• 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 (10/12/25)
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  • Claims Investigator - Part-time

    Command Investigations (Lubbock, TX)
    Command Investigations, LLC is looking for Claims Investigator to become part of a dynamic team. This is a great opportunity for individuals with prior SIU ... however, we pride ourselves on distributing available cases fairly. Position(s) Available: Claims Investigator Our employees have opportunities to grow within a… more
    Command Investigations (11/12/25)
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  • Claims Investigator - Experienced

    Command Investigations (Laredo, TX)
    …for hire. 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… more
    Command Investigations (10/18/25)
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  • Investigator , Special Investigative Unit…

    Molina Healthcare (San Antonio, TX)
    **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
    Molina Healthcare (09/22/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Grand Prairie, TX)
    **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
    Elevance Health (11/04/25)
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  • Surveillance Investigator

    Allied Universal (Tyler, TX)
    **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
    Allied Universal (10/31/25)
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  • Surveillance Investigator

    The Robison Group (Lubbock, TX)
    …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... + Candidates must be willing to obtain a valid Texas Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative and work… more
    The Robison Group (10/24/25)
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  • Senior Investigator , Special…

    CVS Health (Austin, TX)
    …States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
    CVS Health (11/19/25)
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  • GYN Oncology, Regional Medical Scientific Director…

    Merck (Austin, TX)
    …external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. The Oncology Regional ... Medical Scientific Director provides research support to our companies Investigator -Sponsored and Company-Sponsored Trials to enhance the understanding of the… more
    Merck (11/07/25)
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  • Manager, Evidence Generation, IME & Sponsorship…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …generation of medical evidence, (eg, observational studies, registries, and investigator -initiated studies (IISs) / investigator -initiated trials (IITs)) + Manage ... 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
    Otsuka America Pharmaceutical Inc. (11/14/25)
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