- Elevance Health (Woodbridge, NJ)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …+ Independently review, revise, and approve disease state education content for legal risk as part of the Medical Review Committee + Independently review and approve ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Travelers Insurance Company (Morristown, NJ)
- …specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Morristown, NJ)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants nurse ... reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Morristown, NJ)
- …specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more