• Claims Team Lead - General Liability…

    Sedgwick (Frankfort, KY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote **PRIMARY PURPOSE** : To ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
    Sedgwick (12/02/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Frankfort, KY)
    …Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an opportunity to join a global industry leader where you ... needs. **ARE YOU AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We're seeking an… more
    Sedgwick (09/25/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Louisville, KY)
    …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
    Molina Healthcare (11/20/25)
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  • Investigator, Special Investigative…

    Molina Healthcare (Bowling Green, KY)
    …health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud… more
    Molina Healthcare (11/26/25)
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