- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...financial impact for cases worked in the case management system . + Assist GIS and local management as appropriate… more
- Allied Universal (Macon, GA)
- …difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Company Overview: 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
- Elevance Health (Atlanta, GA)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... **Pharmacy Investigator Senior** **Hybrid** : This role requires associates...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Allied Universal (Waycross, GA)
- Company Overview: 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 opportunities for claim … more
- Manulife (GA)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... management and Requesters + Optimally applies internal case management systems to keep department management updated and to plan...and trains more junior investigators on long term care claim cases and processes + Ability to travel on… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …compliance** across Contract Research Organizations (CROs), clinical laboratories, and clinical investigator sites. This role plays a critical part in maintaining ... conduct, and report GCP audits of CROs, clinical laboratories, and investigator sites globally, ensuring compliance with ICH-GCP, local regulations, and company… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …management, medical, patient access and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this ... strong understanding of evolving healthcare trends, disease state, Otsuka products, systems , and services across the ecosystem landscape, including KIs, LPLs, Key… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …of the annual audit plan using risk-based approaches. + Coordinate and support investigator site, vendor, and internal process audits. + Track audit findings and ... trends and escalate recurring issues to senior leadership. **Quality Systems & Compliance** + Support the implementation and continuous...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Advocacy Groups) before during and after congresses + Organize and facilitate investigator meetings and advisory boards in conjunction with congress + Coordinate ... solutions + Establish KPIs for congress activities and implement systems to track and analyze performance + Conduct post-congress...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Oracle (Atlanta, GA)
- …studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external ... Senior Research Consultant, you will: + Be the Principal Investigator , lead the design and execution of health outcomes...desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming… more