• Claims Investigator

    Allied Solutions (Plano, TX)
    …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will include researching and… more
    Allied Solutions (07/13/25)
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  • Claims Investigator - Experienced

    Command Investigations (Laredo, TX)
    …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 (07/19/25)
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  • SIU Investigator

    Allied Universal (San Antonio, TX)
    …perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
    Allied Universal (09/06/25)
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  • Surveillance Investigator

    Allied Universal (Tyler, TX)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...and exclusive perks. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet… more
    Allied Universal (09/06/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Houston, TX)
    **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
    Elevance Health (08/30/25)
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  • Senior Auditor Lead Investigator

    Aramco Services Company (Houston, TX)
    …assignments beyond the normal scope of the audit function. The Senior Lead Investigator handles hotline reports or calls and manages cases of moderate to high ... include assistance to external auditors or special auditors. The Senior Lead Investigator handles hotline reports or calls and manages cases with the upmost… more
    Aramco Services Company (08/27/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance… more
    Highmark Health (08/15/25)
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  • Executive Director of R&D Global Quality (Remote)

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Executive Director, CNS Strategy, Global Medical…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …Global CNS evidence generation with Phase IIIB and IV studies, including Investigator Sponsored Studies and non-interventional studies + Develops and provides CNS TA ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (07/11/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Austin, TX)
    …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
    CVS Health (09/02/25)
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