• Claims Team Leader - Liability

    Sedgwick (Madison, WI)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
    Sedgwick (09/13/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Madison, WI)
    …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… more
    Sedgwick (09/25/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Madison, WI)
    …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
    CDM Smith (08/01/25)
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  • Telephonic Case Manager

    Sedgwick (Madison, WI)
    …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career… more
    Sedgwick (09/19/25)
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  • Healthcare Fraud Investigator *Clinical

    Sanford Health (Marshfield, WI)
    …- Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred - Nursing or other clinical experience highly preferred ... Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and… more
    Sanford Health (09/10/25)
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  • Investigator

    Highmark Health (Madison, WI)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC)… more
    Highmark Health (09/10/25)
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