- Galileo Financial Technologies, LLC (Jacksonville, FL)
- …. The Role We are seeking a talented and self-motivated Senior Fraud Investigator to support our Fraud Investigations team. This role will be ... regulatory institutions and Galileo policies and procedures. The Senior Fraud Investigator is responsible for conducting holistic reviews of Fraud Investigators'… more
- SGI Global, LLC (Minneapolis, MN)
- …| Full Time SGI Global is seeking an Affirmative Civil Enforcement (ACE) Investigator /Analyst to support the United States Attorney's Office, District of ... Minnesota to support the Assistant United States Attorneys (AUSAs) within the...ACE efforts, including participating in witness interviews. + Analyzing claims data using Excel and other tools to identify… more
- AIG (Atlanta, GA)
- …and reporting on findings. The investigator will provide assistance to the claims adjuster in progressing the claim and will leverage knowledge and expertise ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in...business involving claimants, brokers, lawyers, medical providers, etc., to support the Claims organization. + Obtain and… more
- CareFirst (Baltimore, MD)
- …timely, effective and result in an overall achievement of unit goals. + Investigator researches and analyzes claims data using company anti-fraud software, ... **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation...Independently conduct low to medium level investigations and provide support as part of an assigned team to all… more
- Travelers Insurance Company (Morristown, NJ)
- …issues/trends in the claim or underwriting environment. + Provides primary technical support , as subject matter expert, to field offices on questions of fire and ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Elevance Health (Lake Mary, FL)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... **Pharmacy Investigator Senior** **Hybrid** : This role requires associates...week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured… more
- Elevance Health (Columbus, OH)
- …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** **Locations:** Indianapolis, IN, Nashville, TN, Columbus,...week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured… more
- Amrize (Nashville, TN)
- …the end-to-end leak coordination process - overseeing approximately $500,000 in annual claims expenses - while providing critical administrative support to the ... Warranty Investigator Coordinator Requisition ID: 15358 Location: Nashville, TN,...owners to justify expenditures while maintaining strong business relationships. ** Claims & Administrative Support ** + Material Logistics:… more
- USAA (New York, NY)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, ... protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity...(now or in the future) you will need immigration support (ie, H-1B, TN, F-1, STEM OPT Training Plans,… 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