- Elevance Health (South Portland, ME)
- ** Investigator Senior ** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** is responsible for the independent identification,… more
- Elevance Health (Houston, TX)
- ** Investigator Senior ** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office)._ _Alternate ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior ** is responsible for the independent identification,… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Insurance Fund, State Title Investigator 1, Senior Investigative Officer Occupational Category Other Professional Careers Salary Grade NS ... and mitigate fraud. DCI is comprised of four separate teams: Claims Fraud, Provider Fraud, Policyholder Fraud and Data Analytics.Responsibilities include, but… more
- City of New York (New York, NY)
- …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - ... Job Description Claims and Collections pursues monetary recoveries owed to...their cases and obtain additional information (if necessary) FRAUD INVESTIGATOR - 31113 Qualifications 1. A four-year high school… more
- City of New York (New York, NY)
- …pre-tax programs such as Deferred Compensation, IRA, and a flexible spending account. SENIOR RACKETS INVESTIGATOR - 30831 Qualifications 1. Graduation from high ... of this mission, the BXDA seeks experienced and enthusiastic, well-qualified investigator to collaborate with experienced attorneys in the Conviction Integrity… more
- EFI Global (Anaheim, CA)
- …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the assignment.** **Determines the origin and cause of the loss/ claim under investigation and identifies any potential third-party responsibility for subrogation… more
- Allied Solutions (Plano, TX)
- …all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and lender ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
- Elevance Health (Atlanta, GA)
- …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 II** **Location Hybrid 1** : This role requires associates to...of proprietary data and claim systems for review of facility, professional and… more
- Elevance Health (Indianapolis, IN)
- …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 II** **Supporting the Payment Integrity line of business**...of proprietary data and claim systems for review of facility,… more
- San Jose State University (San Jose, CA)
- … Investigator Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=544207&lJobSourceTypeID=837&sLanguage=en-us) Job no: 544207 ... MPP, At-Will, Compliance/Legal, Full Time Job Summary The Civil Rights Investigator is responsible for conducting investigations pertaining to protected status… more
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