- Elevance Health (Winston Salem, NC)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the exception ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Elevance Health (Metairie, LA)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... ** Investigator Senior - Carelon Payment Integrity SIU** **Location:** Must be...of proprietary data and claim systems for review of facility, professional… more
- Command Investigations (Providence, RI)
- …Companies (Powered by Command Investigations), a modern, innovative, and results-driven company that focuses on client satisfaction and employee happiness is looking ... for an experienced part time surveillance investigator . Must Have a current Private Investigator 's license. Please visit our website for additional information… more
- Sedgwick (Salt Lake City, UT)
- …Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection of ... or other stakeholders. + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it relates to policy… more
- Humana (Oklahoma City, OK)
- …first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- Elevance Health (Indianapolis, IN)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Dycom (West Palm Beach, FL)
- …pet insurance, and much more! **What you'll do as a Senior Investigator ** + Conduct investigations into claims of potential harassment, discrimination, ... **Discover a more connected Senior Investigator , Employee Relations (bilingual)** **career** At Dycom Industries,...drug, dental, vision, disability, life insurance) + 401(k) w/ Company Match + Stock Purchase Plan + Education Reimbursement… more
- Elevance Health (Gilbert, MN)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Abbott (Abbott Park, IL)
- …114,000 colleagues serve people in more than 160 countries. **Nonconformance** **CAPA Investigator ** **Working at Abbott** At Abbott, you can do work that matters, ... a full life. You'll also have access to: + Career development with an international company where you can grow the career you dream of. + Employees can qualify for… more
- The Robison Group (Omaha, NE)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... encouraged to apply. POSITION QUALIFICATIONS: + A current and valid Nebraska Private Investigator license is highly preferred. Ability to obtain an Iowa Private … more