• Claims Investigator

    Allied Solutions (Plano, TX)
    …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
    Allied Solutions (04/13/25)
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  • Carelon Coordination of Benefits (COB)…

    Elevance Health (Grand Prairie, TX)
    **Carelon Coordination of Benefits (COB) - Investigator II** Internal Job Title: Financial Operations Recovery Specialist II **Location:** This role enables ... expenses, making a significant impact on our mission. The **Carelon COB Investigator II (** Financial Operations Recovery Specialist II) is tasked with conducting… more
    Elevance Health (06/04/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    ** 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
    Elevance Health (06/07/25)
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  • Clinical Fraud Investigator Senior

    Elevance Health (Grand Prairie, TX)
    **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior** is responsible for identifying issues and/or entities that may… more
    Elevance Health (06/03/25)
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  • Investigator II

    Elevance Health (Grand Prairie, TX)
    ** Investigator II** **Location Hybrid 1** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Investigator II** is responsible for the identification, investigation and development… more
    Elevance Health (05/31/25)
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  • Surveillance Investigator

    Allied Universal (Dallas, TX)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... programs, and exclusive perks. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
    Allied Universal (05/15/25)
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  • Investigator II

    Elevance Health (Grand Prairie, TX)
    ** Investigator II** _Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development… more
    Elevance Health (06/07/25)
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  • Director Complex Claims

    Sedgwick (Dallas, TX)
    …Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations… more
    Sedgwick (05/08/25)
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