- The Hartford (Los Angeles, CA)
- …The mission of the Special Investigations Unit (SIU) is to contribute to claims accuracy by building fraud awareness and investigating questionable claims ... in discussions with Claim and SIU personnel. + The Investigator will also be responsible for understanding fraud...of investigative techniques and the laws pertaining to insurance claims and mandated fraud reporting as well… more
- Allied Universal (Los Angeles, CA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with… more
- Highmark Health (Sacramento, CA)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...facility payment methodology, claims processing systems and coding and billing proficiency +… more
- Elevance Health (Costa Mesa, CA)
- ** 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
- EFI Global (Anaheim, CA)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of… more
- Elevance Health (Los Angeles, CA)
- ** Investigator Assistant** **Hybrid 1:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... business leaders passionate about transforming American healthcare delivery. The ** INVESTIGATOR ASSISTANT i** s responsible for providing administrative support to… more
- Elevance Health (Los Angeles, CA)
- ** Investigator Assistant** **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 Assistant** is responsible for providing administrative support to the… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Otsuka's clinical trials program, including registrational, post-marketing and Investigator -Sponsored Trials (ISTs), health economic outcomes research, other ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …pharmacology** sections for regulatory filings, including annual reports, investigator 's brochure, IND/NDA/BLA applications and pediatrics development plans in ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more