- Allied Universal (Rochester, NY)
- …a difference. Allied Universal 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 Compliance and Investigation Services....Certified Fraud Investigator (CFE) Certified Insurance Fraud Investigator (CIFI) Fraud Claim Law Associate (FCLA)… more
- Mount Sinai Health System (New York, NY)
- …data models. Extensive knowledge of healthcare/medical data such as hospital/physician claims , utilization data, and healthcare industry coding systems and ... System is one of the largest academic medical systems in the New York metro area, with more...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …Relations Manager, a typical day may include: Act as the lead investigator on employee concerns including devising investigation strategies, reviewing data and ... compliance and legal teams and HR leadership to address Ethics Points claims Appropriately document, maintain, and handle sensitive and privileged and confidential… more
- Allied Universal (Albany, NY)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... 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
- Allied Universal (Batavia, NY)
- …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
- Allied Universal (Syracuse, NY)
- 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems , claims flow, adjudication process, system edits and display ... Medical Investigator role. + Subject matter expert in health systems operations including an understanding of reimbursement methodologies and coding conventions… more
- CVS Health (Albany, NY)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... clinical and legal review. - Documents all appropriate case activity in tracking system . - Makes referrals and deconflictions, both internal and external, in the… more
- TEKsystems (Queens, NY)
- …of fraud. + Independently review, examine, and decision fraud and merchant dispute claims submitted by members to minimize the credit union's loss exposure, increase ... the preparation of responses to Complaint Management. + Maintain case management systems for tracking of fraud cases and relevant information. Ongoing monitoring of… more
- Mount Sinai Health System (New York, NY)
- …and EHR systems effectively. . Organize routine meetings with health system business leaders and managed care teams to review authorization performance, payer ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean ...System is one of the largest academic medical systems in the New York metro area, with more… more
