more
- Allied Universal (Charleston, WV)
- …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... Insurance claims through scene Investigations, claimant and...and scene investigations + Follow guidance from the handling insurance adjuster to perform field tasks essential… more
- MTA (Brooklyn, NY)
- …enforcement agencies, insurance carriers and organizations dedicated to combating claims fraud. Education and Experience Claim Fraud Investigator + ... Claims Fraud Investigator (Special Investigations) Job...managerial and/or supervisory role. Desired Skills + Knowledge in insurance claims and/or claims fraud… more
- Command Investigations (Raleigh, NC)
- …for hire. Visit our website and find out why at www.GoCommand.com. The Claims / Field Investigator should demonstrate proficiency in the following areas: ... Seeking experienced Investigators/Adjusters for insurance investigations that include Recorded Statements as well...candidates Full-Time benefits Include: + Medical, dental and vision insurance + 401K + Extensive performance bonus program +… more
- Command Investigations (Orlando, FL)
- …for hire. Visit our website and find out why at www.GoCommand.com. The Claims / Field Investigator should demonstrate proficiency in the following areas: ... Investigators with at least one year of experience of WC/ Insurance investigations that include Recorded Statements as well as...candidates Full-Time benefits Include: + Medical, dental and vision insurance + 401K + Dynamic and fast paced work… more
- The Hartford (NJ)
- …thorough, timely, efficient and impartial investigations to support the accurate resolution of insurance claims by the Company. Key responsibilities of the role ... by the claim staff, or losses reviewed by the field investigator proactively which may be appropriate...Degree preferred. + Minimum of 3 years special investigation insurance claims experience and/or investigative law enforcement… more
- National General Insurance Company (Uniondale, NY)
- ** This role is a field Investigator role where the investigator would travel within a territory of Essex county, Union County and Bergen county, NJ AND the ... and decision-making process + Utilizes analytic tools or SIU field intelligence to identify complex claims for...as required Functional Skills + Applies broad knowledge of insurance policy, coverage, and regulation + Applies broad knowledge… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Insurance Investigator - Health / Life** **Job Class: Commerce Analyst 1, Commerce Analyst 2, or Commerce Analyst 3** **Agency: Commerce ... analyst, a licensed insurance producer selling life insurance , annuities, or health insurance claims...Bachelor's degree in Business, Criminal Justice, Journalism, or related field is equivalent to one (1) year of experience.… more
- State of Massachusetts (Boston, MA)
- …agencies, municipalities, law enforcement and public prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a number of public ... of public funds, even when no crime or civil action is involved. *Senior Investigator : Position Overview* The Senior Investigator reports to the Director and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. As a member of Premera's Special Investigations Unit (SIU), the ** Investigator III** will be responsible for investigating allegations of external fraud, waste, ... efficient method of investigation for each individual case. + Perform investigative field work to include on-site office visits, record collection, and surveillance.… more
- The Robison Group (Missoula, MT)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and ... QUALIFICATIONS: + Candidates MUST hold a current and valid Montana Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative and… more
- Highmark Health (Harrisburg, PA)
- …may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential ... and reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business. + Will be called upon… more
- Commonwealth Care Alliance (Boston, MA)
- …SIU, government agency or similar position related to data analysis or an insurance -related field beneficial. + Proficiency in Microsoft Office (Word, Excel, ... **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing...mining and visualization programs to design queries and analyze claims data to detect outliers or suspicious patterns for… more
- BAE Systems (Falls Church, VA)
- …Education, Experience, & Skills** o Degree in Law, Human Resources, or related field , (or combination of education and experience) is required o Minimum of 6 ... to Have: o Fluent in Spanish o Experience working on EEO claims /matters o Experience drafting position statements **Pay Information** Full-Time Salary Range: $113080… more
- CVS Health (Columbus, OH)
- …healthcare fraud cases + Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. + Facilitates ... in Employee Competencies Required Qualifications + Minimum three years in healthcare field working in fraud, waste and abuse investigations and audits utilizing… more
- CVS Health (Richmond, VA)
- …healthcare fraudcases.- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customermembers, etc.- Facilitates ... Of Virginia, Department of Medical Assistance Services- 3 years in healthcare field working in fraud, waste and abuse investigations and audits.- Strong analytical… more
- Aerotek (Tempe, AZ)
- …related field or + Bachelor's Degree with 2 years' work experience in insurance , workers compensation claims management or risk management + Ability to learn ... **Overview:** **Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the...vendors such as defense attorneys, nurse case managers and investigator + Coordinates the employee's release to transitional duty… more
- University of Colorado (Aurora, CO)
- …software, consulting with other project staff as needed. + Serve as a principal investigator or co- investigator in the role of biostatistician on funded grant ... project staff as needed. + Serve as a principal investigator or co- investigator in the role of...**Instructor:** + Master's degree in statistics, biostatistics, or related field . + Five years of SAS, R, or other… more
- Baystate Health (Springfield, MA)
- …variable methods; experience working with large observational data sets, including health insurance claims data + Experience with contemporary approaches to data ... Chan Medical School - Baystate. **Job Responsibilities:** + Serve as Co- Investigator or Principal investigator on investigator -initiated research… more
- MyFlorida (Pensacola, FL)
- …Quality Assurance Bureau of Enforcement Investigative Services Unit - Pensacola Field Office **Open Competitive Opportunity** Full-time Career Service Position *This ... coverage area, under certain conditions* Your Specific Responsibilities: The investigator conducts priority and routine investigations, audits and inspections… more