• 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...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
    Allied Solutions (07/13/25)
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  • Surveillance Investigator - Part-Time

    Allied Universal (Corpus Christi, TX)
    … claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with 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… more
    Allied Universal (07/12/25)
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  • Investigator , Special Investigative Unit…

    Molina Healthcare (TX)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
    Molina Healthcare (07/24/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
    Elevance Health (06/27/25)
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  • Senior Investigator , Special…

    CVS Health (Austin, TX)
    …it all with heart, each and every day. The SIU Senior Investigator conducts complex 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 (07/23/25)
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  • Manager, Human Resources

    Texas A&M University System (Texarkana, TX)
    …resources activities. + Oversees and approves actions in Workday or related systems . Resolves and troubleshoots escalated and complex issues. + Under direction, ... Act and FMLA. Responds to unemployment insurance and worker's compensation claims . + Implements the performance improvement process by diagnosing employee competency… more
    Texas A&M University System (05/02/25)
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