• 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...assigned + Obtain adjuster licenses as needed Qualifications: + Associate college degree required except in the following circumstances:… more
    Allied Solutions (04/13/25)
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  • Life Special Investigations Unit…

    USAA (San Antonio, TX)
    …Investigator I (Mid-Level)** to review, analyze, and investigate life, health, and annuity claims to ensure claim validity and to protect the association from ... fraudulent activity. This role will provide investigative support and recommendations on claim settlements and assists with fraud detection and deterrence, as well… more
    USAA (05/24/25)
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  • Surveillance Investigator

    Allied Universal (Dallas, 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 (05/15/25)
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  • Surveillance Investigator - Part-Time

    Allied Universal (Odessa, 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 (05/15/25)
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  • Investigator , SIU (Remote)

    Molina Healthcare (TX)
    …related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
    Molina Healthcare (03/21/25)
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  • Fraud and Abuse Investigator

    Humana (Austin, TX)
    …**Use your skills to make an impact** **WORK STYLE:** Mostly remote/work at home. Associate would be expected to attend five annual site visits within the state of ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more
    Humana (05/22/25)
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  • Director Complex Claims

    Sedgwick (Fort Worth, TX)
    …from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified Fraud ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations… more
    Sedgwick (05/08/25)
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