- Elevance Health (Louisville, KY)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts analysis… more
- Highmark Health (Frankfort, KY)
- …including auditing/monitoring operational processes, conducting or overseeing compliance investigations , and ensuring that adequate training takes place under ... and external audit progress, recurring risk and compliance reporting, mandated training, investigations , and the impacts of new and changing laws, regulations, and… more
- Elevance Health (Louisville, KY)
- …+ Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation , law enforcement; or any ... The **Investigator Senior** is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare… more
- Target (Louisville, KY)
- …comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your ... profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. **At Target, we… more
- Travelers Insurance Company (Frankfort, KY)
- …**Target Openings** 1 **What Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime insurance ... businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation , analysis, evaluation, and disposition of claims and claim litigation to achieve… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …process performance, troubleshooting, and improvements. + Lead complex manufacturing investigations and deviations, ensuring thorough root cause analysis and ... strategies and optimize product lifecycle management + Lead root cause investigations for manufacturing deviations and implement corrective and preventive actions +… more
- Jabil (Florence, KY)
- …+ Partner with site operations and test leadership to drive root cause investigations leading to clear actions and improvements in FPY, test throughput and repair ... COMPANY BENEFITS + Medical, Dental, Prescription Drug, and Vision Insurance with HRA and HSA options + 401K match...Merit Increases + Community Volunteer Opportunities BE AWARE OF FRAUD : When applying for a job at Jabil you… more
- Sedgwick (Frankfort, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr , Professional Liability (MEDMAL) **PRIMARY PURPOSE** : To ... plans to an appropriate and timely resolution. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims… more
- Kelly Services (Frankfort, KY)
- …of education and experience required + Knowledge of appropriate medical malpractice insurance + Bachelor's degree from an accredited college or university preferred ... information to determine the exposure on the claim + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims… more
- Jabil (Florence, KY)
- …climate-controlled, and well-lit. COMPANY BENEFITS + Medical, Dental, Prescription Drug, and Vision Insurance with HRA and HSA options + 401K match + Employee Stock ... Off + Tuition Reimbursement + Life, AD&D, and Disability Insurance + Commuter Benefits + Employee Assistance Program +...Merit Increases + Community Volunteer Opportunities BE AWARE OF FRAUD : When applying for a job at Jabil you… more