- 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 ... parties, and negotiating claim resolution. In reaching resolution, the Claims Investigator will be responsible for reviewing repair quotes, identifying… more
- Allied Universal (Butte, MT)
- …Investigator 's license** **required** **prior to applying** Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… more
- Allied Universal (Las Vegas, NV)
- …as needed to ensure a full schedule** Allied Universal(R) is hiring a SIU / Claims Investigator . SIU / Claims Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate… 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...This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis,… more
- NJ Transit (Newark, NJ)
- Investigator A ( Claims ) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... public agencies. + Carrying out negotiations in adjusting of claims and entering of settlements with attorneys. + Obtaining...maintaining a calendar of upcoming events; maintaining a diary system . + Maintaining both paper and electronic claim… more
- CareFirst (Baltimore, MD)
- …of audits of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, ... detailed offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems , medical… more
- Allied Universal (Ocala, FL)
- … claim . **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Molina Healthcare (Kearney, NE)
- **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
- Elevance Health (Wilmington, DE)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** _Hybrid 1: This role requires associates...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + … more
- Elevance Health (Winston Salem, NC)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... ** Investigator Senior** **Supports the Payment Integrity line of...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
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