• Fire Investigator

    EFI Global (Phoenix, AZ)
    …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the insurance industry and law enforcement/fire service personnel.** **Investigates losses/ claims with illegal, fraudulent or subrogation aspects in accordance with… more
    EFI Global (05/23/25)
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  • Fire Investigator

    EFI Global (Syracuse, NY)
    …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the insurance industry and law enforcement/fire service personnel.** **Investigates losses/ claims with illegal, fraudulent or subrogation aspects in accordance with… more
    EFI Global (05/03/25)
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  • Analyst, Investigator (Aetna SIU)

    CVS Health (Annapolis, MD)
    …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... the recovery of company and customer money lost as a result of fraud matters. - Provides input regarding controls for monitoring fraud related issues within the business units. - Delivers educational programs designed to promote deterrence and detection of… more
    CVS Health (06/28/25)
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  • Automotive Product Investigator /Dealership…

    V2X (Phoenix, AZ)
    …well as performing thorough vehicle inspections, research of the vehicle history, insurance claims , and / or repairs, etc. The ideal candidate will have Dealership ... or Independent Service Center Technician, Service Engineering and/or Service Management experience. This position may include interviewing the vehicle owner, obtaining the vehicle history, obtaining specific vehicle data, completing detailed inspection forms… more
    V2X (06/20/25)
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  • Claims Service Representative 1/Trainee 1/2

    New York State Civil Service (Liverpool, NY)
    NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other Professional Careers Salary Grade NS ... NY Zip Code 13088 Duties Description Under the general supervision of a Claims Services Representative 2, the incumbent will oversee all aspects of workers… more
    New York State Civil Service (06/27/25)
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  • Biller- Oncology Claims Follow-Up/Billing-…

    Mount Sinai Health System (New York, NY)
    …proficiency in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + HS/GED; Associates Degree is preferred + ... **1-2 years of experience in medical billing or health claims , with experience in billing systems in a health...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (04/30/25)
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  • Accounting Clerk- Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers....and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
    Mount Sinai Health System (07/10/25)
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  • Supervisor IV-Patient Financial Services (Medicare…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
    Mount Sinai Health System (04/28/25)
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  • Health Insurance Fraud Analyst III

    MyFlorida (Tallahassee, FL)
    …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... include, but not be limited to, the following: + Identify suspicious patterns in claims data and other sources by applying your knowledge of heath care coding… more
    MyFlorida (07/10/25)
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  • Group Supervisor (Medicaid)

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the...levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group Supervisor, who… more
    City of New York (06/24/25)
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