- Molina Healthcare (Lexington, KY)
- **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
- Allied Universal (Louisville, KY)
- …perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red ... + Ability to be properly licensed as a Private Investigator as required by the state where work Is...of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator … more
- Command Investigations (Louisville, KY)
- …for investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a part-time to a full-time basis. + A steppingstone into the ... surveillance + Be able to hold a valid Private Investigator license/PERC card - where applicable. + Possession of...damages. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and… more
- United Auto Delivery & Recovery Inc. (Louisville, KY)
- …UNITEDERS. Due to our company's growth, we are now hiring a full-time Field Investigator . In the Field Investigator position, you will drive a late-model, ... run routes and make contact - seeing first hand the role of a Field Investigator . We are looking for individuals who are interested in growing with us and becoming… more
- Elevance Health (Louisville, KY)
- **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
- CoreCivic (Beattyville, KY)
- …and a responsibility to better the public good. We are currently seeking an ** Investigator ** who has a passion for providing the highest quality care in an ... to making an impact for the people and communities we serve. The Investigator is responsible for the supervision of all internal investigations within the facility… more
- Highmark Health (Frankfort, KY)
- …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining… more
- Meta (Frankfort, KY)
- …activities related to insider threats. **Required Skills:** Security Engineer Investigator , Insider Trust Responsibilities: 1. Develop an understanding of the ... problem space and provide technical guidance during investigations and threat hunts 2. Influence and align the team's mission and strategy by collaboratively prioritizing and delivering multi-year roadmaps and projects 3. Create workflows and automations to… more
- Meta (Frankfort, KY)
- …activities related to insider threats. **Required Skills:** Security Engineer Investigator , Insider Trust Responsibilities: 1. Perform analysis, and threat hunting ... from a variety of log sources (eg, individual host logs, network traffic logs) to identify potential insider threats 2. Create workflows and automations to streamline signal detection, threat hunts, and investigative processes 3. Collaborate with software and… more
- Command Investigations (Louisville, KY)
- …Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize… more