• Investigator - Special Investigations Unit

    Allied Universal (Mcdonough, GA)
    …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 (08/17/25)
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  • Surveillance Investigator

    Allied Universal (Macon, GA)
    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 (08/28/25)
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  • Investigator

    Highmark Health (Atlanta, GA)
    … (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 industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed oriented… more
    Highmark Health (08/15/25)
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  • Executive Director of R&D Global Quality (Remote)

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …role will take a leadership position in the conduct of clinical facility and system audits at all relevant facilities, investigator sites, and vendors (including ... and correcting non-compliance and mitigating risks, The performance of the Quality Systems and Risks will be reported periodically to Senior Management through the… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Atlanta, GA)
    …each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
    CVS Health (08/20/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Atlanta, GA)
    …**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 (08/24/25)
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