- Elevance Health (FL)
- ** Investigator Assistant** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support to the… more
- Louisville/Jefferson County MSD (Louisville, KY)
- Safety & Security Investigator Print (https://www.governmentjobs.com/careers/louisvillemsd/jobs/newprint/5009262) Apply Safety & Security Investigator Salary ... employees and contractors. Assists in investigating fraudulent Workers' Compensation claims by conducting surveillance. Utilizes GPS data by obtaining data… more
- Highmark Health (Dover, DE)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment… more
- CVS Health (Carson City, NV)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... it all with heart, each and every day. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and… more
- CVS Health (Hartford, CT)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role,… more
- CVS Health (Annapolis, MD)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates… more
- V2X (Phoenix, AZ)
- …streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients, here and abroad, to ... well as performing thorough vehicle inspections, research of the vehicle history, insurance claims , and / or repairs, etc. The ideal candidate will have Dealership… more
- J&J Family of Companies (Raritan, NJ)
- …product and/or procedural evidence generation and dissemination strategies for company sponsored and investigator -initiated studies (IIS), including registries. ... of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management. This role will… more
- NANA Regional Corporation (Washington, DC)
- …customer service and acting as a liaison to insurance companies claim services, claimants, policyholders, agents, counterparts in other departments, external legal ... with and no less than two (2) years of experience as a Background Investigator , Criminal Investigator , Security Specialist or Adjudicator with a federal agency,… more
- Compass Strategy Solutions (Washington, DC)
- …methodology. Active or favorably adjudicated Public Trust clearance is required. COMPANY OVERVIEW Compass Strategy Solutions (CSS) is a Government Contracting ... + Completion of recognized training programs such as: + Federal Background Investigator Training Program (FBITP). + Local law enforcement training academy. + Reid… more