- 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 ... and other public agencies. + Carrying out negotiations in adjusting of claims and entering of settlements with attorneys. + Obtaining information in collection… more
- Allied Universal (Edison, NJ)
- …Description:** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims ... **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
- Elevance Health (Woodbridge, NJ)
- ** 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
- Allied Universal (Cherry Hill, NJ)
- **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
- Elevance Health (Woodbridge, NJ)
- **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
- The Robison Group (Newark, NJ)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... + Must be willing and able to obtain a New Jersey Private Investigator 's license TRAINING The Robison Group provides remote and/or in-classroom training to ensure… more
- Highmark Health (Trenton, NJ)
- …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… more
- Bristol Myers Squibb (Princeton, NJ)
- …contingencies, issue resolution and escalation to the appropriate stakeholder/s. + Investigator Meeting participation and preparation. + Ensures data entered in the ... with local team eTMF completeness (Country and Site level). + Prepare investigator sites to conduct clinical trials through verifying acceptability of Clinical Trial… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …the company's overall goals and values. The individual must also be a skilled investigator , both in conducting investigations and being able to lead a team of ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …under development by the BU. + Reviews proposals for IIS ( Investigator -Initiated Studies) and Collaborative Studies. + Reviews advertising, educational, promotional ... Reports and regulatory submissions to ensure adequacy of support for all claims pertaining to the safety, effectiveness, and clinical performance of all products.… more