- The Robison Group (Brooklyn, NY)
- …such as auto and property theft, fire damages, auto accidents, commercial claims , finding missing persons, courthouse searches, and other investigative tasks. For ... for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team of investigators and industry… more
- Molina Healthcare (Covington, KY)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... the Medicaid and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Allied Universal (Reno, NV)
- …**Minimum Requirements:** + Applicants must be at least 21 years of age. + A private investigator license is preferred . + Be at least 18 years of age for unarmed ... As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up...Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:**… more
- CVS Health (Pierre, SD)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... to travel and participate in legal proceedings, arbitrations, depositions, etc. ** Preferred Qualifications** - Knowledge of New Jersey Medicaid - Credentials such… more
- The Boeing Company (Ridley Park, PA)
- …processes and initiatives. + Participates in the discussion of legal cases and claims with in-house and outside counsel. + Researches, acquires and provides specific ... or computer science. + 5+ years of experience in engineering ** Preferred Qualifications (Desired Skills and Experience):** + Experience with engineering/scientific… more
- American Electric Power (Columbus, OH)
- …With a solid level of knowledge, will be responsible for processing high level claims made by third parties against AEP, with a limited degree of supervision. **Job ... Description** ** Claims Adjuster, Sr (Salary Grade 6)** ** Claims ...or payable, and proper format (eg, signed and dated claim worksheet). + Negotiate settlements based on liability and… more
- Allied Universal (Reno, NV)
- …emergencies. **Minimum Requirements:** + Must be at least 21 years of age. + A Private Investigator License unarmed is preferred . + Be at least 18 years of age ... As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up...Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:**… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... compliance risks. **Qualifications** Education Requirements ? HS/GED; Bachelors strongly preferred . Additional experience needed in addition to ?experience requirements?… more
- Fallon Health (Worcester, MA)
- …initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days and ... each department per week. + Act as the initial investigator and contact person for grievances and appeals, which...all incoming mail, as well as forwarding all initial claim submissions, claim adjustments, and other miscellaneous… more
- Mount Sinai Health System (New York, NY)
- …in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred . + Minimum 7-10 years ... ensure optimized processes deliver measurable improvements in cost-to-collect, clean claim rates, denial reduction, and cash acceleration. 4. Workflow… more