• Marine Investigator

    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
    Sedgwick (06/27/25)
    - Related Jobs

  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    Nurse Investigator Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64040/other-jobs-matching/location-only) Hot ... of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the...proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive… more
    State of Georgia (06/19/25)
    - Related Jobs

  • SIU Field Investigator

    Travelers Insurance Company (Downers Grove, IL)
    …summarize and prioritize information to uncover potentially fraudulent activity. The investigator , supporting a Claim Center, will investigate claims deemed ... Services provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have… more
    Travelers Insurance Company (07/08/25)
    - Related Jobs

  • Investigator , Special Investigative Unit…

    Molina Healthcare (St. Petersburg, FL)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
    Molina Healthcare (07/24/25)
    - Related Jobs

  • Surveillance Investigator - Part-Time

    Allied Universal (Ocala, FL)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the 40-hour course necessary to successfully apply for a CC Private Investigator 's license (apprenticeship) before applying** **.** Allied Universal(R) is hiring a… more
    Allied Universal (07/18/25)
    - Related Jobs

  • Clinical Fraud Investigator Senior

    Elevance Health (Norfolk, VA)
    **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or entities that may… more
    Elevance Health (07/25/25)
    - Related Jobs

  • Investigator Senior - Carelon Payment…

    Elevance Health (Metairie, LA)
    ** Investigator Senior - Carelon Payment Integrity SIU** **Location:** Must be located in **Louisiana** . This role requires associates to be in-office 1 - 2 days per ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** will be responsible for the independent identification,… more
    Elevance Health (07/22/25)
    - Related Jobs

  • Senior Fraud & Waste Investigator (OK)

    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
    Humana (07/18/25)
    - Related Jobs

  • Investigator Senior

    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 (07/04/25)
    - Related Jobs

  • Experienced Surveillance Investigator

    Command Investigations (Cleveland, OH)
    …to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims . We are seeking individuals who possess proven investigative skill sets within ... Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private ...Investigator + Must be licensed as a Private Investigator in your state (if required) + Flexibility to… more
    Command Investigations (07/21/25)
    - Related Jobs