- Allied Solutions (Plano, TX)
- …This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This will ... of insurance coverage to certain claim types prior to the assignment to a Claims ... claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond… more
- Allied Universal (Houston, 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
- Elevance Health (Houston, TX)
- …for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related ... **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires...in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more