- Amrize (Nashville, TN)
- … by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... new build, repair and refurbishment: We're in every construction market . Amrize listed on the New York Stock Exchange...negotiating claim resolution. In reaching resolution, the Claims Investigator will be responsible for reviewing… more
- Amrize (Nashville, TN)
- …protecting the interests of Amrize Building Envelope (ABE) by handling roofing claims . The Specialist/ Investigator will receive, analyze, and make determinations ... reps, field tech reps, and personal site investigations. The Specialist/ Investigator will be responsible for investigating the claim...throughout as needed, with a focus on large dollar claims ; + Develop and negotiate the claim … more
- CareFirst (Baltimore, MD)
- …& Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation of losses to ... of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, provider/subscriber… more
- Elevance Health (Rancho Cordova, CA)
- …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 (Overland Park, KS)
- ** Investigator Senior** **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 Senior** is responsible for the independent identification, investigation… more
- Travelers Insurance Company (Diamond Bar, CA)
- …identify risk and combat fraudulent practices at scale. As an SIU Specialized Investigator , you will lead complex, multi- claim investigations with regional and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...salary range provided for this position is a nationwide market range and represents a broad range of salaries… more
- New York Power Authority (Buffalo, NY)
- Senior EEO Investigator Location: White Plains, USBuffalo, USMarcy, US **Summary** The Senior Equal Employment Opportunity (EEO) Investigator is responsible for ... harassment, and other EEO-related issues within the organization. The Investigator will also assist in facilitating reasonable accommodations for employees… more
- 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
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 79000849 Date: Aug 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 858434 Agency: Business and Professional Regulations Working Title: LAW ENFORCEMENT INVESTIGATOR II - 79000849 Pay Plan: Career Service Position Number: 79000849… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more